New Patient Booklet

TO OUR PATIENTS

Welcome to Pediatric Professional Associates. We look forward to a meaningful, long term relationship with you and your children. We are here to help you raise them in the healthiest manner possible.

Our objective is to provide comprehensive, personal, up-to-date medical care for our patients while at the same time establishing a pleasant, warm relationship.

We realize that 8 physicians in our office may seem to be overwhelming to some of our patients-especially new ones. However, we feel that only by having an adequate size medical staff can we offer optimum service and coverage.

In order to establish a personal, friendly relationship, we strongly urge that you select one or two of the physicians in the group as your primary pediatricians. In this way we feel we can offer you the best of two worlds: (1) the personal attention of the “solo” practitioner and (2) the facilities and 24 hour coverage of a group practice, every day of the year.

Our staff and facilities offer you an assortment of ancillary services including comprehensive laboratory services.

There are separate waiting rooms for well children of different ages and for sick children. Please enter the appropriately marked door with your healthy newborn/ toddler. Our teen age and young adult patients have their own waiting room, but should enter either the sick or well door depending on the nature of the visit.

We are proud that you have chosen our Pediatric Group and invite your discussion on any problem that may develop while our office is providing care to your family. Our office manager is the best contact for non-medical issues.

INFORMATION BOOKLET

We have prepared this pamphlet to help ensure that your children obtain comprehensive care and efficiently utilize the services that our practice offers. In order to accomplish this goal we must solicit your cooperation. Although we fully expect to be called anytime in case of serious illness, emergencies, or sudden change in a seriously ill patient, for non-emergency calls and prescription refills please call during regular office hours.

REGULAR OFFICE HOURS

8:30 a.m. to 11 :45 am, 1 p.m. to 4:45 p.m. – Monday through Friday

8:30 a.m. to 11 :45 am – Saturdays

For urgent visits only, 9:00 a.m to 11 :00 a.m – Sundays*

*When certain holidays occur on a Sunday, the office will be closed. Please call ahead to verify that the office will be open.

 

SCHEDULING APPOINTMENTS

Appointments, excluding those for emergencies, should be made in advance. PLEASE TRY NOT TO ARRIVE AT THE OFFICE WITHOUT SCHEDULING AN APPOINTMENT (except for some injections or laboratory tests as specified by your physician). Please cancel those appointments that you cannot keep so that we can accommodate other patients who may be awaiting a cancellation.

When you make an appointment in advance, you may select the physician of your choice. IF YOU ARE MAKING AN EMERGENCY VISIT TO THE OFFICE OR AN APPOINTMENT ON SHORT NOTICE, IT MAY NOT BE POSSIBLE TO SEE YOUR REGULAR PHYSICIAN. We ask therefore, that you understand and see the physician who is available at that time.

Saturday morning is a working 1/2 day for our office. Both sick visits and check-ups can be scheduled, just as they are Monday through Friday. However, availability is limited. If you require Saturday check-ups due to work constraints, etc. call as far in advance as possible to secure a convenient time.

ROUTINE APPOINTMENTS & SIGNING IN 

Our routine appointment schedule is as follows:

Newborn: 2 to 3 days after discharge, 2 weeks, 1 month, 2 months, 4 months, 6 months, 9months, 1 year, 15 months, 18 months, 2 years. Commencing with age 2, we recommend scheduling a yearly check-up, with your child’s birth date as a point of reference.

When you arrive, please ring the bell and tell the receptionist your child’s name and appointment time. If you have waited in the waiting room more than 20 minutes beyond your appointment time, please check with our receptionist. We attempt to see our appointments as close to their scheduled times as possible, however, emergencies are always seen first.

NON-EMERGENCY PHONE CALLS

Please call during regular office hours with requests for routine prescriptions and reports. This allows the office staff to access your child’s medical record. These calls should not be made after hours. Please PLAN AHEAD and DO NOT run out of any medications that your child uses on an on-going basis.

