Monday-Thursday 8:00AM-4:00PMFri, Sat, Sun - CLOSEDPrimary Care (904) 513-3240Pain Management (904) 206-71322624 Atlantic BlvdJacksonville, FL 32207
Patient & Visitor Information
Medical Forms
Here you will find all of Emed’s patient forms. You can download, print, and fill them out ahead of time so that you can be ahead of the curve and reduce the time spent in our waiting room. If you have any questions don’t hesitate to contact us!
If you need medical paperwork completed by a doctor, Emed is here for you. Below you can see our fee schedule based on what kind of documentation you need.
Administrative Paperwork Fees
Disabled Parking Permit …. Starts at $20.00
Physician Letter / Letter of Medical Necessity / Transportation .… Starts at $30.00
FMLA …. Starts at $70.00
Social Security / Disability Forms …. Starts at $100.00
Legal Documentation …. Requires a Quote
X-Ray CD …. Starts at $25.00
Medical Records …. $1.00 per page for the first 25 pages and $0.25 per page after that
Please allow 4 business days for the paperwork to be completed once payment is received
Healow Login Request Form
Complete the details in this form and Submit. We will add you to the system and email your login details back.
Emed is now offering Telemedicine visits. To obtain an easy Telemedicine visit please answer the questions below and complete the “online telemedicine consent form”. Once done we will call you as soon as we can for the visit. Please note that we only do telemedicine visits Monday through Thursday. Requests received over the weekend will be called on Monday.
