• FORMS+POLICIES

    OUR OFFICE POLICIES

    • Please schedule your next appointment when signing in. Insurance card and copay are due at EVERY VISIT.
    • Please let us know of any changes in your insurance and address. Every newborn baby must be enrolled in the insured’s insurance plan by the first visit to our office. Please let our office know if you have a secondary insurance also.
    • Referrals require 48 hours notice.
    • All physical forms and school forms must be filled out as much as possible by parent, and we require 48 hours notice to complete forms.
    • Please call the office before you come to pick up referrals, forms, letters, or prescription refills.
    • There will be a $10.00 service charge for any fax requests such as referrals, test results, immunization records or school forms.
    • Typhoid shot must be paid in full at the time of service for patients who are traveling.
    • Please call the office for appointments. Do not walk in. Cancellations need 24 hours notice. If you do not notify the office of a cancellation 24hrs before your appointment, we will charge you a $25 cancellation fee.
    • Please be on time for your appointment, as it will only delay you further as well as others. Your appointment will be cancelled if your are not on time.
    • Please help us to cut down the waiting time by scheduling morning appointments, if possible. at the discretion of the doctor or nurse, very sick patients may be taken in earlier. Please cooperate.
      Prescriptions will NOT be called into pharmacies. They are electronically submitted.
    • School Forms, sports physicals will be filled at the time of examination. If they are brought in after examination, there will be a $10.00 processing fee.
    • Parents are to call our office for test results within 3 days if they do not receive a call from us.
    • For M-chat and developmental surveys, if your plan has a deductible, it is your responsibility to pay.
    • If breathing capacity or spirometry is not covered it is your responsibility to pay.