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Clinic Policies and Procedures

For your convenience, we have provided office policy information below. Some information is provided simply for your review so you may be well informed of your rights and obligations as a patient. If you have any questions or concerns regarding these policies, clinic registration staff will be glad to answer any questions you may have. Please call your provider's office directly with any questions.


Appointments and Reminders

To schedule, cancel, or modify an appointment, you may call our office directly or text us securely. Clinic staff are available by phone Monday-Friday, 8 a.m. - 5 p.m. Please cancel appointments  24 hours in advance if you need to change your appointment so we can schedule another patient at that time. We ask that you arrive 15 minutes early for an office appointment to update forms as necessary. If you have opted in to the service, a reminder for your scheduled appointment will be provided by telephone call in the days leading up to your appointment.


Referrals to Specialists

Some medical conditions may require a referral to a specialist in a particular field of medicine. If this is the case, you will most likely need to see your primary care provider first. This is because your medical records are maintained by your primary care provider who understands your medical condition along with your medical history and course of treatment. Therefore, your primary care provider can recommend what specialists would be appropriate to visit.


If referred to a specialist, your insurance plan may require referral paperwork or other authorization for an appointment with a specialty providers.


What to Bring to an Appointment

You can save time at the clinic by coming prepared to your visit with the following:

  • Vaccination Record (for all Well Child Visits)

  • Insurance card(s)

  • Photo ID

  • Paperwork that need to be filled out by our medical providers

  • A list of all allergies

  • A list of questions you want to ask your healthcare professional

  • A list of any medications you need refilled


New Prescriptions/Prescription Refill

The following guidelines for new prescriptions and prescription refills are provided to ensure you receive quality care and service:


For medication to be effective, it should be taken exactly as your provider prescribes. It is much easier to evaluate the progress made with a medication if a patient has remained compliant with instructions. 

A new antibiotic or an antibiotic refill is not provided without an evaluation first. Contact us to schedule an appointment. If your prescription bottle indicates you have refills left, you do not need to call the office; your pharmacy will refill this for you.

It will generally take your provider 48-72 hours to contact your pharmacy when issuing a refill request. Whenever you feel a medication is ineffective or needs adjusting, contact us to schedule an appointment.

After Hours Care

During normal business hours (8 a.m. – 5 p.m.), contact our office directly. Outside of these hours, providers are on-call to direct your care. If you have a situation that necessitates contacting your provider during these off-hours, our after hours covering provider, will be notified to return your call. If you have an emergency that you would consider serious or life-threatening, go directly to the Emergency Room or dial 9-1-1 for emergency assistance.

Requesting Records

When requesting copies of your medical records, we ask that you please allow a minimum of five (5) business days to prepare your request for pick-up. For your convenience, you may log on to your health portal at download the medical records.  For other requests, please complete the  Authorization For Release of Medical Information Form .  

A patient may request records for:

  • Personal use (charges will apply)

  • To leave your current practitioner and have your medical care transferred to a new practitioner in another clinic (charges will apply)

  • When your practitioner has referred you to the care of another practitioner or specialist (no charge)


No-Show Policy

Attending regularly scheduled appointments is necessary to provide quality care. If you need to reschedule an appointment, adequate notice needs to be given. Non-participation in treatment as exhibited by not coming to scheduled appointments or excessive cancellations is cause for terminating the provider/patient relationship. If you do not show or fail to cancel an appointment at least 24 hours in advance for 2 consecutive appointments or 3 appointments within a 12-month period, the provider may pursue closing your case and terminating the relationship.  You may also incur a $50 No Show Policy Cost. 

Vaccine Policy:  

We are committed to protecting the health of your children through vaccination, we require all of our patients to be vaccinated. Infants will receive all age-appropriate recommended vaccines by three months of age, with additional recommended vaccines as well as booster doses by two years of age. Children will receive additional recommended booster doses by the time they are seven years old, and will be given recommended 11–12-year preteen vaccinations by the time they are 13 years old. We will complete 16-year teen vaccinations before each child’s 17th birthday. And, we will also give your child/teen an annual influenza vaccination unless they receive it at a school clinic or pharmacy.  Finally, if you should absolutely refuse to vaccinate your child despite all our efforts, we will ask you to find another healthcare provider who shares your views.


Arriving Late for an Appointment

If you arrive late for an appointment, you may be asked to reschedule. Every attempt will be made to get you in to see your practitioner, but this will depend on the remaining patient schedule and the availability of the practitioner.


Patient Termination Policy

Although it is an infrequent occurrence, a provider/patient relationship may be terminated. Reasons for termination include, but are not limited to: use of foul language; chronic noncompliance with recommended therapy; abusive behavior of staff, practitioners, visitors or other patients; or other disruptive behavior. A patient whom is terminated will be notified of the termination and given 30 days to locate another medical office for their continued care. Patient termination can be recommended by the patient's primary care provider but will be reviewed and decided upon by a committee consisting of other staff and administration within PACGPA.


Patient Feedback/Advocacy

Our clinics welcome and encourage your feedback, both positive and negative. Therefore, you may be randomly selected to receive a patient survey from our patient engagement platform.  If you do receive a survey in the mail, we encourage you to share your opinions with us.

Further, if you feel a negative experience has occurred that requires prompt attention, a system is in place to address these matters in a timely manner. Pediatric and Adolescent Center Case Management Team assists with the coordination, investigation, and resolution of any consumer complaint regarding either your hospital experience or services received within one of our clinics. Case Management may be contacted by callin 972-206-2940 x213

Privacy Policy

We are required by law to maintain the privacy of your medical information. We are also required to notify you of our legal duties and privacy practices regarding your medical information and abide by the terms of this Notice. This Notice of Privacy Practices provides detailed information about how we may use and disclose your medical information with or without authorization as well as information about your specific rights with respect to your medical information.

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