Home

Appointments
Appointment Cancellation
Insurance & Billing
After Hours Phone Advice Charge

Privacy
Financial Responsibility
Vaccines
Custody and Consent

Appointments

Our goal is always to have your child see his or her own doctor if she is in the office that day. Your time is as valuable as ours. We do our best to avoid overbooking and extended waits in our office. When booking an appointment, please advise the receptionist of the number of issues you would like to discuss and whether any siblings will also need our attention. This will allow us ample time to attend to your needs. If you have multiple health concerns at your child’s urgent visit or annual checkup, we may need to book a second appointment to thoroughly address all of your concerns.

Appointment Cancellation

Please notify us at least 24 hours in advance if you need to cancel an appointment or you will be assessed a missed appointment fee. In order to allow sufficient time for your appointment, as well as for other patients, please arrive promptly for your appointment time. Be aware that if you are more than 10 minutes late, we may need to reschedule your appointment to another day.

Insurance & Billing

We accept most private PPO and EPO insurance plans and bill them directly as a courtesy for you. You are responsible for co-pays and co-insurance at the time of service and for any other charges not covered by your insurance. We do our best to inform you when we think a service may not be covered, but we cannot keep up with the details of every employer’s or individual’s plan. It is your responsibility to know the details of your coverage. Our experienced, in-house biller is available to assist you. Please call her at 650-967-3312 with any questions.

Stanford Healthcare Alliance

We are pleased to be part of the Stanford Healthcare Alliance, but we want to remind you that not all of our subspecialists and urgent care providers have joined the SHCA. Specifically, Palo Alto Medical Foundation (PAMF) providers are not part of SHCA. Please check the SHCA website or our After Hours page for participating specialists and urgent care providers.

Covered California

We are participating providers in the Blue Shield Individual and Family Plan Exclusive PPO Network in accordance with the Affordable Care Act. Whether you purchased your PPO plan through Blue Shield directly or through the Covered California Insurance Exchange, you can continue to see us as “in-network” providers. We also participate in the HealthNet PPO plans offered through Covered California. We do NOT participate in any of the Covered California Health Insurance Exchange plans offered through Blue Cross. We are “out of network” with Blue Cross.

Out of Network

If we are not contracted with your insurance plan, you may choose to see us as an “out of network” provider. You would pay for services in full and we would provide you with a copy of your bill, which you can submit to your insurance company. You should check with your insurance carrier for procedures and forms specific to your plan.

We offer a “cash” discount if charges are paid in full at the time of your child’s visit and are not going to be billed to any insurance plan.

It is up to you to know the details of your insurance plan.

Financial Responsibility

Download our Financial Responsibility Policy

After Hours Phone Advice Charge

The current charge is $20.45 and is subject to change. This will be billed to you by our office after your call.

Privacy

Notice of Privacy Practices and Acknowledgment of HIPPA form

Vaccines

Vaccinations have virtually eliminated many serious or fatal infections in the 20th-21st centuries. They have been one of the most effective strategies for improving our children’s health and lifespan. Smallpox has been eradicated, but measles (MMR) and mumps (MMR) have caused multiple outbreaks, such as the 2014 Disneyland measles outbreak, which was able to spread in part because of dips in vaccination rates. Pertussis or whooping cough (DTaP and Tdap) circulates among teens and adults and can be fatal when passed on to infants, as the 2010 outbreak in California showed. Even polio (IPV) has caused sporadic cases in the United States and continues to cause epidemics around the world, wherever vaccination rates are low. We follow the guidelines established through the American Academy of Pediatrics, and we think that every child should receive these important vaccines in a timely fashion. Our physicians no longer support or condone delayed or selective vaccination schedules unless there is a true medical contraindication to a specific vaccine.

If you would like to read more about vaccine risks and benefits, please see Vaccines in the Links section. If you have questions or reservations about the safety of a vaccine for your child, please schedule a consultation with the physician before scheduling any appointments for your child.

Under California Law, minors age 12 and older may give consent for Human Papillomavirus (HPV, “Gardasil”) and Hepatitis B vaccines without parental notification because these vaccines are for the prevention of sexually transmitted diseases. See TeenHealthRights.org - California: Minor Consent Rules for Adolescent Health Care for details.

Custody and Consent

In general, only parents or legal guardians or individuals with a written authorization to consent for medical treatment can bring your child in for an appointment. Step-parents who have not legally adopted the child also need written authorization from a parent with legal custody of the child.

If your older teen comes alone or another adult accompanies your child to an appointment, we MUST have a signed Authorization for Treatment before seeing your child. You must also send any applicable copayment and a copy of your child's current insurance card with the teen or authorized caregiver.

In California, minors of any age are allowed to seek confidential medical care regarding issues of sexual abuse, pregnancy, contraception without parental consent. Minors 12 years and older may also seek prevention, diagnosis, or treatment of sexually transmitted diseases without parental consent. The Health Care Provider is not permitted to inform the minor’s parent or guardian without the minor’s consent, and can only release the minor’s medical records regarding confidential care to a parent or legal guardian with a signed authorization from the minor. Health Care Providers are mandated reporters and will notify Child Protective Services of any suspected sexual abuse, physical abuse or neglect

In California, minors 12 year and older may consent to mental health services (except psychotropic medication) under certain circumstances.