Premier Pediatrics is happy to be able to provide a Telemedicine appointment for your child.
The doctors’ telemedicine web addresses are:
Dr. Schreiber www.doxy.me/drsusanschreiber
Dr. Sachs www.doxy.me/drmichaelsachs
Dr. Hauselman www.doxy.me/drlisahauselman
Dr. Nourmand www.doxy.me/drnicolenourmand
Dr. Meepos www.doxy.me/drlaurenmeepos
Dr. Mahmoudian www.doxy.me/drcamymahmoudian
By signing below, I understand and agree to the following:
- I consent to treatment via the telemedicine platform as per my already signed agreements with the office.
- If the visit goes toward patient responsibility (deductible/coinsurance), Premier Pediatrics’ standard financial policies will apply regarding payments. If the physician believes my child needs to be seen in the office following the telemedicine visit, there may be additional office visit associated fees. I agree to pay any additional fees, which may include another co-pay or additional co-insurance, as determined my insurance carrier.
- My credit card on file will be charged my regular office copay. If I do not have a credit card on file, I will either provide one (per office policy), or pay my copay through the patient portal https://ppbh.pcc.com/portal/session/new or our office website www.ppbhmd.com/paymybill prior to the visit.
- I will log in at the assigned time, with my child nearby, and wait for the physician to appear on the site. The doctor will do their best to be available at the time of the visit and the office will notify me if the doctor is running unavoidably late. If I am not already logged in when the physician becomes available the visit may be canceled or rescheduled.
- I understand that telemedicine has limits and cannot always replace an in-office visit and accept the limitations inherent in a video/audio medical evaluation.