Premier Pediatrics Child and Adolescent Behavior and Development Evaluations Appointments Initial evaluations are booked for 60 minutes. All initial evaluations will be assessed a copay and will be subject to any deductibles as required by your insurance. Follow-up evaluations are usually booked for 30 minutes. If you feel that your child has a more complex problem or multiple problems that will need to be discussed, please ask the receptionist to schedule a longer appointment. Multiple follow-up visits may be needed until all issues have been addressed and goals have been met. How often do I need to be seen? For all patients who are on medication for behavioral, mood, and/or developmental conditions, there must be 2 medication checks and 1 complete review of general health that includes a complete physical examination regardless of whether we are acting as primary care physicians or consultants). Medications cannot be refilled unless you are current with appointments. These visits can be completed in one of two ways: o Option 1: A complete general health review without medication management plus 2 separate medication management visits for a total of 3 visits o Option 2: A complete general health review combined with medication management plus one additional medication management visit for a total of 2 visits NOTE: Copayment will be collected for all medication management visits, whether or not they are stand-alone appointments or whether they are combined with well visits/general health review per established billing practices and your insurance guidelines. Thus, copayment amounts for Options 1 and 2 will be identical over the course of 1 year. Deductibles will apply for all visits that include medication management. For Autism, Mood Disorders, and Eating Disorders, additional appointments may be required depending on the circumstances. Additional appointments may be scheduled as needed for any change of status. NOTE: Anyone taking the medications Risperdal, Zyprexa, Seroquel, Abilify, Geodon, or Invega will need blood work yearly. How do I cancel an appointment? Please call 303-655-1685 during regular business hours to cancel an appointment. If you must cancel an appointment, please do so with at least 24 hours notice to avoid a $100 service fee. This fee will be billed to you directly and not to your insurance carrier. What if I am late or don't show up for an appointment? If you show up more than 15 minutes late for an appointment you may be asked to reschedule. As a courtesy to our other patients and in order to get the most out of your visit, please show up on time. All 60 minute appointments and new patient consultations must be confirmed with a credit card or a cash deposit. Failure to show for one of these appointments will generate a $200 charge. 2 When can I get my question answered by telephone or by patient portal and when should I schedule an appointment? Telephone consultation and messaging by way of the patient portal is appropriate for brief questions about treatment, side effects of medication, or other minor educational interventions. Most phone calls will be returned by one of our staff members trained in the assessment of your child's needs. Most portal messages will be returned by the provider. Portal use is secure and confidential and is strongly encouraged. To access the portal, go to: https://801.portal.athenahealth.com Office appointments should be scheduled for any questions that are not simple or brief, issues that might prompt a change to a different medication, or complex educational interventions. How do I refill medication? Medications that are classed as Schedule II by the DEA cannot be refilled, phoned in, or sent electronically to a pharmacy. These medications require a new written prescription every time the medication is refilled. These prescriptions cannot be post-dated, however, once on a consistent dose of medication, we can write 3 months of prescriptions at a time. As an example: Let us say that today is 15 May 2014. You would receive 3 prescriptions dated 15 May 2014. The prescription that is to be used first will have no further instructions. The prescription that is to be used second will say: “ Do not fill before 11 June 2014.” The prescription that is to be used third will say: “Do not fill before 7 July 2014.” Please keep track of these prescriptions carefully. Original prescriptions will continue to be written for free. Lost prescriptions that have to be rewritten will carry a $5.00 replacement fee. Schedule II medications include the following: Concerta, Adderall, Adderall XR, Focalin, Focalin XR, Vyvanse, Metadate CD, Ritalin LA, Daytrana, Dexedrine spansules, Quillivant XR. Medications that are not Schedule II and can be refilled, phoned in, or sent electronically to a pharmacy include: Strattera, Intuniv, Kapvay, Tenex, Zyprexa, Seroquel, Tegretol, Abilify, any antidepressant, Trileptal, Buspar, Risperdal, Geodon, Invega, Depakote, and Lamictal. How much time do I need to give Premier Pediatrics to have a Schedule II medication ready? If you would like to personally pick-up the medication, please call the office at least 3 business days in advance. Due to the large volume of prescriptions that are written, same day refills are not possible. If you live greater than 15 miles from either office and would like us to mail the prescription to you, please notify us at least 1 week before you need the prescription. If you would like to send a prescription to a mail-order pharmacy, please notify us at least 3 weeks before you need the prescription. Certain local area pharmacies have agreed to pick up prescriptions from us for your convenience. These pharmacies are: Platte Valley Pharmacy and Dale Professional Pharmacy. This service is subject to change as needed. Updated 4-16-2014