• Date
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  • To ensure we can provide timely care and reduce waiting times for
    everyone, please review and follow the guidelines below. Thank you for
    helping us serve all patients efficiently.
  • APPOINTMENTS

  • Appointments must be scheduled to see the Doctor. We are unable to accommodate walk-in patients. Walking in without an appointment disrupts the care of those who have already reserved time with the doctor. We truly appreciate your cooperation in helping us provide the best possible care to every patient.
  • LATE TO APPOINTMENT POLICY

  • We value your time and strive to see you as close to your appointment time as possible. Recognizing unanticipated things do happen, please call the office if you expect to be late. We will try to accommodate you whenever possible, but you may need to reschedule your appointment to be fair to others arriving on time.
  • MISSED APPOINTMENT OR "NO-SHOW" POLICY

  • It is your responsibility to remember your scheduled appointment. A no-show cancellation fee of $25 may be charged.
  • WELL CHECK UPS AND SPORTS PHYSICALS

  • Please note that Dr. Mulato is the sole physician in this practice. Due to high demand, appointments are often booked several months in advance. We encourage patients to schedule well-check ups and sports physical visits as early as possible.
  • NURSE VISITS

  • Nurse Visits are for vaccines only. If your child is scheduled for a nurse visit and he/she is sick and you want them to be seen by a provider, please call to make a sick appointment. This gives the provider more time with your child and prevents the next scheduled patient from having to wait. We appreciate your consideration.
  • CHADIS QUESTIONNAIRES

  • CHADIS Questionnaires ask questions about your child's development, behavior, and overall well-being. The information you provide helps Dr. Mulato assess whether your child is meeting developmental milestones and identify any areas that may require further evaluation or attention. For every well appointment CHADIS Questionnaires are sent 2 weeks before your appointment. They are to be completed at home before you arrive at your appointment. It is in your child's best interest to have the CHADIS Questionnaires answered at home so that Dr. Mulato can discuss with you any concerns.
  • DAYCARE/SCHOOL/CAMP/SPORTS FORMS

  • Patients requesting completion of forms who have already had a well-check at another practice within the past year will be charged an $85-$125 form-completion fee. Insurance plans generally do not cover more than one well visit per year, so a second well-check cannot be billed to insurance for this purpose.
  • PATIENT PORTAL

  • Our practice utilizes the patient portal for non-urgent communication. Please use the portal for non-urgent questions, including sending pictures. Please allow the doctor some time to respond, as she reviews her messages in between seeing patients.
  • Medicine refill requests and well-check appointments can also be requested through the portal. For sick visit appointments, please call the office.
  • AFTER HOURS

  • We respectfully request that after-hour calls to the doctor be reserved for urgent medical concerns only. For issues that are not time-sensitive, please wait until normal business hours to call.
  • ADD-ON OFFICE VISITS DURING WELL OR PHYSICAL EXAMS

  • During your child's Well-Baby Visit or Annual Physical Exam, the visit is intended to focus on routine preventative care.
  • If, during this visit, you raise concerns such as new symptoms, behavioral issues, ongoing or chronic conditions, or if the provider identifies, evaluates, and treats a medical problem, these services are considered outside the scope of routine preventative care.
  • When this occurs, an additional office visit charge may apply. This is due to the extra time, medical evaluation, clinical decisions-making, and documentation required to address problem-focused concerns.
  • In such cases, your insurance company may process the visit using a modifier to indicate that both preventative and problem-focused services were provided on the same day. As a result, you may be responsible for an additional copay, deductible, or coinsurance, depending on your individual insurance plan.
  • Please note that coverage and patient responsibilities are determined by your insurance provider, not the medical office.
  • Acknowledgment

  • I have read and understand the information above regarding add-on office visits and potential additiona charges.
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  • Date:*
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