Newborn Registration

The Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to protect your privacy. Implantation of HIPAA requirements officially began April 14th, 2003. Specifically, there are rules and restrictions on who may or may not see or be notified of your Protected Health Information (PHI). These restrictions do not include the normal interchange of information necessary to provide you with office services. We balance your privacy with our goal of providing you with quality professional care and services. Additional information is available from the U.S. Department of Health and Human Services at: www.hhs.gov

     You acknowledge the following policies that have been adopted by Mainstreet Pediatrics:

     1. You understand that all patient information will be kept confidential except as is necessary to provide service or to ensure that all administrative matters related to your care are handled appropriately. This specifically includes the sharing of information with other healthcare providers, laboratories, health insurance payers as is necessary and appropriate for your care. Patient files are only stored and additionally protected in our electronic health record system. You may access your child’s records and other important office related information at any time through our HIPAA protected Patient Portal.
     2. It is the policy of this office to remind patients of their appointments. We will do this via telephone confirmation and text message confirmation. We may send you other communications informing you of changes to the office policy and new technology that you might find valuable or informative.
     3. This practice utilizes a number of vendors in the conduct of its business. These vendors may have access to PHI but agree to abide by the confidentiality rules of HIPAA via a Business Associates Agreement.
     4. You understand and agree to inspections of the office and review of documents which may include PHI by government agencies or insurance payers in normal performance of their duties.
     5. You agree to bring any concerns or complaints regarding privacy to the attention of the office manager or the provider.
     6. Your confidential information will not be used for the purpose of marketing or advertising products, goods, or services.
     7. We agree to provide patients with access to their records in accordance with state and federal laws.
     8. We may change, add, delete or modify any of these provisions to better serve the needs of both the patient and practice.
     9. You may have the right to request changes in certain policies used within the office concerning your PHI. However, we are not obligated to alter internal policies to conform to your request.

     The providers of Mainstreet Pediatrics believe in the safety and effectiveness of vaccines to prevent illness and save lives. We believe that vaccination is the single most important aspect of preventative care we offer as healthcare providers and that you perform as parents. Thus, Mainstreet Pediatrics will not accept patients into our practice whose parents make the decision not to vaccinate or vaccinate on an alternative schedule.

     We believe that our patients should receive all of the vaccines according to the schedule recommended by the Centers for Disease Control and Prevention and the American Academy of Pediatrics. The recommended vaccines and the scheduling are the result of years of study by the most knowledgeable physicians and scientists in the fields of pediatric and adult infectious disease. These recommendations are reviewed annually and sometimes revised based on the most current information available.

     Vaccines have been overwhelmingly successful in decreasing the incidence of many diseases throughout the world and have the potential to eliminate certain diseases entirely, such as has happened with small pox. Unfortunately, this success has resulted in complacency regarding the importance of immunizations, and in some groups, outright opposition to vaccines. These factors have recently led to increasing numbers of children and adults contracting vaccine-preventable diseases, such as measles and whooping cough, both in the U.S. and other developing countries.

     We also believe that parents who choose not to vaccinate are taking unnecessary risks with their child's health and are endangering other children in the community who may be too young to receive vaccines or are unable to be immunized due to medical conditions. If you have any further questions, please feel free to discuss your concerns with us.

     We require payment at the time of service for all office visits. All accounts are due and payable within 30 days of receipt of your statement unless other arrangements are made with the billing department. Should other arrangements for your bill be necessary, please discuss this with our billing department prior to your visit by calling (719) 751-8743.

     After 90 days, if there is an unpaid balance on your account, your account may be sent to collections.

     It is your responsibility to understand your particular insurance plan, as well as any health savings plans you may have in effect. It is your responsibility to know if Mainstreet Pediatric providers or referred physicians are in your insurance network. According to your insurance plan, you are responsible for any copays, deductibles, coinsurance or non-covered services. Copays are due at the time of your visit.

     Unpaid accounts are billed on a monthly basis. We try to maintain a direct relationship with our patients both in medical care and financial matters. We will be happy to answer any questions that you might have regarding your account. However, you are responsible for payment of your account regardless of your insurance coverage.

If you have any further questions, please feel free to discuss your concerns with us.

     As of 01/01/2022, please understand if you no-show your first scheduled appointment, Mainstreet Pediatrics we will not schedule further appointments for your child. A no-show appointment is an appointment that is not shown up to or is canceled/rescheduled at the time of the scheduled appointment. Mainstreet Pediatrics reserves the right to discontinue medical services to families that no-show three (3) scheduled appointments.

     If something comes up that prevents you from being able to keep an appointment, we ask that you please provide twenty four (24) hours notice whenever possible and require at least two (2) hours prior to the scheduled appointment time to cancel or reschedule. This courtesy allows us to be of service to our other patients, some of whom may need to be on the same day.

     The first scheduled appointment will not be a Sick Visit. We will need to schedule an Establishing Care appointment - either as a virtual "telemedicine" or "in-person" appointment - to establish a Patient/Provider relationship and learn past medical/family history.

     If you have any further questions, please feel free to discuss your concerns with us.

     To provide better care for your child, we ask that you call/message us between the hours of 8:00am-5:00pm Monday through Friday for your child's medication refills. Please allow up to at least 24 hours to refill your child's medications. You are responsible for keeping track of your child's medications and calling for refills before your prescription runs out.

     If you have any further questions, please feel free to discuss your concerns with us.