Telemedicine
When can I schedule a sick child visit?
If you’re ever in doubt about whether your child needs a sick visit, call our office. The friendly nurse asks a few questions to determine the severity of your child’s symptoms, then helps you decide if you need to come into the office.
You can schedule same-day sick visits any time the office is open. See our Hours and Locations.
We offer online scheduling through our portal for your convenience for routine sick and standard well visits. Please do not use these spots for mental health concerns, as those visits typically are much longer than standard sick visits. Call the office so we can find the best fit for anticipated long visits.
What happens during a sick child visit?
The goal of a sick child visit is to quickly diagnose the problem and start treatment that will help your child feel more comfortable.
In addition to reviewing your child’s symptoms and medical history, a physical exam to assess the symptoms will be done.
Sick visit may require laboratory tests or imaging for identification of the source of symptoms. We can do rapid tests for Strep, flu A & B, urinalysis and COVID19 in our office.
We can collect samples for Strep throat cultures, some PCR tests, chlamydia, gonorrhea, and urine cultures to send to laboratories. We can order further tests from local labs and radiology facilities as needed.
What children’s conditions can a sick visit treat?
Sick visits treat many types of injuries and illnesses that need same-day or next-day medical care. Children’s symptoms can change quickly, so don’t hesitate to call if your child’s symptoms get worse.
The following are some of the most common conditions treated during sick visits:
- Flu Upper respiratory infections
- Earaches Headaches
- Sore throat or strep throat
- Congestion
- Coughs
- Abdominal pain
- Asthma
- Rashes or hives
- Allergic reactions
- Eye discharge or infection
- Vomiting and/or diarrhea
We also treats minor injuries like concussions without persistent vomiting or altered level of consciousness, cuts and sprains.
When does my child need immediate medical care?
Your child should be evaluated by a medical professional for the following symptoms:
- Fever of 100.4ºF or higher in children younger than 2 months of age - this is an emergency: do not wait until office hours
- Daily fever of 100.4ºF or higher that persists for 3-5 days (the younger the child or the more concerning the symptoms, sooner; older children who are overall well appearing can wait 5 days)
- Unusual symptoms or any symptoms that concern caregivers
- Difficulty breathing should be seen immediately unless home treatment improves sufficiently to wait until business hours
- Signs of dehydration (no tears, dry in mouth, decreased urine output or too much urine with other signs of dehydration) should be seen immediately
- Persistent pain may require emergent treatment, depending on severity and other symptoms
- Rash that you can't identify or know how to treat may require emergent treatment, depending on severity and other symptoms
- Fever with a rash, stiff neck, vomiting, and headache is an emergency and should be seen immediately
- Suspected bacterial infection, such as Strep throat (fever, sore throat, headache, nausea, vomiting , sandpaper rash in a child over 3 years - not all symptoms must be present) or urinary tract infection (painful urination, foul smelling urine, fever, vomiting - not all symptoms must be present): most of these can wait until business hours unless there are significant symptoms that are concerning
When your child is sick, call the office as early in the day as possible so they can schedule a same-day visit if necessary or come to our Urgent Care/Walk In hours.
If you have questions about your child’s symptoms or you need to schedule a sick visit, call our office or book an appointment online.
What is appropriate for walk in visits (urgent care)?
We have a full page about our Urgent Care (walk in) availabilities. Learn more here.
Walk in visits work well for acute injuries and illnesses. They are not appropriate for mental health concerns, routine well visits or chronic disease management.
Schedule an appointment with the provider your child most often sees for ongoing conditions such as chronic pain, asthma, and constipation. Your usual provider who knows the story should see chronic concerns. Of course, if there is an exacerbation or sudden worsening of symptoms, acute management can be done at our urgent care with follow up by appointment and ongoing management with your primary care provider.
