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Policy for medication renewals
Patients must have a yearly physical and wellness exam performed in order to have refills of prescription medications. This is to assess response to medication and whether medications are still required. With some medications, such as ADHD stimulant treatment, antidepressants, or asthma medications in a patient with poor control, more frequent monitoring may be required. (Please note: previous examples not intended to be exhaustive list.)
In the event that a patient has not had a yearly wellness exam, we request that the patient schedule a well visit before a one-time 1 month refill is given to tide the patient over until the scheduled visit. Thank you for your cooperation in this matter as we work together to provide the best possible care for you or your child.
Limited amount of FluMist available
Many children and parents remember FluMist, a flu vaccine given as a nasal spray, which was given for several years. Like most flu vaccines, FluMist provides protection against 4 strains of influenza virus likely to circulate during the flu season. In 2015, the Centers for Disease Control recommended against vaccination with FluMist because 1 of the 4 strains did not offer adequate protection. However, the CDC has revised its guidance following an adjustment of the less-effective strain, and now advises that the FluMist may be given. The traditional flu shot is still preferred and is more effective. FluMist should be given as a last resort, for children who would not otherwise get vaccinated, and is only appropriate for children 2 and older. Our clinic has received a small number of doses and will give them out to patients without problems such as ongoing wheezing, and while supplies last.
Please aim to arrive 10 minutes before your scheduled appointment time. Arriving more than 10 minutes late for your scheduled appointment may result in you having to reschedule.
Please bring a list of all current medication to each appointment.
Please bring your insurance card and be prepared to pay your co-pay or estimated deductible amount due at the time of service.
Our Vaccine Philosophy
Our practice believes that all children should receive the recommended vaccines according to the guidelines provided by the AAP and the CDC. Vaccines are safe and effective in preventing diseases and health complications in children and young adults. Regular vaccinations help children ward off infections, and are administered as one of the safest and best methods of disease prevention.
As of January 1, 2019, we can no longer accept any new patients to our practice from families who choose to not vaccinate their children. We will discuss any alternate schedule desired but ask that parents of un/undervaccinated children accept that this choice poses an increased risk not only to their own children but others who have vaccine contraindication or are not old enough to be vaccinated. Although we advise following the routine schedule to prevent any vaccine errors, all NEW patients will need to follow the following guidelines:
–The first set of vaccinations must be started by the 4-month well-care visit
–All of the recommended vaccines that are given from birth-age 2 years must be completed by the child’s 3-year old well-care visit.
The only exceptions to the above guidelines will be given to children who are already current patients in our office prior to January 1, 2019.
Of course, any children who have any special medical concerns that require adjustments to the vaccination schedule will continue to be given vaccines according to the most up-to-date recommendations available.
During inclement weather, we will follow the Chapel Hill- Carrboro School System’s delays. Any time the Chapel Hill- Carrboro School System is operating under a delay or closing, we will be operating at reduced hours unless otherwise stated in our phone message. Please call our office before any appointments during inclement weather to be sure we are open. Thank you!
All responses to communication initiated via Electronic System should be responded to within on (1) business day when the next business day is a non-holiday Monday through Friday.
Secure messages sent after 4 pm on Friday through 11:59 pm Sunday, or on a holiday, will be returned the next business day.
Our office offers fluoride dental varnish to all patients starting at the first tooth eruption, until the age of at least 3 years. This is done at well-visits, unless otherwise requested. Although most insurance plans cover this service, there may be an additional charge to you if you plan does not cover it.
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