Policies
Office Policies
Please review our policies so your visit with Fairfield Pediatrics goes smoothly.
Appointment Policy
We do not accept walk-ins at this time.
Appointment reminders are via text and phone call. We cancel appointments that are not confirmed.
Arrival time: Arrive 10 minutes before your appointment to fill out paperwork. We have a 10-minute grace period, after which your appointment will need to be rescheduled. If you are running late, please call us to let us know so we can tell you if you can be accommodated.
Visit Requirement: Your insurance card and photo ID are required at EVERY visit.
Cancellations: A call 24 hours before appointment is required in case you need to cancel your appointment and to avoid a ‘no-show’ fee.
Missed Appointments/Late Arrivals: Not showing up to a confirmed appointment without canceling at least 24 hours in advance, or arriving more than 10 minutes late and needing to reschedule, will incur a fee of $30 for sick/office visits and $40 for well child visits. Two or more missed appointments can result in dismissal from the practice.
Vaccines
Fairfield Pediatrics values the importance of vaccines and their ability to prevent diseases. Fairfield will recommend and discuss vaccines at every visit.
You will be required to sign a Vaccine Refusal Form if vaccines are refused.
We do not provide waivers unless they are medically necessary.
Vaccines will only be given to established patients who have had a recent/updated well child check.
Phone Consultation
Phone consultation/advice will incur a service fee that will be charged to your insurance company. You will be responsible for any additional co-pay for this service.
Forms
A fee of $15 will be charged for forms including school health appraisal forms and sports physical forms not completed at the visit. All other forms including school medication/surgery clearance forms from $25-50 depending on the complexity of the forms. Please allow 2-5 business days for the completion of medical forms.
A fee of $40 will be charged for expedited forms.
Preventive Visits / Well Child Checks
Preventive care, such as check-ups or wellness visits, is vital for preventing serious health problems. This care includes regular wellness exams, health screenings, and vaccinations.
Please note that your insurance only covers preventive services during well-child visits. If we need to address any other health concerns during these visits and our schedule allows, additional charges may apply, including deductibles, copays, or coinsurance. For specific issues like constipation, bedwetting, headaches, or other focused concerns, we suggest booking a separate appointment.
To remain an active patient at Fairfield Pediatrics, it’s important to attend Preventive Care Well Child Visits according to the Bright Futures/American Academy of Pediatrics (AAP) guidelines.
Sports Physical: Not covered by all insurances and requires out-of-pocket payment.
ADHD
Fairfield Pediatrics follows American Academy of Pediatrics guidelines for Attention Deficit/Hyperactivity Disorder.
ADHD appointments require up-to-date Well Child Visits per the Bright Futures/AAP schedule. At all ADHD visits, consults and follow–ups, Vanderbilt forms are required from parents and teachers. Please provide both Teacher and Parent Vanderbilt forms 24 hours prior to your appointment or you may be asked to reschedule. Due to the medication side effects used to treat ADHD, rechecks are mandatory every 1-3 months.
Behavior Policy
Fairfield Pediatrics prohibits verbal or physical abuse or threats of any kind to our providers and staff. Harassment and profanity will not be tolerated. This type of behavior will lead to immediate dismissal from the practice. Firearms and knives are prohibited on our property. Any item that could be used as a weapon (razor blade, box cutter, etc.) is prohibited.
Financial Policy
Understanding your insurance benefit is key.
Copays, coinsurance, self-pay and out-of-network payments are due at check in
Whoever brings your child in is responsible for payment. Patient refunds will be reviewed on a per claim basis.
We will not be involved in custody or payment disputes.
A $15 service fee will be charged in addition to your co-pay if your co-pay is not paid at the time of service.
See our New Patient Packet for more details about our financial policy.
Newborn Insurance Information
At Fairfield Pediatrics, we understand that adding a newborn to your insurance plan can take time. We want to make the process as simple as possible so your baby can receive timely care.
Before Your Baby’s First Visit
Please contact your insurance company or employer as soon as possible after your baby’s birth to begin the enrollment process.
When scheduling your baby’s first appointment, our staff will review your insurance information and explain any requirements specific to your plan.
The mother’s insurance card is required at all newborn visits. Please bring it to every appointment, even if your baby has not yet been added to the insurance plan.
Depending on your insurance plan, an out-of-pocket payment may be required at your baby’s first visit while insurance enrollment or coverage verification is pending. Our staff will discuss any applicable payment requirements with you when scheduling your appointment.
Insurance Enrollment & PCP Selection
Parents or guardians are responsible for ensuring their newborn is added to their insurance plan promptly after birth.
If your insurance requires a primary care provider (PCP), please select Dr. Adeyemo / Fairfield Pediatrics as your baby’s PCP.
Your baby’s insurance coverage should be active and verifiable by the 1-month well-child visit.
Medicaid Coverage
Parents or guardians are responsible for contacting Medicaid or their Medicaid health plan promptly after their baby’s birth to ensure their newborn is properly enrolled.
Please provide your baby’s updated insurance information to Fairfield Pediatrics as soon as it becomes available.
Questions About Coverage?
Insurance requirements vary by plan. Our staff will explain any coverage, enrollment, or payment requirements when you call to schedule your baby’s appointment.
Please contact our office before your baby’s first visit if you have questions about insurance coverage.
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