We are contracted with most PPO insurance plans.  As a courtesy, we will file a claim with your child’s insurance plan for you.  However, it is your responsibility to pay all co-payments, co-insurance, and deductible at the time of service.

We have an annual administrative fee to cover services that are not covered by your insurance. Please see this link for a full explanation of our policy.

Annual Administrative Fee Policy

If your doctor orders laboratory tests that is not run in our office, you will receive a separate bill from the laboratory facility.  This fee is your financial responsibility.

Click on the button below to view our privacy policy.

Telemedicine involves the use of electronic communications to enable health care providers to deliver services to a patient when he/she is at a different site than the provider. The information may be used for diagnosis, therapy, followup and/or education. It includes a variety of applications and services using two-way images, video, audio, and/or other forms of telecommunication technology. Electronic systems used will incorporate network and software security protocols to protect the confidentiality of patient identification and imaging data, to safeguard the data, and to ensure its integrity against intentional or unintentional corruption.

Expected Benefits:

• Efficient and convenient medical evaluation and management
• Improved access to healthcare
• Facilitates earlier diagnoses
• Increases timeliness of treatment
• Reduces healthcare costs (including travel and ER visits)
• Reduces time away from work and school

Possible Risks (include, but not limited to):

• Transmission of medical information could be interrupted or distorted during the consultation due to technical difficulties
• Video and/or any information may not be transmitted clearly to render an accurate diagnosis
• Insufficient information to allow for appropriate medical decision making by the physician
• Lack of access to medical records may result in adverse reactions or other judgment error (lack of knowledge of past medical history, allergies, etc.)
• Provider may recommend alternative care including follow-up visit, urgent care, or emergency facility
• Not every medical condition can be evaluated accurately using telemedicine which may cause a delay in diagnosis and affect outcome
• Escalating medical conditions should be evaluated by direct contact with a provider
• Security protocols could fail, causing a breach of privacy of personal medical information

I consent to using telemedicine services and understand the following:

1.  I understand that the HIPAA laws that protect the privacy and confidentiality of patient information apply to telemedicine services
2. I understand that a limited physical examination will occur during the telemedicine consultation which may affect diagnosis
3. I elected to a telemedicine consultation in lieu of a direct consultation by a healthcare provider
4. I understand that I will be responsible for all payment of all co-payments, co-insurance, deductibles, and noncovered services

I, the undersigned, have read this Informed Consent for Telemedincine Services and understand the risks and benefits. 

Vaccines were created to decrease the morbidity and mortality associated with numerous preventable diseases.  As part of our preventative care philosophy we encourage that all of our patients are vaccinated. As medical professionals, we feel very strongly that vaccinating children on schedule with currently available vaccines is absolutely the right thing to do for all children and young adults. We are making you aware of these facts not to scare you or coerce you, but to emphasize the importance of vaccinating your child. We are more than willing to discuss any questions you may have about vaccines, but do require all new patients to our practice to adhere to the vaccination schedule endorsed by the American Academy of Pediatrics (AAP)

• We firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives.
• 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 (CDC) and the American Academy of Pediatrics(AAP).
• 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, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
• We firmly believe that vaccinating children and young adults may be the single most important health promoting intervention we perform as health care providers, and that you can support as parents/caregivers.

The recommended vaccines and the schedule of administration are the results of years and years of scientific study and data-gathering on millions of children by thousands of our brightest scientists and physicians.

The vaccine campaign is truly a victim of its own success. It is precisely because vaccines are so effective at preventing illness that we are even discussing whether or not they should be given. Because of vaccines, many of you have never seen a child with polio, tetanus, whooping cough, bacterial meningitis, or even chickenpox, or known a friend or family member whose child died of one of these diseases. Such success can make us complacent or even lazy about vaccinating. But such an attitude, if it becomes widespread, can only lead to tragic results.

Over the past several years, many people in Europe have chosen not to vaccinate their children with the MMR (measles, mumps, rubella) vaccine after publication of an unfounded suspicion (later retracted) that the vaccine caused autism. As a result of under-immunization, there have been small outbreaks of measles and several deaths from complications of measles in Europe over the past several years. The United States experienced a record number of measles cases during 2019, with 1282 cases from 31 states reported to CDC's National Center for Immunization and Respiratory Diseases (NCIRD). This is the greatest number of cases since measles elimination was documented in the U.S. in 2000.

Furthermore, we firmly believe that by not vaccinating your child, you are taking selfish advantage of thousands of others who do vaccinate their children, which decreases the likelihood that a child will contract one of these diseases. We feel such an attitude to be self-centered and unacceptable. Even delaying or “breaking up the vaccines” to give one or two at a time over additional visits goes against expert recommendations, is not supported by any scientific data, can lead to unnecessary delays and errors, and can put your child, other children, and adults at risk for serious illness (or even death). It is therefore against our medical advice as professionals at Pediatric Associates Medical Group.

We have an annual administrative fee to cover services that are not covered by your insurance. Please see this link for a full explanation of our policy.

Annual Administrative Fee Policy

If your doctor orders laboratory tests that is not run in our office, you will receive a separate bill from the laboratory facility. This fee is your financial responsibility.