Policies

BabyAge Policy

North Atlanta Pediatrics will begin seeing your child as a newborn. We will continue to see your child until they complete their last year of high school, including their pre-college exam. At that point, we ask that you transfer their records to a Physician specializing in Adult Care.

Appointment Policies

Sick Visits
North Atlanta sees patients on an appointment only basis. We do reserve same day appointments for sick children. During regular office hours, if your child is ill and needs to be seen, we appreciate your calling in advance in order that we may see patients most efficiently.

Scheduling Newborn visits
If you are a parent of a Newborn, please call the office as soon as possible to make your baby’s first checkups. The first visit is usually scheduled with one of our Nurse Practitioners.

Checkup Schedules
These are the ages that we typically do checkups. Please call at least 2-3 months in advance to schedule routine physicals. We recommend annual checkups on all children over two years of age.

  • Newborn
  • 1 month
  • 2 month
  • 4 month
  • 6 month
  • 9 month
  • 12 month
  • 15 month
  • 18 month
  • 24 month
  • 30 month
  • Annual checkups for ages 3 years and up

Cancellation Policy
Missed appointments for routine/preventive care are very disruptive to our office and deprive others from an appointment to see the doctor. Twenty-four (24) hour cancellation notification is required to avoid the $80 charge.

Financial Policy

Thank you for choosing North Atlanta Pediatrics as your healthcare provider.   The following is a summary of our Financial Policy.  We require that you read and sign our policy prior to treatment.

Due to frequent changes in health insurance coverage, we require that you provide proof of insurance coverage at each visit. 

ALL PAYMENT IS EXPECTED AT THE TIME OF SERVICE
All co-payments, coinsurance, and deductibles are due at the time of service unless other arrangements have been made in advance.  These fees cannot be waived. If you do not have insurance, are unable to provide proof of insurance coverage, or are on a plan that we do not participate, full payment is required at the time of your visit.

All co-pays not collected at the time of service will incur a $10 billing fee.  Please also be aware that some services provided may be non-covered services and not reimbursable by your insurance.  You are personally responsible for these services. For your convenience we accept cash, check, Visa/Master Card, American Express and Discover.  There is a service charge for returned checks.  Patients with an outstanding balance 60 days or more overdue must make arrangements for payment prior to scheduling appointments.  Please contact our business department for assistance.

Financial arrangements for balances due can be made through a payment program.  Failure to resolve any past due accounts, including returned checks will result in referral to a collection agency.  You may be responsible for any fees associated with the costs of collections in addition to the amount owed on the account. Any family whose account is forwarded to a collection agency may be discharged from our practice.

Insurance
We bill participating insurance companies for your visit. 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 may be expected to pay the balance in full.  Please note that your insurance policy is a contract between you and your insurance company, therefore, you are responsible to be sure all charges are paid whether by you or your insurance company.

We do not bill secondary insurance companies.

Missed Appointments / Late Cancellations
Missed appointments for routine/preventive care are very disruptive to our office and deprive others from an appointment to see the doctor.  Twenty-four (24) hour cancellation for routine check-ups is required to avoid the $80 charge. Excessive abuse of scheduled appointments may result in discharge from the practice.

Medical Records / Forms
Requests for transfer of medical records will incur an administrative fee of $15 per child up to two and $35 for 3 or more children.  An immunization record can be provided at no charge for active patients. Effective September 1, 2005, we charge $5 administrative fee to complete forms (camp, school, sport, etc.) not associated with a routine visit.  There is no charge for the required state forms, unless they must be replaced. Medical forms for insurance purposes will incur a minimum charge of $25.    We require 72 business hours to complete all forms.  “Rush” forms (including ADHD medication refills) incur a $20 rush fee.

Divorce, Separation, & Custody Agreements
North Atlanta Pediatric Associates collect copays and deductibles from the attending parent at the time of service.  Copies of these charges are available at the request of the attending parent.
Each parent is responsible for providing correct billing information for their child.  Incorrect billing information or lack of billing information will necessitate billing the attending parent at the time of service.

If a parent is legally excluded from participation in any form of medical care for their child, North Atlanta Pediatric Associates requires documentation from the court as part of our medical record.

HIPPA – Notice of Privacy

Click here to download our HIPPA – Notice of Privacy form.

Policy Regarding Forms

We have included a forms portion to this site. Feel free to print any of those off and complete them in full. You may fax or mail these or other form requests.

Fax: (404) 256-3583

Address: North Atlanta Pediatrics
1100 Lake Hearn Drive, Suite 100
Atlanta, GA 30342

Effective September 1, 2005, there will be a $5 administrative fee to complete forms (camp, school, sport, etc.) not associated with a routine visit. There is no charge for the required state forms, unless they must be replaced. We require 72 business hours to complete the forms. “Rush” forms incur a $20 fee.

Prescription Refill Policy

ADD/ADHD Medications
Some children in our practice receive prescriptions for Attention Deficit Hyperactivity Disorder.  As you know these medications cannot be refilled by phone. Mail order is still an option, if your insurance allows this.  We will be writing your prescription for 3 separate 30 day supplies unless you instruct us to do otherwise.  Thank you for understanding.  In December of 2007 the laws changed again regarding this type of prescription.  We now are able to send out 3 prescriptions that will allow you a 90 day supply for your local pharmacy.  Please take one prescription at a time to your pharmacy and keep the other 2 in a safe place.  The 2nd and 3rd prescriptions will say do not fill before a specific date. Please specify if you prefer a 90 day supply.

Please help us by making ALL REFILL REQUESTS BY MAIL OR BY FAX, USING THIS FORM. If you want your prescription returned to you by mail, please supply us with STAMPED SELF-ADDRESSED ENVELOPES.

ANNUAL PHYSICALS MUST BE DONE TO REFILL THESE MEDICATIONS.

PLEASE MAKE YOUR REQUESTS AT LEAST A WEEK IN ADVANCE, SO YOUR CHILD WILL NOT RUN OUT OF MEDICATIONS.

We have included the Refill Request for ADD/ADHD Medications in our forms section, as well as sending you a request form with your last prescription. Please make sure all information is reviewed and completed fully and correctly.

Other Prescription Refills
It may be necessary to call the office or have your pharmacy check with our office about refills. Please be aware that in most cases antibiotics will not be refilled. However, if you are asking for a routine refill you may go to the forms section of this site and print out the Prescription Refill Request form and fax or mail it to the office. Please make sure the form is filled out completely.

Fax: (404) 256-3583

Address: North Atlanta Pediatrics
1100 Lake Hearn Drive, Suite 100
Atlanta, GA 30342