Pediatric care policies can change from office to office, and we understand that. Below you will find most of our policies and procedures. Please note that this is not a complete list, but rather the most asked for policies.
Please make yourself aware of these policies before your visit.
PANC Vaccine Policy
We want the greatest health and safety for the children we care for in our practice. That means that all children should be fully immunized. The only exceptions that are medically appropriate are for children with immunodeficiency syndromes in which some vaccines are contraindicated, or for allergy to a vaccine component.
In the last twenty years, there have been outbreaks of vaccine preventable diseases in the United States. Many of these have led to infections in unvaccinated children because they are at greater risk for these diseases. While the recent epidemics of Measles and Pertussis infections are primarily in unvaccinated children, they also disproportionately affect children with developmental disabilities and those receiving chemotherapy for cancer who are medically vulnerable due to these chronic illnesses.
Well-funded, well-publicized anti-vaccine groups have continued to recycle discredited pseudo-scientific studies and spread alarming disinformation about vaccines. This has led to confusion even in those who are strongly supportive of vaccines. We understand that those who are reluctant to vaccinate their children only want to want to do what is best for their children and are fearful that the stories might be true. We believe that the anti-vaccine movement has done a great disservice to these children and families.
Even if you are not planning to vaccinate your child, we hope to discuss your concerns in clinic and share resources we trust with you on these questions.
PANC Vaccine Policy Statement
We firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives; and that parents want their children safely protected from infectious diseases.
- If you decline recommended vaccines, your provider will ask you to complete the American Academy of Pediatrics Refusal to Vaccinate Form which will be scanned into the medical record.
- We firmly believe in the safety of our vaccines.
- We firmly believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and Prevention and the American Academy of Pediatrics.
- There is no medical reason to alter/delay the schedule. Vaccines contain only a small number of unique immune stimulators. We are exposed to far more on a daily basis than in all of the vaccines combined.
- We firmly believe, based on all available literature, evidence, and current studies, that vaccines do not cause autism or other developmental disabilities. We firmly believe that thimerosal does not cause autism or other developmental disabilities. In addition, thimerosal has been removed from almost all vaccines
- We firmly believe that much of the protection of vaccines comes from herd immunity. Most vaccines produce immunity in 90-95% of children. The remaining 5% who do not produce immunity are protected by this herd immunity. This means that a highly vaccinated population limits the spread of most infections even to those who are not vaccinated by preventing spread from one infected person in the midst of the large population or “herd”. As more people choose not to vaccinate, herd immunity is eroded putting everyone at greater risk.
- We firmly believe that we have spent hundreds of hours educating parents. Our education has been solidly founded on evidence.
- There is a growing trend among pediatric practices to decline seeing patients who are not vaccinated. At this time, we plan to continue to see non-vaccinated children in the hope that we can help families to understand the importance of vaccines and their safety, and ultimately convince them to vaccinate their child. However, there may be a time in the future that we will also follow this national trend and ask these families to seek another medical provider.
Rules for Underimmunized Patients and Families:
- If your child is ill with a possible vaccine preventable disease, please enter through the building’s side door after alerting us you have arrived. Symptoms may include cough, fever, rash, eye drainage or vomiting.
- A mask may also be required for your child if coughing is present. There will likely be additional tests ordered for your child if they are at risk for these serious diseases.
- In some cases, if a vaccine preventable disease is deemed likely, your child may need to be seen in the ER, rather than in our clinic.
Please do not bring your child into the office if you suspect they may have a vaccine preventable disease without observing these precautions. It is our duty to protect all of the patients in our waiting room — especially those who cannot be vaccinated due to age or medical contraindications.
Please let us know if you have any questions about this policy or about vaccines and their safety.
Your PANC provider team
Payment at Time of Service
Our office requires payment for the office visit or insurer specified co-payment at the time of the visit. If we have to bill you for your co-pay there will be an additional $10.00 billing service charge.
Main Phone Line 970.484.4871
Our office has multiple phone lines, however the main phone line to call for the quickest response is 484.4871. If we call you and a number other than 484.4871 comes up on your caller ID, please call us back at the 484.4871 number. If you call back on one of the other lines, after hours there may be no one to answer your call, and it may be forwarded to our voicemail/answering service.
After Hours Services and Phone Calls
Our practice offers after-hours services in case of an emergency. Call 970.484.4871 and leave a message. Once you hang up, the on-call provider will be paged and receive your message. The provider will then call you to determine the next step: treating by phone, referral to ER or urgent care, or follow-up in clinic the following day.
There will be a $10.00 charge for calls made to the doctors after regular office hours prior to 10:00pm. After 10:00pm the charge is $14.00. If an after-hours call is lengthy, the fee may be up to $25. This charge covers the time taken by the physician to return your call, the dictation of the call for the chart, pharmacy calls if needed, and any follow-up procedures that are required of the nurse or any other staff member on the next working day.
The after-hours phone call fee will not be charged if the patient is seen within 48 hours of your call. For long distance phone calls to a pharmacy or to you while out of town (any time of the day) a $10.00 charge is assessed. Our phone system requires you to leave detailed specific information. Please speak slowly and clearly. Repeat the contact phone number twice so we are able to accurately return your call.