At Pediatric Partners, we’re proud to offer telemedicine (telehealth) visits as a safe, convenient, and flexible option for many types of care needs. Using our secure Doxy.me platform, telehealth allows patients and families to connect with our clinicians from home, dorm rooms, or from any location in the state of Kansas (and Missouri for Dr. Khaleghi) — saving time, reducing travel, and ensuring continuity of care when an in-person visit isn’t required.
Why Telehealth Matters
Telehealth is a valuable tool because it:
- Improves access and convenience — especially for follow-ups, medication reviews, mental health or behavior check-ins, and ongoing management of chronic conditions.
- Keeps you connected to your primary medical home, ensuring your care team has the full medical history and can monitor your health over time.
- Allows us to evaluate concerns efficiently and determine when further in-person evaluation is needed.
- Supports guideline-based, responsible care, making sure virtual care is used appropriately and safely for each situation.
Telehealth is an excellent complement to in-person care — but not a complete substitute for hands-on evaluations.
Telehealth Location & Licensing Requirements
Telehealth regulations require that the patient must be physically located in a state where the provider is licensed at the time of the visit, even if the patient normally lives elsewhere.
What this means for our patients:
- All Pediatric Partners physicians and nurse practitioners are licensed in Kansas.
- Dr. Khaleghi is also licensed in Missouri.
- Only Dr. Khaleghi may conduct telehealth visits with patients who are physically in Missouri during the appointment.
- If you are in another state — for example, if you attend college outside Kansas or Missouri or are on vacation — we cannot legally complete a telehealth visit.
We understand that many young adults travel or attend college out of state. When possible, we may schedule telehealth visits for a time when you are back in Kansas (or Missouri, if seeing Dr. Khaleghi). If you’re unsure whether you can complete a telehealth visit from your current location, please contact our office and we will help determine your options.
Why an Annual In-Office Visit Is Still Required
To provide the safest, most comprehensive care — and to follow best-practice clinical guidelines — we require that every patient be seen in our office at least once every 12 months for a full in-person wellness visit. This applies to all patients, including teens and college students, even if most of their ongoing care is managed through telehealth.
Annual in-office visits are essential because they:
- Provide a complete physical exam that cannot be performed virtually — including growth measurements, blood pressure, vision/hearing checks, musculoskeletal assessment, and more.
- Allow for preventive screenings and immunizations that keep you healthier long-term.
- Help us accurately manage chronic conditions, such as ADHD, asthma, anxiety, and others, by combining in-person assessments with telehealth check-ins throughout the year.
- Give space for confidential discussions about mental health, lifestyle, sexual health, substance use, sleep, and stress — all components of comprehensive health care.
- Meet quality and safety guidelines for pediatric and young adult medicine, which require periodic in-person assessment to ensure accurate diagnosis, monitoring, and care planning.
How Telehealth and In-Office Visits Work Together
Our goal is to offer care that is accessible, flexible, and grounded in excellent medical practice. For that reason:
- Telehealth works best for many follow-ups, medication checks, counseling visits, and minor illness assessments.
- In-office annual visits remain the foundation of preventive care. These thorough appointments allow us to continue providing telehealth for chronic condition management throughout the year.
- For young adults who are away at college but are able to be in the state of Kansas for visits, telemedicine can help you stay connected to a provider who knows you, while your annual in-person visit ensures that your overall health remains on track.
Together, your annual well visit and telehealth appointments create a comprehensive plan that keeps you supported — wherever you are in your journey from adolescence into adulthood.
More FAQs:
Billing and Insurance
We will bill your insurance as a telehealth visit. Most insurance companies cover this cost as a typical office visit. Self insured plans may exclude this benefit.
All standard copays and fees contracted with your insurance company apply.
Effective February 1st, 2020, per industry standards there will be an additional charge for visits that take place on Federal holidays, weekends, and after 5pm on week days.
Your card on file will be used unless we are otherwise notified. Please see our Financial Policy for more information.
Before Your Visit
Please complete all Phreesia tasks sent to you by text before your visit. These forms include important information we need for your appointment.
