Pediatric Associates
of Fort Collins
POLICY CHANGE-MARCH 2008

Effective, March 10, 2008, Pediatric Associates of Fort Collins will be implementing new policies
regarding patients arriving late for appointments and cancellation notices in order to provide
efficient patient care.

Your Visit
In order to expedite your visit, it is imperative that you arrive at least 5 minutes before your
appointment time. Please also be prepared with the following:

•        Current Insurance Card-In order for us to properly bill your visit, we need to have current
insurance information on file. Failure to have current information delays payment on claims.
•        Copays need to be paid at time of service, when checking in. This will allow the check-out
process to move along quickly. We accept checks, cash, Visa, MasterCard and Discover.
•        If you do not have insurance, today’s services must be paid in full unless alternative
arrangements have been made.

Arriving On Time for Appointments
Being on time for appointments is very important. If one person is late for their appointment, this
will delay appointments for all patients later on the schedule. If you are 15 minutes late for your
appointment we will need to re-schedule you for another time. A charge for a missed appointment
will be incurred.

Cancellation/Late Policy
Our office is now requiring at least 24 hours notice for cancellation of any well care or medication
follow-ups. We also require 2 hours prior notice for cancellation of any other appointment.  If we
are not given the appropriate cancellation notice or an appointment is missed, the charge will be
$35 for well care and $25 for all other visits. These charges will NOT be billed to your
insurance.  If an appointment is missed 3 times you will be asked to transfer care to another
practice. To cancel an appointment, please call (970) 484-4871.  

Click for remainder of policies and procedures