Co-Pays are Due on Date of Service
Please remember your co-payment is due at the time of your child's appointment. If you have a high deductible insurance plan and have not met your deductible amount, it is our office policy to collect AT LEAST your co-payment amount prior to your child being seen.
A $5 Service Charge will be added to the appointment fees if a co-pay is not received on the day of service.
No Show Fee
Effective October 1, 2009 our no show fee will increase to $25. To avoid this fee, please contact our office if you cannot attend a scheduled appointment. This fee may be applied if your cancellation is received less than 24 hours prior to the appointment time.
Returned Check Fee
Please note - per office policy, all checks returned for nonsufficient funds will result in the current return fee of $10 being charged to your account.
Forms
Please allow 7-10 business days for the completion of all forms. As always, refills for ADHD medications should be submitted to the office at least 7 days prior to anticipated pick-up.
WNY Pediatrics Office Handbook
Adobe Acrobat document [1.0 MB]
Western New York Pediatrics
