We believe immunizing children is one of our most important roles as pediatricians. While respecting those who choose not to immunize, our practice does not accept patients who refuse to vaccinate. In the event you change your mind and accept vaccines for your child in the future, we will welcome your child as a patient.
Patients on behavioral medications must schedule a follow up appointment 30 days after the initial treatment and every 3 months thereafter.
Due to certain restrictions of these drugs, we generally cannot replace prescriptions if “lost.” If the doctor agrees to reissue a prescription, a $5.00 fee will incur.
It is the policy of this practice that all patients be registered upon arrival.
Signing in the patient's name
Verification of demographics
Proof & presentation of insurance card at each visit
Payment of copay if applicable.
Payment of outstanding balances or making a
ALSO SEE: Forms
We accept cash, checks and major credit cards. You have the opportunity to make a special payment arrangement by providing us your credit card information. Confidentiality will be strictly observed. See our Easy Pay consent form.
It is the policy of the practice that a $35.00 return check fee is charged to patients who have written checks that are unable to be cashed by the bank. The patient is still responsible for the original amount for which the check was written.
- Please allow at least 2 to 3 business days for a referral request to be generated. We also require 5 to 7 business days to process prior authorizations and letters of medical necessity.
- We charge $25.00 for not cancelling in advance & not showing for your scheduled appointment.
Forms, Letters & Narrative Summaries
It is the policy of the practice to charge $10.00 for every form and letter produced for third parties not part of insurance coverage (i.e., schools, Social Security office, airlines, utility companies, etc). Forms and letters will require 5 to 10 business days to be completed depending on the season. There will be an express fee of $15 for forms that are needed prior to 5 business days, and $20 for forms needed within 24 business hours. Forms cannot be completed on weekends or weekdays after 5:00 pm. Upon receipt of payment, completed forms or letters can be picked up or mailed if a self-addressed stamped envelope is provided. Forms cannot be faxed.
March through September is our busy "form season." To avoid last minute rushes, please learn our policy, and submit your forms and letter requests to us as soon as you receive them.
We charge $150 for the completion of a narrative summary.
Release of Records
It is the policy of the practice to charge the following for the release of medical records:
$15 for the first two patients +
$10 for each additional patient
Requests for entire records will take up to ten business days to complete. The record release process will begin once payment is received. Entire records cannot be faxed. The request must be submitted to us in writing by completing our Outgoing Record Release Authorization form.