EMERGENCIES

Phone calls after office hours (4:45 p.m. weekdays, 11:45 a.m. on Saturdays) should be limited to urgent matters only. Unnecessary after hour calls may prevent us from rendering prompt service to a child who is seriously ill. We trust you will exercise your judgement in limiting your calls after hours. However, we encourage you to call if an urgent problem arises. Please do not call for routine prescription refills after hours.

If you call with an urgent matter, and we have not returned your call within 45 minutes, please call us back. It could be that our answering service has not been able to reach us or we have been unable to reach you. If you feel your child may require immediate emergency attention call 911 or PROCEED TO THE NEAREST EMERGENCY ROOM OF A MAJOR HOSPITAL such as: BAPTIST HOSPITAL on Kendall Drive & S.W. 89th Ave. or NICKLAUS CHILDREN’S HOSPITAL on S.W. 31 St. and S.W. 62nd Ave.

If your child has consumed any medication not prescribed for him/her or has ingested a poisonous substance please call: POISON CONTROL at 1-800-222-1222.

**IF A TRUE “LIFE OR DEATH” EMERGENCY ARISES: DIAL 911**

NEW ILLNESS

When an illness occurs and you are concerned, please call as early in the day as possible so that we may discuss the illness with you and see your child as necessary. PLEASE DO NOT WAIT UNTIL AFTER HOURS to call about a problem that has been present all day.

Calls received by our answering service after the office has closed will be forwarded to the “After Hours” nurses. They will return your call and will help you evaluate your child’s problem and provide guidance.

The physician on-call for our practice is their back-up.

FEVER

Children run fevers for many reasons. The fever may be very temporary and related to a mild transient viral infection. The fever may also be due to an infection requiring medical care. Children have a tendency to run higher fevers than adults, and some children higher fever than others. A temperature of 104° may, for example, not necessarily be more serious than one of 102° . If your child appears “sick” that may be more significant. Associated symptoms, such as marked irritability, vomiting, diarrhea (frequent as well as watery stools), severe cough, rash, etc. may be more important. Tylenol or Motrin liquid should be given in the appropriate dosage (per your child’s weight). Tylenol may be repeated at four hour intervals. Motrin (same as Advil or Ibuprofen) may be repeated at six hour intervals. Ibuprofen is approved for use at 6 months of age and older. Please remember that fever is usually higher at night and coughing always sounds more severe in the dark hours. If your child is 3 months or less, please call before using any medication. If your child is less than 2 months of age and has a temperature greater than or equal to 100.4° we want you to call us immediately.

If your child is not acting in a normal manner, or seems ill, please take the temperature with a thermometer. Do not rely on your own judgement of skin temperature! If there is a FEVER and you are concerned that your child needs to be seen, it is ADVISABLE TO PHONE THE OFFICE PROMPTLY during regular office hours and NOT WAIT until LATE IN THE DAY or EVENING! If you do call after office hours please state your name, the nature of your child’s problem, a pharmacy number and the telephone number at which you can be reached. Your call will be returned as soon as possible.

DIRECTIONS FOR ANTIBIOTIC TREATMENT OF INFECTION

When your child has an infection which requires the use of an antibiotic for treatment it is important that you understand the following: The antibiotic given will help to cure the infection completely only when taken faithfully for the FULL period of time designated by your doctor. This may seem unnecessary when your child is feeling better and active again after a few days. However, it is necessary to complete the antibiotic treatment to cure the infection. Therefore, always complete the antibiotic as prescribed. Give the antibiotic through the hours that the child is awake. Space the doses out evenly. Use a measuring device to dose the antibiotic accurately. It may be given at the same time as any other medicine, unless the Doctor specifies otherwise. If there is fever or pain, be sure to continue the Tylenol or Motrin in regular doses as the antibiotic may take two days to fight the infection before the fever and pain disappear. DO NOT GIVE ANY OF THE ANTIBIOTIC TO ANOTHER CHILD. It may hide but not cure a serious illness. Report back if severe diarrhea or a skin rash develops. This may be due to an allergy  to the medicine. Store the antibiotic in the refrigerator if specified by the pharmacy. Shake the bottle well before giving the dose to make sure that the antibiotic that settles at the bottom gets mixed again. Keep the return office appointment, as requested by your doctor, so that your child’s infection can be monitored.

