Forms and Policies

Forms and Policies

circularlogoIn an endeavor to meet and exceed patients and parents expectations, we believe effective communication is essential. For this reason, we have provided a list of our forms and policies below. Please do not hesitate to contact us if there are any questions.

Office Policies

Cancellations

If you should need to cancel an appointment please notify our office 24 hours in advance. This allows us to accommodate families who are on a waiting list for an earlier appointment.

No-Shows

We schedule patient appointments so that each patient receives the right amount of time to be seen by our
providers and staff. That’s why it is very important that you keep your scheduled appointment with us,
and arrive on time.

As a courtesy, and to help patients remember their scheduled appointments, Pediatric Associates of Lewiston sends text messages and email reminders 1 week, 2 days, and 2 hours in advance of the appointment time. If your schedule changes and you cannot keep your appointment, please notify this practice by texting or calling (207) 784-5782.

If a notice is not provided that an appointment needs to be canceled or rescheduled, our office determines that the appointment is a “No-Show”. The parent or patient failed to provide notification and failed to arrive to the appointment.

If a family and/or patient no-shows a total of 5 appointments within a 12 month period, Pediatric Associates reserves the right to dismiss the family and/or patient from the practice. The guarantor listed on the account will receive a Dismissal Letter in the mail for each patient listed on the account. As a courtesy, Pediatric Associates staff will be available to treat the child(ren) listed on the account for 30 days on an emergency basis only. During this time, the parent/guardian needs to be proactive and find another healthcare provider for their child(ren). After 30 days has passed, the patient’s and siblings’ charts will be marked as inactive and they will no longer be able to receive healthcare services from anyone at Pediatric Associates of Lewiston.

Late Policy

Please be prompt to your child’s scheduled well visit. If you are 10 minutes late to a Well Child Visit, our patient care coordinators may have to reschedule your child’s appointment. In order to provide your infant, toddler, child, or adolescent with quality care and service, our providers need you and your child to arrive on time to your scheduled visit.

Same Day Urgent Care Appointments

Our Patient Care Coordinators accommodate the same-day scheduling of urgent care appointments whenever there are available openings. Our office does its best to schedule your child for a same day appointment with his or her preferred provider. In the event that your primary care provider is unavailable, your child’s appointment will be scheduled with another available provider.

Walk-In Appointments

Walk-in appointments are available Monday – Friday from 8:00 am – 11:00 am and 1:00 pm to 3:00 pm.

Scheduling Well Child Visits

For your convenience, our practice offers the capability to schedule your child’s well visit the same day. These well child visit appointments are scheduled on a first come first serve basis. Parents can also schedule well visits up to 6 months in advance in an effort to ensure that that their child receives their well visit and immunizations on time and with their preferred provider.

After Hours

We have a Nurse Triage Service available 7 days a week for emergency calls only. If you have a routine question, please call during office hours.

Prescription/Refills

Please give this office 48 hours advance notice for prescription/refills. Prescription/Refills will only be filled during our normal business hours. The on-call pediatrician will not fill standard, non-urgent refills after hours.

Medical Records / Shot Records / School Forms

Pediatric Associates has 7 business days to release your child’s medical records. As a courtesy, we ask that you give this office 48-72 hours for your immunization records and 5-7 business days for your school records, camp forms and sports physical forms. It is also helpful if you provide us with the name, address, phone number and fax number of the person who needs this information.

Financial Policies

Please click on New Patients to view New Patient Forms.

Please click on Current Patients to view Current Patient Forms.

To schedule an appointment, please call (207) 784-5782.

Health Info Net