Policies & Forms
Learn about the policies that help us provide your children with the very best care.
Patient Forms & Downloads
Questions about which forms you might need? Please call our office and our staff will assist you in preparing for your child’s visit.
New Patient Forms
- To expedite your first appointment, please download and print our new patient forms, fill them out ahead of time, and bring them with you to the appointment.
- New Patient Registration
- HIPAA Privacy Policies
- Portal Registration
- Portal Registration (18+ years)
Authorization Forms
Authorization Forms (18+ Years)
- These forms are for patients 18 years or older.
- Authorization for Release of Medical Information
- Consent for Release of Medical Information
- Portal Registration
Well Child Exam Handouts
- Bright Futures HandoutsFor Parents
- Bright Futures HandoutsFor Patients
School Forms
Billing & Insurance
Arvada Pediatric Associates is dedicated to providing quality, accessible, and cost effective health care services to our patients. Understanding your financial responsibilities is an essential part of your child’s care. If you have any questions concerning these policies, please contact our billing office.
Your Responsibilities
- To know the limits and coverage of your particular health insurance policy.
- To show your insurance cards to us at each visit.
- To pay any copays at the time of service.
- To provide updated address, phone numbers, and insurance information to our office.
Our billing staff will do their best to assist you with insurance questions. However, if you have questions about your coverage, it is best to check with your specific insurance company.
Insurance
To be as accessible as possible to the families in our community, we accept most insurances. Please contact your insurance carrier to verify that Arvada Pediatric Associates is in your network, and to verify your benefits and coverage.
Copayments
Copays will be collected at the time of your visit. Please check with your insurance company for the requirements and provisions of your policy to determine the dollar amount of your co-payment prior to your appointment.
Payment Methods
For your convenience, we can also handle your payments on your account at the registration desk. We accept cash, check, debit cards and major credit cards.
Self-Pay
If you are not covered by a medical insurance plan, payment is expected at the time services are provided. Payment in full at the time of service may be eligible for a discount.
Billing Questions
If you have questions regarding your account please contact our billing office at 303-467-9548.
Office Visit Policies
We require an appointment for your child to be seen.
Mutual Respect of Time
Our providers strive to stay on schedule. Although there can be emergency situations that prevent us from running on time, we pledge to provide quality care with minimal wait time to the best of our ability.
To respect your time, we make the following requests:
- Please check-in online if appropriate and arrive at least ten minutes prior to your appointment time. Please have your photo ID, insurance card and needed forms readily available upon arrival.
- If you are running late, please call the office. We may be able to accommodate you with advance notice.
- We require a minimum of a one hour notice for cancellations.
“No Show” Policy
A “no show” is when you fail to arrive for your scheduled appointment, arrive 10 minutes late or more for your scheduled appointment, or call less than one hour prior to your appointment to cancel.
A notification letter may be mailed to you after “no show” visit. Repeated “no shows” may result in the family’s dismissal from our practice.
Well-Child Exams & Screenings
Routine well-child exams allow us to monitor for growth, developmental, behavioral and academic issues so that we can identify them early, intervene, and treat them effectively. Per the American Academy of Pediatrics, children should receive preventative care on this schedule. We expect parents to follow these guidelines so that we can provide quality healthcare to our patients.
We perform recommended screenings based on the patient’s age to detect any conditions that may need treatment. Most insurance plans cover these screenings and costs; however, their policies vary. It is your responsibility to understand which screening services are covered by your specific insurance plan.
Chronic Condition Follow-Ups
Chronic medical conditions such as ADHD, asthma, depression and anxiety require frequent follow-up to ensure the best care possible for your child. Patients with these conditions typically require regular follow-up visits several times per year. Medications may not be refilled unless patients keep their recommended follow-up appointments.
Medication Refills
Please contact our office 1 week prior to needing a refill of a prescription medication. You may do this through the Patient Portal (preferred) or by calling our office and choosing the option to leave a message on our refill line. Patients must be up to date on their well check exams/med check visits in order for prescriptions to be refilled. Please allow 2 business days for these to be processed.
After-Hours Care
If your child’s illness or injury is life threatening, dial 911.
