If you are requesting a letter from your provider, please complete and return the Provider Letter and Form Completion Request. This form will assist your provider in completing the letter request in an accurate and timely manner.
After we receive your request, your provider will determine the fee and draft the letter. You will be billed for some or all your provider’s hourly rate depending on how much time is needed to fulfill your request. You should expect to be billed between $55-$275 for your request. This process can take up to two weeks to complete.
If the letter you are requesting is outside of normal clinical care, there will be an additional cost. All fees must be received prior to the release of the letter. Please refer to the Provider Letter Request Form or contact our office for additional details.
***Note***
If you are needing accommodations for high stakes testing or college courses, please call our Intake line at 317-575-9111 Option 3. We would like to discuss a DACTA appointment, which may be a more effective way to meet your needs.
