Forms and Refills
Q: Does your office mail or fax physical forms for school, camp, sports, etc.?
A: Our office will mail your physical form to your school, camp or sports league if you provide us with a self-addressed, stamped envelope. We will fax the forms if you provide the fax number and have signed the Consent to Release Medical Information form.
Q: Is there a fee for forms?
A: All patients will receive a completed Health Appraisal form at the annual physical. Additional requests, as well as camp and sport forms, will be subject to a $5 processing fee.
Q: How long does it take to have a medication refill or a physical form completed?
A: We require five business days to complete a refill or a physical form. Refill requests are done from Monday to Friday during regular business hours.
Q: Does your office verify addresses for tax purposes?
A: No we do not verify addresses, because we cannot verify this information and any verification we could do is not accepted by the IRS.
Insurance and Payment
Q: What insurance plans does your office accept?
A: We accept most major insurance plans. Please call your insurance company to make sure our pediatricians are in network for your plan. Also, please remember to bring your insurance card with you at the time of all your visits.
Q: Can I be billed for my copay?
A: Copays are expected at the time of the visit. There will be an additional billing fee assessed if payment is not made at the time of the visit.
Q: What forms of payment do you accept?
A: We accept payments in the form of cash, credit cards (MasterCard, Visa and Discover), and personal checks.
Q: What is your financial policy?
A: Please refer to our Financial Policy.
Q: How do I add my newborn baby to my insurance policy?
A: As soon as your baby is born, you must contact your insurance company and your human resources department to have your baby added to your insurance. This will avoid any gaps in insurance coverage for your baby
Q: What can I do if my child does not have health insurance?
A: Your child may be eligible for Medicaid, if they do not have health insurance. Medicaid offers free to low-cost health coverage for those who need financial assistance.
Q: How do I apply for Medicaid?
A: You may apply for Medicaid by phone, by mail, in person through Monroe DSS or by contacting a facilitated enroller. Please refer to our insurance and billing page for more information.