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Policies

Patient/Parent Rights and Responsibilities
Required Immunizations
Referral Policy

 

Patient/Parent Rights and Responsibilities

  • I have a right to be seen in a timely manner. I will be informed of any delay, and I have the right to reschedule if a delay is too lengthy.
  • I will be informed of my child/children’s test results in a timely manner.
  • I agree to be on time for my appointments and will pay a missed appointment fee for any appointment I miss if I fail to notify the office at least 8 hours in advance. Three or more missed appointments per family may also lead to dismissal.
  • I understand that I am responsible for understanding the benefits of my insurance plan. It is my responsibility to determine what services are covered and/or not covered by my insurance plan. I understand that Sandhills Pediatrics does not provide care based on what my insurance does or does not cover. I hereby assign my insurance benefits to Sandhills Pediatrics.
  • I understand that copayments are to be taken at check-in for any appointment and failure to pay the copayment amount at this time will result in a Billing Fee.
  • I am ultimately responsible for the payment of the services my child/children receive. I understand that my co-payment, co-insurance and deductible are due at the time services are rendered. Sandhills Pediatrics accepts cash, checks, Visa, Master Card, Discover and American Express.
  • I understand that any questions or disputes about my bill must be addressed with the Billing Department (803-788-6146). I understand that if I cannot afford to pay in full a bill I receive, it is my responsibility to contact the Billing Department to set up a monthly payment plan.
  • I understand that Sandhills Pediatrics participates in the VFC program and that I am responsible for determining whether or not my child/children are eligible to receive vaccines through VFC.
  • I understand that there is a charge for copying medical records.
  • I understand that there may be a charge for completion of physical, camp, school and FMLA forms.
  • I agree to pay a returned check fee for any check that is returned from my bank for insufficient funds.
  • I understand that if I owe Sandhills Pediatrics a balance on my account for greater than 150 days I may be turned over to a collections agency. I agree to pay all costs related to assigning my account to an outside collections agency. I understand that if I am turned over to an outside collection agency I will be dismissed from all SCPA practices.
  • I understand that Sandhills Pediatrics can only bill for the diagnoses and procedures documented in my child/children’s medical records and that to ask the doctor to change a diagnosis or procedure to secure insurance payment constitutes fraud.

 

Required Immunizations

We strongly encourage all parents and guardians to fully immunize their child(ren) according to the recommended immunization schedule published by the Center for Disease Control (CDC) and the American Academy of Pediatrics (AAP). As of June 1st, 2015, we now require for our patients to be fully immunized against the vaccine preventable diseases listed below within the timeframe listed below. Failure to immunize the patient as below will be considered a voluntary termination of the doctor patient relationship and result in the patient having to transfer to another practice.

We recognize that some parents wish to pursue an “alternative” or delayed immunization schedule. We do not recommend this approach as it needlessly delays important protection against serious disease. We strongly encourage all parents to fully immunize their child(ren) according to the recommended immunization schedule published by the Center for Disease Control (CDC) and the American Academy of Pediatrics (AAP.) However, we are willing to “work with” parents who intend to meet our requirements by the required age on a case-by-case basis.

DTaP:  Must begin series by four months of age. Must receive three doses by nine months of age, four doses by second birthday, and five doses by school entry or sixth birthday (if not in school.)

Polio (IPV): Must begin series by four months of age. Must receive two doses by nine months of age, three doses by second birthday, and four doses by school entry or sixth birthday(if not in school.)

Hemophilus Type B (HIB) and Pneumococcal vaccines (Prevnar):  Must begin series by four months of age. Must receive three doses by nine months of age, and four doses by second birthday

Measles, Mumps, Rubella (MMR): Must receive first dose by 16 months of age, and second dose by school entry or sixth birthday(if not in school.)

Varicella (Chickenpox): Must receive first dose by 16 months of age, and second dose by five year kindergarten entry or sixth birthday(if not in school.)

Tdap: Must receive by seventh grade entry (as required for school attendance) or thirteenth birthday.

Meningococcal vaccine (Meningitis): Must receive one dose by thirteenth birthday and second dose by eighteenth birthday.

Hepatitis B: Must meet state of South Carolina requirements for daycare and school attendance.

Children under age five but above one year of age who are not yet immunized are required to begin the MMR, Varicella, Polio and DTaP immunization within ninety days of receipt of this policy and be “up to date” with the recommended CDC “catch-up” schedule within one year of beginning these immunizations.

Older children (above age five) and teens who are just beginning to be immunized are required to begin the MMR, Varicella, Polio and appropriate Pertussis (Tdap or DTaP) immunization within ninety days of receipt of this policy and complete the recommended CDC “catch-up” schedule within one year of beginning these immunizations.

We do NOT require Rotavirus, HPV or Hepatitis A vaccines at this time, however we do strongly recommend them at the appropriate ages.

 

 

Referral Policy

 

  • Sandhills Pediatrics is responsible for initiating action on all referrals within 72 hours.

  • If physician deems a referral to be urgent, the referral will be done at that office that day.
  • The parent/patient is responsible for providing current insurance and phone numbers where you can be most easily reached from 8:00am to 5pm.
  • Sandhills Pediatrics is responsible for obtaining insurance authorization when necessary.
  • Sandhills Pediatrics is responsible for notifying the patient of the referral information to include the appointment time, place, and doctor either by mail or phone.
  • Sandhills Pediatrics is responsible for returning patient calls within 24 hours. If your phone call is not returned within 24 hours, please call 803-451-5254.
  • The parent/patient is responsible for following-up with the referred physician once Sandhills Pediatrics has notified patient of the appointment.