Information for Parents and Patients

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When making an appointment please have the following information:

• Child(s) Name and Date of Birth 
• Parent (Guardian) Name and Date of Birth 
• Insurance Information 
• Subscriber Information

• Please arrive 15 minutes prior to appointment to complete  necessary paperwork.  Also have current insurance information, list of  medications or changes in medication, previous surgeries or  hospitalizations, and previous immunizations. 
• Please schedule your next follow-up appointment with the receptionist before leaving the office. 
• Children brought in by someone other than a parent or  guardian, must have a written note indicating that the accompanying  person is authorized to seek treatment on behalf of you will be required  before the appointment can be conducted.  In addition, our office may  call you to verify that the note is authentic. 
• Insurance coverage varies and you will be responsible for  those charges that are not covered by your policy as well as the  deductible and co-pays.  Less costly arrangements can be made for  immunizations if we know in advance. 
• We ask you provide 24 hour notice if you need to cancel an appointment. 
• Release of medical information.  In general, upon receipt  of an approved medical records release form signed by the  parent/guardian we will forward the appropriate medical information.   Medical release forms are available at our office upon request.

The Centers for Disease Control and Prevention has put together a short video to address many of the questions you may  have about vaccinating your child.  

For more information, a recent issue of The VacScene lists many helpful web sites that cover information such as:         

• VFC Universal Purchase Update
• New Resources for Answers to Parents’ Questions About Vaccines
• H1N1 Influenza A (Swine Flu) Update
• New VIS for Pneumococcal Polysaccharide Vaccine
• Did You Know….About HPV Vaccine Minimum Intervals?
• Study Shows Combination Vaccine Safe and Effective for Infants
• Printing the CIS form with a Td/Tdap primary series
• Find Useful Immunization Information on the IAC Website

Download the PDF document here.