ADHD POLICY:

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Pirate Pediatrics follows the American Academy of Pediatrics guidelines for Attention Deficit Hyperactivity Disorder. At all ADHD visits, consults, and follow up appointments, Vanderbilt forms are required from parents and teachers. Failure to complete forms from both settings will result in your appointment being cancelled. Visits are required every one to three months. Please see ADHD Prescription Medication Policy for more details

BEHAVIOR POLICY:

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Pirate Pediatrics prohibits verbal or physical abuse or threats of any kind to our providers and staff. This type of behavior will lead to immediate dismissal from the practice. Firearms and knives are prohibited on our property. Any item that could be used as a weapon (razor blade, box cutter, etc.) is prohibited.

COVID-19 POLICY:

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COVID-19 has continued to be prevalent in our country, state and in our local communities. Pirate Pediatrics has made many changes within our office to protect patients, caregivers, staff and visitors. As we work to provide a safe environment, we are following the recommendations of the CDC, American Academy of Pediatrics and government leaders. In accordance with those recommendations, all patients and caregivers, age five and over, are required to wear a face covering. The face covering must remain on throughout your time at Pirate Pediatrics. If you arrive without a face covering, we will, unfortunately, ask that your visit be performed via telemedicine or rescheduled. We do have masks available for a $1.00 donation to the North Carolina Pediatric Society. Thank you for helping to stop the spread!

FINANCIAL POLICY:

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ALL PAYMENT IS DUE AT THE TIME OF SERVICE:

Payment is required at the time services are rendered. This includes applicable coinsurance and copayments for participating insurance companies.  Co-payments are collected at the time of service.  The person bringing your child is responsible for ensuring payment is made.  Please do not involve us in custody/payment issues.  PIRATE PEDIATRICS accepts cash, check (in-state only), and major credit cards.  There is a service fee for all returned checks and your account will be placed on a cash only status.  If you owe additional fees after your visit, you will receive a statement and payment is expected within 10 days of your statement.  Failure to pay outstanding balances will result in collection notices and possible dismissal from PIRATE PEDIATRICS.

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INSURANCE:

We bill participating insurance companies as a courtesy to you. You are expected to pay your deductible and copayments at the time of service. If we have not received payment from your insurance company within 45 days of the date of service, you will be expected to pay the balance in full. You are responsible to be sure all charges are paid whether by you or by your insurance carrier. Your time of service receipt includes all information necessary for submitting claims to your insurance company.

If you need assistance or have questions, please contact PedsOne Billing Service between 9:00 a.m. and 5:00 p.m., Monday through Friday at (866) 371-6118.

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REFUNDS:

Patient/guarantor credits in amounts less than $20.00 will be retained on account to be credited toward future balances unless a written request for refund is received. Amounts $20.00 and greater will be reviewed on a per claim basis. Upon confirmation and approval of refund, payment will be issued to account holder.

FORM COMPLETION:

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Camp forms, sports forms, FMLA forms, special request physician letters, and other forms are completed at a charge of $10 per form/letter completion. Insurance does not cover the cost of form completion. Please allow five business days for form completion. Additional charges apply for expedited service. Please see full policy for details.

MISSED APPOINTMENTS/LATE CANCELLATIONS:

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Your appointment is a reserved time set aside for you and your provider. Missed appointments represent a cost to you, to us and to other patients who could have been seen in the time set aside for you. Cancellations are required 24 hours prior to the appointment. Please arrive 15 mins prior to your appointment time. If you are late by 15 minutes or more, you are considered a “no show” and you will be asked to reschedule. Appointments that are missed or cancelled in less than 24 hours may result in a $90.00 fee. Two or more missed appointments may result in termination of your family from Pirate Pediatrics.

VACCINE POLICY:

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Pirate Pediatrics values the importance of vaccines and promotes their ability to prevent disease. We follow the CDC schedule for vaccines. All patients must be vaccinated according to the CDC schedule or we will no longer be able to treat your child.

Put out into deep water, and let down the nets for a catch…Don’t be afraid; from now on you will fish for people…

Luke 5:1-11