New Patient

New Patients at Wellness Pediatrics

New PatientsWe are currently accepting new patients into our practice. Please fill out the Patient Registration Form and HIPAA form, and bring both to your child’s first appointment along with:

•Your insurance card

•Valid photo ID

•Copy of immunization records

•Copay (if applicable)

Please plan to arrive 15 minutes before your scheduled appointment to ensure your registration information is complete.

NON-COVERED SERVICES POLICY(EFFECTIVE JANUARY 1, 2020)

Many services we provide are non-covered services, meaning that they are not paid by any insurance company. These are allowable services in a medical practice, but insurance companies do not pay for them. Consequently, we have decided to charge a single annual fee so that all patients can have ready access to a complete range of services they need. This fee covers services such as:

Completing medical clearance forms for childcare centers, schools, sports, camps, employers, and preparing letters of medical necessity, without a limit to the number of formsCompleting refill requests without an office visit (does not apply to controlled substances)

Extended evening hours which save you an urgent care/ER copaySending medical records to specialists

Providing copies of records upon request, should you relocate or leave the practice for any reasonMaintaining a web-based secure patient portal to allow access to your records at any time, and make payments online

Insurance claims appeals and re-filingAccount resolution up to and including speaking with human resources and insurance companies if needed on a case by case basis

Billing summaries for FSA/tax purposesRealizing that growing families may have limited budgets, we have set our annual Non-Covered Services Fee at $80 per child, with a maximum of $210 per family (3 or more children). Please note that this is far less expensive than paying for each service as you request it. We look forward to continuing to provide you these services upon request. If you have any questions, please contact Melissa Delarosa in the Fairfax office (703) 356-7882.

Thank you.

Our patient portal offers a secure and convenient access to your health care information.

Patients can access features such as:

• TeleVisit User Guides & Access

• Exchanging secure messaging with providers

• Viewing lab results online

• Managing payments with ease

• Reviewing appointments

• Access to view and print immunization records

Insurances

We accept most insurance providers. If you have specific questions regarding your coverage, please contact us for additional information.