PAYMENTS

We request that payment for services rendered be made at the time of your office visit. We accept cash, checks or MasterCard, Visa, American Express and Discover. All copayments for insurance plans must be paid at the time of the office visit. Furthermore, you will be expected to promptly pay any patient responsibility and for any “noncovered services” as defined by your health insurance policy.

INSURANCE CLAIMS

We will file insurance claims for hospital newborn care and for all office visits (well and sick care) as long as we are providers for your insurance plan.

Please feel free to contact our insurance department regarding any plan you may be considering. Remember to first call Member Services of your plan to verify that we are providers. Sometimes the Provider list is printed before a physician signs on to a plan; we may be on your plan but not listed in your provider book. Our insurance department can verify that our group is a provider.

**Insurance phone number: (305) 271-1087
**Insurance fax number: (305) 274-6316

SCHOOL AND CAMP FORMS

Our office stocks the required HRS3040 and 680 forms that may be required for your child’s day care, school or camp. Please provide us with the dates of any vaccines your child has received outside of our office (other physician, E.R., health clinic, etc.). These dates are mandatory on all health forms. We will gladly fill these forms out for you as long as your child’s check-ups are up to date and no additional vaccines or tests are needed. Please allow 1-2 days for preparation of these forms. Day care centers generally require an updated immunization form any time a vaccine is given to your infant or child. If you are in the office for a check-up and a new form is required, please request it of the physician at the start of the visit. Your waiting time can be minimized in this way. A nominal fee will be charged.

Schedule of Immunizations and Checkups

2 Weeks Checkup
1 Month Checkup
2 Months Pediarix#I, HIB#I, Prevnar#I, Rotavirus#I, Checkup
4 Months
Pediarix#2, HIB#2, Prevnar#2, Rotavirus#2,
Checkup
6 Months
Pediarix#3, HIB#3, Prevnar#3, Rotavirus#3, Hgb,
Checkup
9 Months Urine, Checkup
12 Months
MMR#I, ChickenPox#I, Hgb,
Checkup
15 Months
HIB#4, Prevnar#4,
Checkup
18 Months
DTaP#4, HepA#l,
Checkup
2 Years
HepA#2, Hgb,Urine,
Checkup
3 Years Urine, Checkup
4 Years
MMR#2, ChickenPox#2, Urine, 
Checkup
5 Years Kinrix, Hgb, Urine,  Checkup
Ages 6 thru 11 Years  Hgb, Cholesterol**, Urine, Annual Checkups
Age 12 Years Tdap, Hgb, Urine Checkup
Ages 13  Years and Older Hgb, Urine, Annual Checkups
*Pediarix = DTaP, Polio,HepB 
*Kinrix = DTaP, Polio

The Meningococcal vaccine is given twice during adolescence, starting at age 11-12 years, for protection against this serious bacterial disease. The second dose is given 3-5 years after the first.
The HPV vaccine series, 3 shots given over 6 months, is approved for ages 9 years through 26 years to help prevent cervical cancer, genital warts, and anal cancer. It is now recommended for boys as well as girls.
After age 6 months, the influenza vaccine is recommended annually. The flu vaccine is available as a shot.
A routine Hemoglobin(Hgb) test to screen for possible anemia is done at approximately 6 months and 12 months of age and periodically thereafter.
* *The cholesterol test is performed between 9-12 years of age. Recent medical research has shown that high cholesterol levels in children may predispose to the development of subsequent early coronary heart disease. Proper precautions taken early may prevent or delay this possibility. High risk families will be tested more often.

A Tuberculosis test may be done selectively to detect this disease. Please let your doctor know if a family member or a close contact of your child has been diagnosed with TB or if your child has traveled to an area where TB is common.

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