Insurance | Appointment Policy | Forms

INSURANCE

We accept most types of medical insurance. Any applicable co-pays are due at the time of visit. Master Card, Visa and Discover are also accepted for payment of services. With all other insurances, full payment is expected at the time of service and an itemized statement will be given for families to submit for insurance reimbursement. There are several exceptions to this, please ask to be sure.

APPOINTMENTS

Well Child Visits - appointments are scheduled up to 3 months in advance.

Acute Visits: Time daily is set aside for acute problems. Please call the office as early in the day as possible if you'd like an appointment when your child is ill.

Rescheduled Appointments: It is recommended and greatly appreciated that you call the office to make or change an appointment.

Family Appointments: After you have scheduled your child's visit if there seems reason to have another child seen, please call before you come so that we can check for available time. This helps keep other families, with scheduled appointments, from having to wait.

FORMS

	Authorization Form
	Family Data Sheet -  for existing families only
	Family Health History
	Billing & Credit Policy - for existing families only
	HIPAA Notice of Privacy Practices
	HIPAA Notice of Privacy Practices Acknowledgment
	Request to Release Medical Records

Please Note. You will need Adobe Reader to download these forms. You may download Adobe Reader for for free at www.adobe.com.