Office Policies

Sick Child Visits

It is our office policy to make appointments available to sick children on the day they are sick. We ask parents to call our office early in the morning (the phones are on for scheduling beginning at 8:30 a.m.) to ensure appointment availability. If your child is sent home sick from school, please call us as soon as the school calls you, if you want an appointment on that day.

Well Child Visits

Well child visits are recommended at the intervals below.  This visit is intended to review healthy lifestyle patterns such as diet and exercise, your child’s growth and development, as well as to address immunizations.  It is not intended to take the place of regular follow-up for chronic medical issues or to discuss new medical issues.  These issues require separate visits to ensure that we have adequate time to fully focus on them.  If other problems are addressed at a Well Check, you may be charged an additional fee.  Most insurance plans provide one wellness visit per calendar year for patients age 2 and above; Wellcare and Aetna Better Health plans allow one wellness visit every 365 days for patients age 2 and above.  So please make sure that you are within those guidelines to ensure your visit will be covered.  You may schedule well child visits with the provider of your choice. Planning well ahead will help ensure a convenient time and allow for more choice. Keep in mind that summers are very busy for school check ups and sports physicals and you are competing with all of the other school parents for choice appointment times. Be prepared to be flexible in order to meet the needs of your child and requirements of their school.

Schedule of Routine Physical Exams

  • 1-2 Weeks
  • 1 Month
  • 2 Month
  • 4 Month
  • 6 Month
  • 9 Month
  • 12 Month
  • 15 Month
  • 18 Month
  • 2 Year
  • Yearly thereafter until 18 years of age

Download school-related forms (sports, medical, etc.) that will need to be completed at the time of your visit.

ADHD Check Ups

Our doctors require regular follow up appointments at 3-month intervals with a consistent doctor for assessment of medications and success in school and at home. It is not possible to make all of these appointments after school at 4:00 as we try to save some after school sick appointments for that time. You may need to take your child out of school early or start their day late in order to comply with the importance of frequent follow ups.


If you need to cancel an appointment, please call us as soon as possible. Giving us a 24-hour notice is preferred. There may be extra charges for “no shows”. Multiple “no shows” and no communication may result in your dismissal from our practice.

Late Arrival Policy

From time to time a parent may have problems with their day that may cause them to be late for an appointment, which is understandable. However, frequent late arrivals without notification are not acceptable. The doctors plan their day around prescheduled appointments; parents must be considerate of the doctor’s time and the patients who have arrived on time. If you arrive more than 15 minutes late, you may be asked to reschedule for another day.


Please call for an appointment rather than just walking in to see the provider. We are not a walk in clinic, however occasionally some conditions constitute a walk-in. Please be patient in the process as we try to accommodate you.  We are more than happy to see your child.  However, a walk-in fee is charged to your account for this service.

Consent to Treat Under 18 Without Parent/Guardian

If a child younger than 18 comes to our office without their parent or guardian, a written authorization of permission to treat in the absence of the parent/guardian must be completed and brought to the appointment. The person accompanying the child must be prepared to pay the co-pay on behalf of the parent.

The Consent for Treatment of a Minor is available here.

School Excuses/Notes

Many schools require a doctor’s note for missed days of school. Our office can only generate a doctor’s excuse if the child has been seen by our doctors. At checkout, please let the receptionist know that you need a note to cover the time missed. If your child continues with an illness after seeing the doctor, we can write another school excuse for the extended time.

When to Place an After-Hours Phone Call

In an emergency, call 911 at once.

If you think your child has an urgent health problem you may call us at 1-877- 247-1689. Here are some conditions that may warrant an after-hours call:

  • Fever greater than 100.4 degrees rectally in child younger than 2 months old.
  • Bleeding that does not stop
  • Serious injury from a fall or accident
  • Unconsciousness
  • Rhythmical jerking and lack of consciousness (possible seizure)
  • Trouble breathing
  • A serious cut or burn
  • A head injury with loss of consciousness, confusion, headache, or vomiting
  • Ongoing pain in the right lower section of the abdomen
  • Decreasing responsiveness and less alert
  • Skin or lips that look blue or purple if light skinned or gray if darker-skinned

Controlled Medications

You must allow 24 hours for refill requests of controlled medications in order for your child’s doctor to have time to write the prescription and have it available to you in your preferred office location. Please be mindful of holidays, vacations, and office closures that can sometimes impact the timely completion of the prescription. Calling a week in advance of your child running out of the medication can prevent possible pick-up problems. Controlled medications cannot be refilled if you do not keep your regular follow up appointments. You must also keep your account in good standing by making regular payments. You will be asked to designate the responsible persons who are allowed to pick up controlled medications. The person picking up the prescription will be asked to sign a register and may be asked to provide a photo id. This is all for the protection of your child and our doctors.