Policy and Procedure Summary

More information available upon request.


  • Phone calls may result in a charge that may not be covered by your insurance plan. After hours calls will be forwarded to a nurse triage company.
  • Prior authorizations required by your insurance company may be subject to a fee. Our physicians and nurses spend a great amount of time trying to get medications approved.
  • Insurance information must be provided at time of service. All copays and deductibles are your responsibility. If we do not have accurate insurance information, you will be responsible for all fees.
  • Appointments not canceled more than 24 hours in advance will incur a fee.
  • Forms for school, camps, and sports should be done at the time of an annual visit. If you request a form to be filled out later, there will be a fee.
  • If you arrive more than 15 minutes after your appointment time, we may need to reschedule the visit.
  • Prescriptions are given at the time of service to cover until the next recommended appointment. We do not send prescription refills without an appointment unless this is part of the plan discussed at a visit.
  • If an appointment is required after normal business hours, on a Saturday or on a holiday, there will be an additional charge that may not be covered by your insurance plan.
  • There is a charge if your statement is returned to us due to a change of address, if a card on file is declined, or if there are insufficient funds to cover the balance of a check. This fee will be added to your account balance.
  • If you would like a copy of your child’s medical record, we require a written request. You may find your child’s medical records via patient portal. We will transfer immunizations, growth chart and last well exam to another physician office as a courtesy via fax. A request for additional records will be subject to a charge $6.50 per patient. Records will be transferred within 30 days of the written request.
  • We require that all our patients be immunized for ALL state-required immunizations
  • Medical information is always accessible via the patient portal. We cannot send information in a non-secure manner due to HIPAA.