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We are honored that you have selected Northern Virginia Pediatric Associates (NVPA) as your child’s healthcare provider.  Our practice follows the guidelines for immunizations and routine lab tests recommended by the American Academy of Pediatrics.  Please refer to our website for details regarding our vaccination policy.

In fairness to all patients, we ask that you be on time for scheduled appointments.  Every effort will be made to accommodate patients who arrive more than 15 minutes late, however, to maintain the flow of patients on time for their appointment, your child may have to wait in the waiting room longer and/or the appointment may need to be rescheduled for another time.

Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you.  A no-show fee of $50.00 for well and virtual visits and a $25.00 fee for sick and recheck visits may be incurred if the appointment is not cancelled at least 24 hours in advance.

For our patient’s convenience, we offer a laboratory on premises.  The laboratory is staffed by both our staff and Quest Diagnostics. We bill your insurance company for lab tests that can be run in our office.  Lab tests sent to Quest for processing incur a $25.00 convenience fee.  Should you wish not to pay this fee, you may go to the laboratory that contracts with your insurance company.  Tests processed by Quest are billed to your insurance company by Quest.  You will be asked to sign a Laboratory Billing and Consent Form which contains more information.

If a child is accompanied by an adult other than a parent or legal guardian, consent form must be authorized by a parent or legal guardian.  Patients under 18 years of age should not be present for services unless accompanied by an adult, have a signed authorization on file or in instances where treatment of a minor is allowed by law (Virginia Statute 54.1-2969).  Please be aware Quest will not treat a patient under the age of 18 without an adult present.

One health/camp/sports form can be completed upon request at the patient’s annual well visit at no charge. Form(s) completed outside of a well visit, and each additional form completed, will be charged an administrative fee of $15.00.  Patient name, DOB and any medication information must be filled in by parent.  Allow 5 to 7 business days for completion.

Prescription refill requests other than mental health medications should be called directly into your pharmacy and they in turn will contact us.  Refills can also be taken care of during an office visit.

Patients needing mental health medications (ex: ADHD, anxiety, depression, mood disorders) must be seen every month until the proper medication and dose have been established. Thereafter, patients should be seen at least every 3 months and medications may be prescribed for up to 90 days at a time. Patients also need to be seen if there is a change of dose or a change of medication, or if a medicine side effect is suspected.

ADHD and mental health prescriptions outside of a visit are highly discouraged. When necessary, these prescriptions require a request be sent through Keona that includes the medication name and  dose, and an administrative fee of $20.00 will be due.  Allow 5 business days for completion.  When possible, we will send prescriptions directly to the pharmacy, but when there are supply shortages, prescriptions for those medications must be picked from the office.

All forms required by our office can be found on our website or may be picked up at our office.  Referral request forms require 5 to 7 business days for completion. Except for emergency room visits, referrals cannot be backdated.

Test results and records for patients 18 years and older will not be released to anyone other than the patient without a signed release.

Your children are our top priority.  So that we may continue to provide each child with the best care possible, we expect that all parties involved communicate regarding all aspects of their child’s healthcare.  Unless legally restricted, we cannot deny access to either parent regarding patient care or information.

There is a $30.00 administrative fee for transfer of records.  Transfer Request can be found on our website under the patient forms tab. Please allow 5 to 7 business days for the transfer of records.