OFFICE POLICIES

Immunization PolicyPrivacy PolicyReferrals PolicyInsurance & Billing Policies

Immunization Policy

Our office strongly believes in the importance of vaccines. All of our providers believe it is important to stick to the immunization schedule. If there’s a certain schedule you have in mind, please have a printout and the doctor will review to make sure it meets the AAP & CDC recommendations.  If you feel differently and do not wish to immunize your child according to our schedule, we may not be a good fit for you and your child. We do not feel that you are a “fit” for our practice if you refuse vaccinations after regarding our discussions regarding the need for the vaccines. Parents refusing vaccinations will be asked to find another practice.

Immunization Schedule

Birth Hepatitis B
1 month Hepatitis B
2 months Pentacel, Prevnar, Rotateq
4 months Pentacel, Prevnar, Rotateq
6 months Pentacel, Prevnar, Rotateq, Hepatitis B, Flu (during the season)
9 months Flu (during the season)
12 months Hepatitis A, DTaP, Prevnar, Flu (during the season)
15 months MMR, Varicella, Hib
18 months Hepatitis A
2 – 3 years Flu (during the season)
4 years DTaP, IPV, MMR, Varicella, Flu (during the season)
5 – 10 years Flu (during the season)
11 years Tdap, Menactra, HPV, Flu (during the season)
12 – 15 years Flu (during the season)
16 years Menactra, Flu (during the season)
17 years and older Flu (during the season)

Common Vaccine Reactions

  • Fever: This is the most common. Give Tylenol.
  • Pain or swelling at the injection site (or fussiness in babies): Give Tylenol. Use ice packs on the day vaccines are given. Use warm packs the next day.
  • Fatigue: After vaccines your child may be more tired than normal.
  • Nodules under skin at injection site: This is the body’s reaction to the vaccine. It is normal and may last a few days to a month. It should not cause your child pain.

Vaccines do NOT cause autism. There have been no studies that have shown a correlation between vaccines and autism. In fact, the most recent studies show no connection between vaccines and autism.

For more information on vaccines, please visit the following sites:

Signed Vaccine Policy Statement

If you would like to read over our vaccine policy statement, please click on the PDF link below

  • Signed Vaccine Policy Statement

Privacy Policy:

Our privacy policy outlines how we use your private health information.

Referrals Policy

At Premier Pediatrics, we take pride in the coordination of your care. Depending on your insurance company, some require patients to obtain a referral from their primary care provider in order to see a specialist. Our Referrals Coordinator will carefully assess your physician’s orders and will be more than happy to help you find the specialist needed for your child. If needed, please call our office to schedule an appointment with the doctor to assess your child and obtain a referral, please call us at 949-733-2800.

Once we have received your request for a referral or a referral from one of our providers, our referrals coordinator will find the specialist to refer you to. Please be aware that it may take about 7-10 days for the referral to be approved. After contacting the specialist and being approved, our referrals coordinator will call you back to let you know that you have been approved, as well as giving you all the information needed to schedule an appointment.

It is the responsibility of the insurance holder to obtain a referral, prior to taking their child to a specialist.  We cannot guarantee a paid claim to the specialist for retroactive referral requests.  Please contact your insurance carrier for information regarding claim denials or verification regarding specialist designation.

Divorce, Separation and Custody Agreements

  • We believe that such matters should not enter into a child’s medical treatment.
  • The individual who is requesting the medical treatment is responsible for the payment of the medical bills. We are not a party to your divorce agreement, you are. We will collect co-pays and deductibles from the attending parent.
  • “Joint Custody” means that each parent has equal access to the child’s medical record. Without a court order, we will not stop either parent from looking at their child’s chart or obtaining their child’s test results.
  • We will not call the other parent for consent prior to treatment
  • We will discuss with the accompanying parent information pertinent to the child’s history and/or present exam.
  • We reserve the right to charge an administrative fee for copying records should the requests become excessive.
  • Should the issues that come between parents become disruptive to our organization, we will discharge the patient from further treatment.

Prescription Refills:

The fastest way to have your child’s medication is to contact your pharmacy and ask them to fax the refill request to our office at 949-733-2810. We will then have the doctor approve the request and will call you if the request was approved or denied.

You may also call our office at 949-733-2800 and follow the prompts to the prescription refill line. Please be advised that certain prescriptions can only be filled by the original prescribing provider. To promote continuing care, it is imperative that certain medicines are followed by the original providing prescriber. Since the original prescribing physician did the initial history of present illness, only that physician would be best to document and prescribe further medicine.

About Your Records and Forms & Fees

Forms and Fees:

We will be happy to fill out any form, including sports physicals and school forms. Please be aware that there may be a fee and may require about 5-7 days for completion. If you would like to send a copy of a patient’s medical records, you will need to fill out a medical release form, which can be found on here. (Link to forms)

  • General Forms:
    • If your child is out of school because of an illness, we will provide you a school or work excuse for that illness when asked.
  • Patient Forms
    • We have our patient forms available for you. Please fill out or sign any portion that is needed to be filled out by a parent before faxing or emailing them to our office.
  • Medical Release Forms:
  • Sending records:
    • Please be aware that there is a minimum fee of $25 to release medical records.
  • Receiving records:
    • Please bring your previous medical records with you prior to your initial appointment.  Updated vaccination records are best to provide the best visit and care.
  • New Patient Forms:
    • Please fill out the form with the new patient’s information and bring it in with you on the day of your appointment.

New Patients

  • Our Services
    • We provide a wide array of pediatric medical services. If you would like a list of services we provide, please see our Services page.
  • Vaccines & Checkups
    • Premier Pediatrics strongly believes in prevention of illness and disease. Regular checkups allow our providers to track the growth, development, and any potential signs of early illness. Regular checkups usually consist of the measurements of your child, a review of family history, potential lab work, thorough examination, vaccines, and time to answer any questions you have regarding your child’s health.
  • Our physicians and offices
    • We have 3 physicians at our office to serve you. If you would like know more about our providers, please see our Doctors page.
  • Appointments:
    • If you would like to make an appointment or have any questions, please call our office at 949-733-2800
  • Your Online Forms:
    • If you would like to fill out new patient forms, please click here. (link to pdf of papers)

Insurance & Billing Policies

Premier Pediatrics is pleased to participate in most insurance plans. For a complete listing of insurance plans in which we participate see the Insurance Info page or contact our biller Stephanie Encinas and leave your name, phone number, and a brief message at; 949-207-3377 EXT.1

The following information is helpful for parents to keep in mind:

  • Please bring your insurance card if you are a new patient or have a new insurance plan.
  • For new patients, please call our office to confirm your insurance so that our office can verify your coverage prior to your visit.
  • Our office will gladly file your primary insurance for you, accepting your co-pay and deductible at the time of your visit.
  • We only file secondary insurances we are contracted to do so with.
  • If you do not have a billing contract with your insurance provider, we will list you as “self pay” and will anticipate full payment at the time of your visit. You can also request a quote of the payment before coming in.
  • We have over 50 contracts and the status of providers is always changing, we do not and cannot know with certainty whether a given provider or medicine is approved by your insurance company. You are responsible for knowing whom you can and cannot go to according to the information provided by your insurance company.

Please remember, while we will work with you on getting paid from your insurance company, ultimately, the financial responsibility for medical treatment rests with you-the policy holder.

Financial Policy& Privacy Policy

If you would like to know our office’s financial or privacy policy, please clink on the PDF link below.

  • Financial Policy
  • Privacy Policy