Forms and Policies

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Most ADHD medications are from a group of medications called stimulants, and are classified as controlled substances by the Drug Enforcement Agency. These medications are carefully regulated and require that certain procedures be followed in order to fill the prescriptions.

Because of the condition and the possible side effects of the medication, children with ADHD need close follow up. WE need to check on how school is going, his/her emotional well being at home and at school, as well as closely monitor his height, weight, and blood pressure.

Your child will need to come to the office about once a month until he/she is stable on the medication and all is going well. After that, we will need to see him in the office every 3-4 months for re-evaluation. If he/she is having any problems at home or at school, or if you have any concerns about his behavior or the medication, please call the office and schedule an appointment, so that we can re-evaluate the medications and/or the dosage to make sure you child’s needs are being met.

Stimulant Medication Procedures for ADD/ADHD

• Please call the office at least 3 days before the medicine runs out so that we can have your prescription ready for you to pick up.
• Please schedule your office visits at least one month in advance (when you pick up your prescription). We do not schedule ADHD consultations on Saturday, and we cannot guarantee after school appointment times, so please try and check ahead of time to see when your child has off days from school (he/she will need to be seen only 3-4 times each year as long as he/she is doing well on medication). If it is necessary to take your child out of school for an appointment, we will be happy to provide you with a doctor’s note for school. No appointments will be available after 3:00 pm unless they are scheduled at least one month in advance.
• Please be advised that no prescriptions will be given without the necessary medical checkups…..so make sure you plan ahead.
• If you need to cancel your child’s ADHD consultation, please do so at least 24 hours in advance so that we can make room for other children to be seen, and to avoid a “missed appointment” charge.

The symptoms of ADD/ADHD are usually treated very successfully with medication…..please help us to take the best possible care of your child’s needs, as well as those of the other patient’s in our practice.

Due to the ever changing insurance plans and policies and the growing costs associated with those plans/policies, we are instituting a new office policy beginning January 1st, 2023.

Our Doctors and staff are dedicated to providing the best possible care and treatment for your children regardless of source of payment. When the office runs efficiently and appointments are kept on time, our patients are happier.  In order for this to occur and to benefit everyone involved, we have implemented the following policies.  

Insurance

With the ever changing amount of insurance companies and plans that are offered today it is impossible for Pediatrics of Florence to be aware of what each insurance plan covers.  It is important for you to be aware of what your specific plan covers.  You are responsible for knowing if it covers well care, sick office visits, immunizations, and if you have a copay, coinsurance or deductible and what those amounts are.  We require you to have a current copy of your insurance card at every visit.  This card is a way of confirming your child’s coverage.  If you do not have a copy of your insurance card and cannot provide us with verification of insurance coverage, you will be treated as a self-pay account until we have received your insurance information.   If we are not listed as the primary care physician on your child’s insurance card, you will be required to change this with your insurance company before we can see your child. 

Payment

If your insurance contract requires a copayment, we will collect that at the time of service. A $10 administrative fee will be assessed for any copayment that is not paid on the date of your visit.  If there is an outstanding balance on your account then your copay must be paid at time of service, No exceptions. 

If your insurance is a high deductible plan, we will require a payment of $75 per child to be paid at the time of service. The remainder of the balance is due in 30 days and we will invoice you for this amount. Many deductible plans cover preventative care and we will not collect payment at these visits. Self- pay patients are required to pay their balance in full before leaving the office. 

All balances not covered by insurance must be paid in full within 30 days unless other arrangements have been made. If your balance becomes 90 days past due and you have not contacted us to make payment arrangements, we will be forced to send your account to a collection agency. You will be responsible for any collection fees or services that are charged.  Once the account leaves our office, we must permanently terminate the patient/ physician relationship. There will be a $30 charge for any returned checks and the complete balance must be paid in full within 10 days. 

No Show / Cancellation

It is important to arrive on time and keep all scheduled appointments. If you arrive at your appointment late you may be asked to reschedule or may have to be moved to another time so that the patients who did arrive on time do not have to be kept waiting. Appointments that are not cancelled with 24 hour notice will be charged a fee of $50. There will also be a $25 late cancellation fee for appointments not cancelled in a timely manner. We realize that emergencies do arise and if you must cancel an appointment the same day, allowances may be made. If you have missed 3 appointments without cancellation within a year, you will be dismissed from the practice.  

It is our primary goal to make sure that your family is well taken care of and receive the best care possible. It is the policy of this office that whoever brings in the patient is responsible for payment at the time of service. We understand that a custody decree will sometimes name one party the responsible party for medical bills. This however is a matter that should be resolved between the parents outside of the office before the visit so the payment is made at the time of service. If you are sending your child to their visit with another representative such as a grandparent or relative, please call with payment prior to visit or make sure to send the payment with them.  

It is important to arrive on time and keep all scheduled appointments. If you arrive at your appointment late you may be asked to reschedule or may have to be moved to another time so that the patients who did arrive on time do not have to be kept waiting. Appointments that are not cancelled with 24 hour notice will be charged a fee of $50. There will also be a $25 late cancellation fee for appointments not cancelled in a timely manner. We realize that emergencies do arise and if you must cancel an appointment the same day, allowances may be made. If you have missed 3 appointments without cancellation within a year, you will be dismissed from the practice.  

It is our primary goal to make sure that your family is well taken care of and receive the best care possible. It is the policy of this office that whoever brings in the patient is responsible for payment at the time of service. We understand that a custody decree will sometimes name one party the responsible party for medical bills. This however is a matter that should be resolved between the parents outside of the office before the visit so the payment is made at the time of service. If you are sending your child to their visit with another representative such as a grandparent or relative, please call with payment prior to visit or make sure to send the payment with them.

In the event that we will have to delay the opening of our office, we will change our phone message to say that the office is closed due to weather. If you get this message in the morning wait a while and try to call back. We may need a little extra time to get into the office.

If you get the closed office recording in the afternoon, we didn’t make it into the office or we may have had to close the office early due to extreme weather conditions so that the staff may get home safely. BOTTOM LINE…If we are experiencing bad weather, call before you come into the office to make sure we are here.