Developmental Pediatric Medicine Patient Information

Patient Information

Referrals

Each new patient to Driscoll's Developmental Pediatric Medicine (DPM) clinic must have a referral from his/her primary care physician in order to schedule an evaluation. Referrals must be completed in full with all sections completed. Copies of the last chart notes would greatly assist in helping us determine if a referral is appropriate for our clinic. After we receive the referral, we mail a package of questionnaires and assessment tools to the parents of the patient. We will need to have these returned prior to booking a new patient appointment. Copies of any prior assessments through ECI, school testing, OT, speech and language, PT or private psychologist need to be provided.

First Visit

Each new patient is asked to complete a health history form and have some assessment tools completed prior to the first visit with a DPM specialist. We will need to have these returned to us prior to us booking the first appointment. This will help our medical staff make a prompt and accurate assessment during the first visit. Please bring your current insurance cards, including Medicaid cards, and any current prescription bottles. You will need to arrive on time. Patients who arrive 10 minutes late may have to be rescheduled.

Your child will be in the room with you for the evaluation. If you prefer to speak with the doctor alone, you will need to bring someone to watch your child in the lobby. First appointments can last between 60 and 90 minutes.

Routine or Follow-Up Visit

Always bring your insurance cards, including Medicaid cards, and all prescription medications.

Cancellation Policy

Please call to cancel any appointments you will be unable to keep at least 24 hours in advance so that we may offer these appointments to other patients in need of treatment. We do our best to see every patient at their scheduled time; however, we reserve the right to reschedule your appointment in the event of a provider emergency or if the patient arrives 10 or more minutes late for an appointment. Same day cancellations are also counted as "no shows." Excessive no shows will lead to possible discharge from the clinic.

Patient Forms

Driscoll's Developmental Pediatric Medicine clinic provides new and existing patients the following forms for download to fill out and bring to your appointment as requested.

New and Existing Patient Forms:

• New patient intake packet (En Español)
• Vanderbilt - Parent (initial visit) (En Español)
• Vanderbilt - Parent (follow up visits only) (En Español)
• Vanderbilt - Teacher (initial and follow up visits)

Billing and Insurance

Developmental Pediatric Medicine at Driscoll accepts most major insurance carriers. Please remember to bring your insurance or Medicaid card(s) to each visit so that insurance claims may be filed properly. Should you have any questions regarding your insurance/insurance carrier, please call the DBP clinic at (361) 694-5650.

Co-payment, deductibles and co-insurance amounts are due at the time of service. We accept cash, checks and most major credit cards. Once your insurance is filed, any outstanding balance will be billed to you. If you have any questions about insurance or billing issues, please call our office during normal business hours.

Prescriptions and Refills

Please bring all prescription medications, including vitamins and herbal supplements, to each appointment, even if prescribed by another physician. Whenever possible, please ask for all refills of continuous medications during your appointment.

If your prescription expires before your next visit, please contact our office for refills. Please allow 7-10 business days to process refill requests. All controlled substance prescriptions must be picked up in our office and all other non-controlled substance prescriptions will be faxed to your pharmacy. Please provide us with your current pharmacy.