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Policies

Our practice follows the guidelines for immunizations and routine lab tests recommended by the American Academy of Pediatrics.  Click here for AAP vaccination schedule.  Click here for vaccine 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, in order 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 at another time.

It is our policy to see sick children as soon as possible when a parent calls for an appointment.  Well check-ups, rechecks and immunization visits must be scheduled in advance.  A no-show fee of $ 50.00 for well and virtual visits and a $ 25.00 fee for sick and recheck visits is incurred if the appointment is not cancelled at least 24 hours in advance.

If an abnormality is encountered or a pre-existing problem is addressed during a routine preventative well visit, an additional diagnostic code may be needed. Your insurance company may apply a co-payment or deductible for this portion of the visit. Please check with your insurance company regarding your coverage for these services.

Co-Payment is due at the time of the visit. Self-pay patients are expected to pay in full at the time of service. Please check with your insurance company regarding your coverage for these services.

All forms required by our office are 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 back dated.

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.  The patient’s section should be completed before forms are dropped off. Please allow 7 to 10 business days for completion. Upon your request, and if available, forms may be expedited for an additional fee.

Patients needing behavioral disorder medications (ADHD, anxiety, 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 a medicine side effect is suspected.

ADHD and mental health prescriptions outside of a visit are highly discouraged, require a request (no form) be sent through Keona with a minimum notice of 5 business days. Outside of a visit, the prescriptions must be picked up and an administrative fee of $20.00 will be due.  Click here for complete policy.

Prescription refill requests other than behavioral disorder medication, 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.

In order to cover the laboratory operating costs and maintain our high quality of care, an administrative fee of $25.00 is charged for all specimens other than rapid strep and quick urine tests. Should you wish not to pay this fee, you may go to the laboratory that contracts with your insurance company. Please be aware that although your child’s specimen is collected at our office, it is sent to Quest laboratories for testing and Quest will bill your insurance for the tests.

Patients with outside lab orders or patients with lab orders outside of an office visit, must schedule a lab appointment through your Keona Account.

Calls returned by a provider for patient evaluation / advice may or may not incur a charge based on time spent.  This charge will be filed to your insurance.  Depending on your coverage, you may be responsible for charges.

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

For transfer of records, a signed release and an administrative fee of $30.00 is required per record. Please allow 7 business days for completion.  Click here for online release, click here for PDF.