Our nurses have voicemail and messages can be left for them throughout the day. They receive a large number of calls every day, so please be patient when waiting for a return call. If the situation is critical or if you need an appointment, please inform the receptionist so that it can be addressed immediately. The nurses not only receive calls with questions from patients and parents, but calls from labs, other offices and pharmacies for refills. When leaving a message for the nurse please speak clearly and be sure to leave your phone number, name and spelling of the child’s first and last name.
If you are calling regarding results for tests not performed in our office, please leave the child’s name, date of test and the lab or facility at which it was performed so that the nurses have all of the information readily available when returning your call.
Please be aware it may take 72 hrs for forms to be filled out.
For routine medication refills, please contact your pharmacy first. They will contact us directly for refill requests. When leaving a message for medication refills, the nurses need the name of the child (with spelling), the prescription medicine name and dosage and the name and location of the pharmacy. Prescription refills will be called in Monday – Thursday 8:30am-4:30pm and Friday from 8:30am-11:30am.
If an ADD/ADHD, depression, or anxiety medication refill is needed, please give 48-72 hour advance notice. The prescription may be picked up from the office in 2-3 days or mailed to your home if a self-addressed, stamped envelope is provided. Medication recheck visits are performed every 6 months. Yearly well-care visits are recommended as well and also serve as medication recheck visits.
Daycare, Camp, School, Sports Forms and Immunization Records
Forms that need to be filled out by a nurse can be left at our office for completion and then picked up in 2-3 days. If a self-addressed, stamped envelope is provided we will mail the form to you or the facility. Some forms can also be faxed to the facility.
Parents — please read the requirements for physicals on camp and sports forms. Some forms specify that the child have a physical exam every 12 months. If you need a form filled out, and it indicates the need for a physical exam within the last year, we cannot sign the form unless your child has had a complete physical exam within that time period.
Note: If you need a form filled out the same day, we are happy to accommodate, but there will be a $20 rush fee. Simply bring the form to our office, with your payment, let us know it is a rush form, and we will get it done by the end of the business day.
Well Care Physicals and Sick Appointments
Well-Care Physicals consist of a complete physical exam that includes a developmental evaluation, measurement of height and weight, hearing and vision screen, blood pressure, scoliosis check, neurological exam and an update of immunizations. Depending on the age of the child, we may check for anemia, and perform an autism and developmental screen. Diet and sleep patterns are discussed, as well as in-depth discussions regarding safety and behavioral issues. With adolescent physicals, there may be discussions regarding high-risk behavior, sexuality, peer pressure, school-related issues and depression. Additional screenings for anemia, high cholesterol and depression are performed for teens. Well-Care Physicals are 30 to 45 minutes
A Well-Care Physical is required every 12 months for most day care facilities, camps, and junior high and high school sports. The AAP recommends yearly Well Care Physicals from age 2 yrs – 21 yrs. Visits are more frequent under the age of 2 yrs.
Sick Appointments are given a 15-minute time slot by default, but if your child has multiple symptoms, problems or concerns, please let the receptionist know when you make the appointment so that more time can be reserved for their visit. We want to make sure the doctor has enough time to address all of your concerns without feeling rushed.
Our clinic schedule is not set-up for walk-in appointments. Please call ahead to set an appointment time. We have an unscheduled visit charge of $15.00 in addition to your co-pay. If you have an appointment for one of your children but bring a sibling whom you would also like to be evaluated, there will be an unscheduled visit charge in addition to the co-pay for each child. Please call ahead to schedule the visit for the sibling to avoid this charge and assure that both children can be seen.
Appointment Confirmations, No Shows, and Late Arrivals
Because not showing up for an appointment takes time from the schedule which cannot be filled by another patient, please call to cancel a visit you do not intend to complete. Arrival later than 10 minutes after your scheduled appointment time is treated as a no-show and your child’s visit will have to be rescheduled. Additionally, a missed appointment charge will be incurred. We ask that you arrive 10 minutes prior to your appointment time so that registration can occur prior to the clinical time with the provider and nurse.
Our office requires a 24 hour notice for cancellation of any well-care or medication appointment. Failure to cancel prior to 24 hours before the visit will result in a $50.00 cancellation fee.
In addition, we require a 1 hour notice of cancellation or rescheduling for ALL other appointments (sick visits, nurse appointments, vaccine administration appointments, weight checks). Failure to cancel prior to 1 hour before your visit time will result in a $25.00 late cancellation fee for sick visits and a $10.00 fee for nurse visits, weight checks, and vaccine administration visits.
The above noted fees will NOT be billed to your insurance, they are your personal responsibility. Our office confirms appointments the day prior to the visit (or on Friday for Monday appointments). This is provided as a courtesy to our families; it is your responsibility to remember your appointment.
If an appointment is missed 3 times you will be asked to transfer care to another practice.
Please call 970.484.4871 to cancel or reschedule an appointment.
When bringing a child in for a recheck, hospital follow-up, vision screening, hearing screening or for a weight check, there will be a charge and copay assessed. This is because all visits, including nurse visits, must be recorded in the chart.
Many insurance companies require a referral from your primary care physician before a specialist may see you. Once you have been referred to a specialist by our office call your insurance company or check their website to see if the specialist is in-network and if a referral is needed, call that specialist, set up an appointment time, and then call us promptly with that date and the specialist’s name. It is important to do these steps in sequence to assure maximal insurance coverage.