As of September 1, 2010 the State of CT has passed new immunization requirements for Day Care Facilities, Family Day Cares and Group Day Care Homes. The major change is in the requirement of Hepatitis A vaccination after 12 months of age and Influenza vaccination starting by 7 months of age. Please see the following chart to clarify: http://www.ct.gov/dph/lib/dph/daycare/pdf/Immunization_Schedule.pdf

Hospital Affiliations:

Our physicians are affiliated with both Norwalk and Stamford Hospitals.

Appointments:

Appointments for office visits and check-ups are made by our secretaries during regular office hours.  Except for our emergency care hour from 9-10 in Darien and Open Access from 9 am to 9 pm in Norwalk, patients will be seen by appointment only.  Please try to be prompt for your appointment time.  Should you be unable to keep a scheduled appointment, notify the office, as soon as possible, so the reserved time can be given to someone else.  You must bring with you your insurance ID card as well as your co-pay.  We do require at least 24 hours notice for physicals and will charge your account for no-shows. We schedule a specific time for visits.  If you feel the problem you wish to discuss is involved (i.e. behavioral, hyperactivity, etc.) please let us know when you are scheduling your appointment so that extra time will be allotted.  Please try to make your check-up appointments three months in advance.  Baby visits should be made in advance at the time of each visit.  These visits are essential for the optimal health care maintenance of your children.  Be aware that your insurance plan may require a full 12-month time span between routine check ups.  Know the date of your child's last physical when scheduling new appointments.

Telephone:

Routine questions should be asked during your visits to our office.  If a problem arises between visits that requires attention, we will be happy to discuss it by telephone during office hours.  Our pediatric nurses are experienced to handle your child care questions.  We suggest mid-morning or mid-afternoon as the best time to call and discuss issues such as feeding, sleeping, etc.  You will be transferred to our nurse advisement line where you can speak directly to a nurse or leave a message for a call back.  Emergencies will be handled immediately.  Remember, if you have Caller ID with a blocking feature, please remove it with *87 before placing your call so the advice line nurse can return your call.  After office hours, we ask you to use common sense and call only if it is a reasonable concern or emergency.  When our office is closed and you have a question about your child's health that can not wait until our office is open, just call and tell the operator that you have a health question or issue and would like to speak to a nurse.  You will be put in touch with Night Nurse.  Trained pediatric registered nurses will address questions relating to your child's health and if your call requires the attention of a doctor, the nurse will contact the doctor on call.  We have chosen this service so you will have easy access to experienced nurses during after hours.  There is a nominal charge for this service.

Night Nurse:

The Center for Advanced Pediatrics utilizes the services of Night Nurse for after hour's coverage. Night Nurse has been providing after-hours triage coverage for the New England pediatric medical community since 1999.  Physicians know their patients/caregivers receive the highest standard of timely triage from our experience pediatric RNs.  Rapid response time and the competency of our professionals produce a good nights sleep for our subscribing MDs.  When our office is closed and you have questions about your child's health and comfort that can not wait until our offices are open, just tell the operator that you wish to speak to a nurse.  The operator will pass on your message and you will be called back promptly.  It is very much the same as when you are in touch with our Nurse Advisement Line during office hours.  If your call requires immediate attention by your doctor, the advice line nurse will contact the doctor on call. The next morning our office will have a report on your call and will follow up as needed.  We have chosen this service so that you will have easy access to experienced nurses during after hours.

Financial and Insurance:

We participate in most health care plans offered in the area. It is advisable to notify your insurance carrier of your baby's arrival and that you have selected one of our pediatricians as your child's PCP (primary care physician) to ensure maximum coverage for health care costs.Some policies will not cover the expenses for your baby unless notified within 30 days of birth. We also require that you notify us (by copy of front and back of insurance card) any time a change is made to your insurance plan or carrier. We ask that you familiarize yourself with the coverage of your plan and it's restrictions. You are ultimately responsible for services that are not a covered benefit. Please be sure to bring your insurance identification card with you to each visit.

Co-Pays:

Your insurance company expects the payment of your co-pay at the time of service as do we.Our policy is not to bill for co-pays, but if we must, a billing fee will be added to your charge. We accept cash, check, Mastercard, Visa and Discover.

Fees:

Fees for services rendered are based on the prevailing fee schedule for this area. Payment is expected at the time of visit. You may pay by cash, check or MasterCard, Visa and Discover. In the cases of divorced parents, we do not involve ourselves in intra-family disputes regarding the financial responsibility of a bill or account. In cases of dispute, the parent or person who brings the child to the office is considered responsible. All co-pays must be paid at the time of the child's visit regardless of who accompanies the child. In the event that a friend or relative brings your child to the office, we ask that person to be responsible for paying the bill or co-pay. Please save your cash receipts. For your convenience, you may keep your credit card information in your file and sign an authorization which allows us to charge your account for your co-pays or co-insurance.

Referrals:

Most managed care insurance plans require referrals from your primary care physicians before your child can be seen by a participating specialist. We require at least 72 business hours for processing referrals and are not allowed to back date any referral request. Our referral line is open from 8:30 am to 5:00 pm Monday through Friday to expedite your requests.

Forms for School, Camp and Sports:

Your child will require many forms to be filled out over the years. When your child's school, camp or sport's program requires a physician form, please provide it to us with as much of the information you can already filled out. Please submit all forms with a STAMPED ADDRESSED ENVELOPE. Because of the volume of forms we do, especially during the summer, this will help facilitate their rapid return. Forms should reach our office AT LEAST TWO WEEKS PRIOR to the time you need them returned. We will not be able to fill out the forms at the child's annual physical during very high volume months (June, July, August and September).

Effective January 1, 2010 – The Center for Advanced Pediatrics will charge for ALL forms that parents/patients request to be filled out by a physician or nurse.

Payment for the forms must be made before the forms are processed by the office.

Blank forms cannot be accepted.  Forms will only be accepted for completion if the sections that need to be filled out by the patient or parent are completed.

For more information, please contact our office at 203-229-2000.