Are We a Good Fit?

New Patient Checklist

It is important that our practice is a good fit for your family’s needs and priorities when choosing a pediatric medical home for your children.


Excellent care happens when families and our team share the same goals and approach to medical care. When we work together with mutual respect, we can make the best decisions for your child’s health and well-being.


Please review the following checklist to help you determine if Child & Adolescent Clinic is the right medical home for your children.


We look forward to welcoming you and building a positive, lasting partnership.

An older person holds up a smiling baby, arms outstretched, in a light-filled room.
  • Vaccines

    Our Vaccine Policy follows the schedule outlined by the American Academy of Pediatrics (AAP).

  • Antibiotics

    We work hard to not overuse antibiotics. We educate families on appropriate use of antibiotics, but follow evidence-based guidelines and don’t automatically treat ear pain or a green snotty nose with antibiotics.


    We do not routinely prescribe antibiotics over the phone as we do not believe that is best practice. We will prescribe an antibiotic when we believe it is an appropriate treatment.

  • Medical Home

    We work hard to provide comprehensive medical care and serve as your medical home. To that end, we expect that you contact our office FIRST before seeking specialty care, or heading to another provider for urgent care. We want to be involved in either providing care in our office where appropriate, or referring you to the most appropriate specialist and helping to coordinate your care.


    Whenever you do see a specialist, we ask that you request a report be sent directly to our office so we may stay informed and have the most up-to-date information in your medical record.

  • Technology

    Our practice prides itself on efficiency through use of technology. You will be encouraged to consult our website, register for and use our patient portal, and effectively use automated reminders for appointments and for routine care/immunizations that are due.

  • After Hours

    We have a physician on call 24/7/365. If your child has an urgent issue after our office is closed and you cannot wait until morning, please call our after-hours line at 360-577-1200. You’ll be connected to the pediatric advice line, which can route your call to the on-call provider if needed.

  • Office Hours

    We make every effort to meet the needs of our patients, offering both routine well visits and sick visit appointments. We do offer walk-in immunizations if necessary. However Walk-In immunizations are seen when the staff are available inbetween the regularly scheduled visits for the day.


    To ensure we provide you with the most efficient care we highly recommend you call ahead to schedule an appointment.


    Please familiarize yourself with our office hours to see if they work for your family.

  • Insurance

    Please make sure we participate with your insurance plan.


    It is the patient's responsibility to know the limits and coverage of your particular health insurance policy, to show your cards to us at each visit, and be prepared to pay any copays at the time of service.


    Our billing staff will do their best to assist you with insurance questions; however, If you have questions about your coverage, it is best check with your specific insurance company. Our office does not want you to be surprised by a bill, but must always bill your health plan based on federal guidelines and the actual services provided.


    Please read our Financial Policy for more information regarding insurance.

  • Billing

    We bill the most recently reported insurance on file and make every effort to confirm updated information at the time of your visit. It is the patient’s responsibility to notify us if your insurance has changed. If you have not yet received new insurance cards, we are happy to help locate ID numbers and assist your family with verifying new coverage.


    Once we have all insurance information and your child has been seen by the pediatrician, we submit the charges to your insurance. Your insurance company will respond according to the rules of your plan. Our billing team is happy to help with questions, but we are not able to explain all the details of your specific plan.


    We do our best to appeal claims that are denied before they result in an incorrect patient balance or payment posted to the account. If you notice a billing issue, please call our billing department so we can investigate and work with you to resolve it. We ask for open communication and timely updates while we work together to address any insurance disputes.

  • Scheduled Appointments

    For acute care, call the office to make an appointment or to speak with our triage staff, who will assess to your concerns and schedule an appointment for you. Sometimes an appointment may not be needed, and triage staff will advise you regarding your issue, or check with the physician and call you back.


    If our triage staff is on with another caller, you will be asked to leave a message and you will receive a return call.


    To schedule a well visit, please call our routine appointment line. These visits can be booked up to one year in advance.


    You will receive an automated reminder 72 hours and 24 hours before your appointment to confirm. Please confirm the appointment before your scheduled time.


    We’ll also send you an automated reminder during your child’s birthday month when it's time to schedule their next well visit. 

  • Timeliness & Missed Appointments

    As a courtesy, we send reminders for your upcoming appointments via phone or text 72 hours and 24 hours before your scheduled visit. 


    We ask that you arrive on time for your scheduled appointment.We understand sometimes things happen beyond your control that may cause you to be late. However, we reserve the right to ask you to reschedule if you arrive late for your appointment.



    Missed Appointments ("No Shows"):  Missed appointments take time away from others who need care. If you need to cancel, we ask that you give us at least 2-4 hours' notice so we can see another sick/injured child in that time slot.


    Three consecutive missed appointments may result in discharge from the practice.


    New patients who miss their first appointment may not be offered another opportunity to establish care.


    Thank you for helping us provide timely care to all our patients.