If the visit is for any mental or behavioral health concern, patients 10 years and older should complete the surveys labelled for the patient.
Teens may also help provide information for the parent Vanderbilt questionnaire used for ADHD evaluations.
If your child has a rash, still pictures are often helpful due to graininess of the video. You can upload images to your child's portal prior to the visit by sending a message to the physician or nurse practitioner who will be seeing you. We do not always check messages prior to visits, so be sure to mention these images during the visit so the person performing the visit knows to look for them!
Check weight prior to the visit so you can tell us what it is on the day of the visit if there are concerns about appetite, vomiting/diarrhea, or if the patient takes a medication that affects weight gain.
There is no need to download software for our telehealth platform. Use a browser on a computer or device with a camera and microphone with strong wifi or signal.
Do not drive during the visit unless a second person can manage the device and a signal can be maintained.
The patient should be available for at least part of the visit unless this is a consult for behavioral concerns in a young child.
A parent or caregiver who is familiar with the situation should be availalbe for children under 16 years of age.
Joining from multiple locations? If the caregivers and patient will be in separate locations, ask us to change to a different platform that allows multiple sites.
At The Appointment Time
You will get a text and an email 30 minutes prior to your scheduled visit. Links to join the visit are included in each of these after you complete your check in. Please follow the link on your preferred device. If you get a text prior to 30 minutes before the telehealth visit, please wait to finish the surveys. If you do them earlier, the system will make you re-do them. We are working on this issue with the Phreesia company, but if you simply wait, you won't have to duplicate your work.
Once you are logged in, please wait for us to log in as well. It can be difficult to know an exact time we will be available during a typical office day, but we will be with you as soon as possible. We may still be with another patient when you first log in, much like in the office. The benefits to you are that you can work on things at home near your computer while you wait and you don't spend time driving to and from our office. There is also a video you can watch while you wait if you choose.
Please make sure your child is available for the visit unless this is a consult with parents only, which is typically only done for behavior concerns. Like an office visit, we need to see the patient!
If Your Check In Does Not Work
Check in must be completed within 30 minutes of the appointment time. If done sooner, you will not get the link until you repeat some of the check in. We apologize for this inconvenience, but it is out of our control.
We expect that it will be easy to follow the link after your timely check in, but if not, please call the office. Do not send a portal message - it is unlikely that we will see that until the end of the day. Our physicians and nurse practitioners handle their own messages, and if they typically only check messages at times outside of scheduled visit times.
If you do not get the link to join us after you have completed the pre-visit surveys, use the following links: Do not copy/paste for best results.
- To meet with Dr. Carter: doxy.me/drcarter
- To meet with Dr. Mellick:doxy.me/drmellick
- To meet with Dr. Ratliff: doxy.me/drratliff
- To meet with Dr. Stuppy: doxy.me/drstuppy
- To meet with Dr. Khaleghi: doxy.me/drkhaleghi
- To meet with Amy Bakken, APRN: doxy.me/amyarnp
- To meet with Valerie Froelich, APRN: doxy.me/valeriepnp
- To meet with Trisha Kuhlman, APRN: doxy.me/trishanp
- To meet with MacKinzie Maxson, APRN: doxy.me/mmaxsonaprn
- To meet with Sheena Kennedy, APRN: https://doxy.me/sheenapnp
- To meet with Sean Haley, LSCSW: doxy.me/bhchaley
Is this secure?
We take security seriously. We have chosen to use telehealth companies that comply with HIPAA and HITECH requirements.
They use state of the art security and encryption protocols to assure that data integrity and privacy is maintained. No recording is made of the visit. It will be documented in the patient chart like any other visit.
Does Insurance Cover the Cost?
We submit a telehealth visit code to insurance, much like we do for in office visits.
The state of Kansas passed its telemedicine parity law on May 12, 2018. The law requires payers to cover telehealth services. Self insured plans may opt out of this benefit.
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