NEWBORN PARENT INFORMATION

Please correct the errors described below.

Dear Parent:

Congratulations on the birth of your new baby and welcome to Health Care For Children. We pledge to provide the highest level of care for your newborn and are anxious to watch them grow into toddlers, children and adults before our eyes.

We are a group practice at Health Care For Children and through the upcoming years, you will certainly meet all of the physicians. Most of the patients' affiliate with one specific physician in the group to care for all scheduled visits.  That way, the physicians do establish a truly personal relationship with you and your child and have a firm knowledge of problems or medical conditions that may arise. However, there may be times that your specific physician may be unavailable to see your child. Particularly, for sick visits (or same day visits), your physician may not be readily available and therefore you will be encouraged to see one of the other physicians. Be assured that the physicians do communicate amongst themselves so that your specific physician will always be aware of any medical conditions that were tended to by another one of the physicians.

Your baby will be scheduled for medical check-ups according to the guidelines of the American Academy of Pediatrics. This means that your baby will be seen within the first week of life, then at one month, two months, four months, six months, nine months, and then at one year of age. It is your obligation to verify with your insurance carrier that you might be limited to your well-checks during the first year of life. Otherwise, your baby will be seen according to the American Academy of Pediatric guidelines. The doctors will discuss all of the vaccinations with you at each visit. If for personal reasons you are uncomfortable receiving the vaccines according to the AAP guidelines, then you will be allowed to come for visits for vaccinations in between your scheduled check-ups. Please be aware that if you desire to do so, these visits will require a co-pay. In the event that your insurance carrier denies payment for these visits to Health Care For Children because they fall outside the AAP guidelines, you will be responsible for payment.

It is imperative that after your baby is born, you immediately call your human resources department or your insurance carrier to get your baby added to your plan. Most insurance companies allow thirty (30) days to add your baby to the plan. If you neglect to do this and your baby is not added to your plan by thirty days, you again will be responsible for payment to Health Care For Children and the hospital charges.

Please sign below to acknowledge that you have read the above and understand your responsibilities.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

Your information will be encrypted.

Loading...