Get On Board For Wellness

Office Policies

Arriving Late for an Appointment

In order to avoid longer than necessary wait times, please notify the office if you will be late for your scheduled appointment. We will make every effort to still have your child seen the same day, but we may have to offer a different appointment time, ask you to see a different provider, or (out of courtesy to our other patients) ask you to reschedule the appointment.

Divorce, Separation and Custody

We understand that many children in our office have parents who are divorced or separated. It is our hope that divorced/separated parents will still communicate and work well together in the best interests of the child (or children).

Shared parental decision-making responsibility, previously known as “joint custody”, means that each parent has equal access to the child or children’s medical records. When asked, we will discuss with a parent what medical information the other parent told the doctor during a visit. We will not routinely notify the other parent when a child is being seen in our office or call the other parent for consent to treatment.

Should the issues that come between parents and/or other caregivers become disruptive to our office, we will ask the parents and the patient(s) to leave our office and return once the issues are resolved. If the issues cannot be resolved, we will discharge the patient from further treatment by our office. We will not hesitate to call the authorities if anyone in our office (parents, caregivers, patients, etc.) threatens harm to another person.

Medication Refills

For ongoing medications other than ADHD medications, please submit requests for prescription refills to your pharmacy. For ADHD medication refills, please call our office during normal business hours to request the refill. Prescription renewals are handled Monday-Friday, 9 am-5 pm. Please allow 48 hours to accommodate your request.

If your child's prescription is running low, please do not wait until the weekend or until the medication has completely run out. If you are planning to travel out of town, please make sure your child has enough medication for the trip.

Missed Appointments

In order to provide the best patient care, we ask that you notify the office if you are unable to keep your scheduled appointment. This policy was developed to provide same day appointments for those who need to be seen. If someone makes an appointment and does not show up or cancel in a timely manner, then we have lost an available appointment for another child who may be acutely ill.

Sports Physicals

Sports participation gives children the opportunity to build character, express themselves, and get the recommended 30-60 minutes of physical activity per day. We want every child to be able to participate in sports as safely as possible. Because of this, we perform comprehensive pre-participation sports evaluations for all athletes as requested by the school districts or parents. The sports evaluation is included in the yearly physical for each child or teen.

The benefit of having your sports evaluation done at the same time as the yearly physical is that we have the opportunity to address all the health and emotional issues at that time, rather than just giving clearance for someone to do sports.

If your child requires a sports physical, please make every effort to join them for the visit so we can ask you important questions about your child’s health and family history.

Teenagers and Privacy

Beginning at age 18, a patient can make his or her own decisions regarding medical care and treatment including immunizations.  Prior to the 18th birthday, teenagers should generally be accompanied to the office by a parent or guardian who can provide consent for treatment.  If the teenager wishes or agrees, the parent or guardian may be asked to wait in the waiting room while the teenager is speaking with the provider in private or being examined. Anything discussed with the provider in private shall remain that way unless the provider is required to discuss information with others in order to keep the teenager safe (eg- the teenager is actively suicidal and needs immediate care to remain safe).
There are a few exceptions where a teenager under 18 years of age can consent for treatment her or himself.  These include a teenager who is 15 years of age or older who lives apart from his or her parents and is managing his or her own financial affairs, or a teenager who is married. A teenager who is pregnant can consent for her own prenatal care and for the care of her child once it is born.

Also, a physician may legally provide birth control services, confidential diagnosis and treatment of sexually transmitted infections, and confidential treatment for drug addiction or abuse at the request of a teenage patient without the consent of the parent.

Ref: COPIC, “Minors and Risk,” July 2012


HIPAA Notice-English (PDF)
HIPPA Notice-Spanish (PDF)