Wheatfield Pediatrics | Child Examinations In North Tonawanda, NY

FAQ

MEDICAL PRACTITIONERS ARE MANDATED BY NEW YORK STATE TO ISSUE ALL PRESCRIPTIONS FOR NON-CONTROLLED SUBSTANCES, AS WELL AS, CONTROLLED SUBSTANCES ELECTRONICALLY. PRESCRIPTIONS WILL NOT BE WRITTEN, FAXED OR CALLED IN TO PHARMACIES.

A Billing Reminder To Our Patient Families

We would like to remind our patients that telehealth services, via telephone or video, and after hour phone calls by a medical provider are billable services.

Wheatfield Pediatrics will submit all charges for these services rendered to your insurance; however, your co-pay, co-insurance and deductible amounts are deducted from your insurance payment. According to your health insurance plan you may be responsible to share in the cost of your care. Your insurance company notifies us of any patient responsibility which is then billed to you.

We are sympathetic to the financial burdens many have experienced; however, we cannot waive or discount patient copays or deductibles for services rendered because we would be in violation of federal and state fraud and abuse laws as well as insurance contract requirements.

School Sports Physicals

Some schools require a sports physical to be performed by a school appointed physician at their facility.

Please remember that the physicals performed in a school setting should NOT be a substitute for your annual physical with your child's pediatrician... Important information such as discussions on growth & development, social or high risk issues, immunizations, etc. are not performed during the school physical. In addition, we do not receive a copy of your school performed physical, therefore, we are unable to track your child's progress and/or address any issues of concern.

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Following are common questions patients have regarding their visit to Wheatfield Pediatrics. If you have any questions or concerns not answered here, please call us at (716) 807-7337.

What should I bring to my first visit?

As a new patient, you should bring your insurance information (insurance card), a list of any medications, immunization records, vitamins, or supplements you are currently taking, a list of any allergies you may have, a brief medical history for our records, if you are a member of an insurance plan that requires listing a primary care provider be sure a physician affiliated with Wheatfield Pediatrics is listed, and your co-pay. Payment is expected at the time of service. For any no-fault visit, you must bring your motor vehicle insurance carrier's name and address, the date of your injury and no-fault policy number.

How do I make an appointment

If you need to make or change an appointment, please contact our office at (716) 807-7337.

How do I cancel an appointment?

If you need to cancel an appointment, please provide our office with 24-hour notice by telephone, at (716) 807-7337.

What should I do if I have an emergency?

After office hours and on weekends, our doctors alternate being “on-call.” One of our providers from this office will be available 24 hours a day. Call our regular office phone number at
(716) 807-7337 first and you will be given instructions on how to reach us after hours. A Wheatfield Pediatrics provider is on-call until 11:00 pm and then calls are forwarded to a specially trained practitioner at Night Nurse which is a pediatric after-hours triage service. If you feel strongly that you must speak to one of our doctors, please notify the answering service of this. Keeping your telephone line open and removing any telephone blocks will facilitate our reaching you promptly.

How can I get my prescription filled??
Please call our office during business hours at (716) 807-7337 before your prescription runs out. Prescription refill requests received after 5:00 pm will be reviewed on the next business day. No refill requests will be addressed after 5:00 or on weekends by any provider on call.

Please be aware of your insurance coverage and policy provisions. Due to physician participation variables, it will be essential for each patient to contact their insurance provider to verify that our physician accepts your coverage. While we will bill all providers regardless of participation, it is the patient’s responsibility to pay the remaining balance.

I am expecting my first child. Do you offer prenatal visits?

We offer a complimentary prenatal consultation with first time parents and one of our physicians. We realize choosing a pediatrician is an important decision and at this consult we will answer all of your questions and provide you with information on how our practice runs, as well as details on how to prepare for your newborn. Please call us at (716) 807-7337 to schedule an appointment prior to the birth of your baby.

Acetaminophen, Ibuprofen and Benadryl Dosing Charts

Aspirin is NOT RECOMMENDED for any child

Acetaminophen Dosing Chart

Dosages may be repeated every four hours, but should not be given more than five times in twenty-four hours. (Note: Milliliter is abbreviated as ml; 5 ml equals 1 teaspoon [tsp]. Don't use household teaspoons, which can vary in size.)

Also known as Tylenol

Ibuprofen may be given every 6-8 hours
Ibuprofen dosing chart

Also known as Motrin or Advil

Should not be given under 6 months of age

Benadryl: Generic name - Dipenhydramine

Dosages may be repeated every 6-8 hours, and should not be given more than 4 times in a 24 hour period.

Benadryl is generally sedating, but it is important to note that it will have the opposite reaction with a small percentage of children causing agitation. Always monitor for side effects when giving any medication.

Delsym: Cough Suppressant

Educational Resources and Evidence Based Guidelines

Asthma:

National Asthma Education and Prevention Program, Third Expert Panel on the Diagnosis and Management of Asthma. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda (MD): National Heart, Lung, and Blood Institute (US); 2007 Aug. Available from: http://www.ncbi.nlm.nih.gov/books/NBK7232/

Attention Deficit with Hyperactivity Disorder:

From the American Academy of Pediatrics:Clinical Practice Guideline: ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents http://pediatrics.aappublications.org/content/128/5/1007.short/reply

Routine Well Child Examinations Under 2 Years of Age:
From the American Academy of Pediatrics Bright Futures: Clinical Guidelines for Health Supervision of Infants, Children, and Adolescents, Third edition http://brightfutures.aap.org/pdfs/guidelines_pdf/1-bf-introduction.pdf