Urgent Questions or Concerns
For urgent matters that cannot wait until business hours, call our office to be connected with a pediatric trained nurse. If needed, there is a physician on-call every night of the week.
Urgent/Emergency Care
If it is determined that your child needs to be seen by a medical provider outside of business hours, you may be referred to a pediatric facility. We are affiliated with Children’s Hospital Colorado. Review their options for urgent and emergency care to find a location near you.
Another resource is the pediatric emergency room at Rocky Mountain Hospital for Children.
Poison Control Hotline
(800) 222-1222
Suicide & Crisis Lifeline
Dial 988
www.988lifeline.org
Health Education Tools
- AAP Patient Education LibraryBrowse this library of expert advice from the American Academy of Pediatrics. This collection of over 800 handouts covers 200 topics ranging from Acne to Whooping Cough.
- Medication Dosage CalculatorBe confident that you are treating your child with the correct dose of Tylenol, Motrin, or Benadryl. We can guide you on how much to give, based on your child’s weight.
- Symptom CheckerUse this symptom checker to learn how serious your child’s symptoms are, whether you need to see the doctor, and how you can provide relief. Brought to you by the AAP and HealthyChildren.org.
Vaccination Policy
Vaccinating children and young adults is one of the single most important health-promoting interventions we perform as health care professionals and that you can provide as parents and caregivers. The recommended vaccines and their schedules are based on decades of rigorous scientific research and ongoing safety monitoring involving millions of children worldwide.
Vaccines are an effective way to prevent serious illness and to save lives.
All children and adolescents, with rare exception, should receive all of the recommended vaccines according to the schedule published by the American Academy of Pediatrics (AAP).
The decision not to vaccinate not only affects the unvaccinated child, but also puts the entire community at risk.
Extensive scientific research has shown that vaccines do not cause autism or other developmental disabilities.
Please be advised that delaying or following an alternative vaccine schedule goes against expert recommendations, can put your child at risk for serious illness or death, and goes against our medical advice.
Our providers welcome discussion about immunizations with any of our families. We will continue to address the benefits of vaccination and the risks of non-vaccination during well visits and other appropriate encounters.
Parents or caregivers who decline to vaccinate may be asked to sign our waiver clarifying the risks of non-vaccination and acknowledge that APA has recommended vaccines for their child.
Resources
- Immunization ScheduleAmerican Academy of Pediatrics (AAP)
- Vaccine Information StatementsCenters for Disease Control and Prevention (CDC)
- Vaccine Safety: The FactsAmerican Academy of Pediatrics
- VaccinateYourFamily.orgHelping to protect people of all ages from vaccine-preventable diseases
- Institute for Vaccine SafetyJohns Hopkins Bloomberg School of Public Health
- Centers for Disease Control (CDC)
- Immunize.orgFormerly Immunization Action Coalition (IAC)
- Vaccine Education CenterChildren's Hospital of Philadelphia
Resources
- Immunization ScheduleAmerican Academy of Pediatrics (AAP)
- Vaccine Information StatementsCenters for Disease Control and Prevention (CDC)
- Vaccine Safety: The FactsAmerican Academy of Pediatrics
- VaccinateYourFamily.orgHelping to protect people of all ages from vaccine-preventable diseases
- Institute for Vaccine SafetyJohns Hopkins Bloomberg School of Public Health
- Centers for Disease Control (CDC)
- Immunize.orgFormerly Immunization Action Coalition (IAC)
- Vaccine Education CenterChildren's Hospital of Philadelphia
Arvada Office
Office Hours
Monday - Friday
8:00 am - 5:00 pm
Saturday
8:00 am - 12:00 pm
Urgent care by appointment only
Sunday
Closed
Broomfield Office
Office Hours
Monday - Friday
8:00 am - 5:00 pm
Saturday
Closed. Patients can be seen at our Arvada location for urgent care, by appointment only.
Sunday
Closed
Social Media
Holidays
We close our offices on the following holidays: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day.
After-Hours Care
If your child’s illness or injury is life threatening, dial 911.
For urgent matters that cannot wait until business hours, call our office to be connected with a pediatric trained triage nurse.
Poison Control Hotline
(800) 222-1222
Suicide & Crisis Lifeline
Dial 988
www.988lifeline.org
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