Emergency room visits/urgent care walk-in clinic visits
If your child requires emergency care for a non-life
threatening condition during normal business hours, please contact
the office at 413-734-6461
prior to seeking care.
*please note that referrals will not be made to a
walk-in clinic unless it is an after hours/weekend visit, and you
have notified us that the visit took place.
If this occurs after hours, or on a weekend, please
contact the office at 413-734-6461
. Your call will be transferred to
a nurse triage that will evaluate and determine if your child needs
For potentially dangerous medical conditions, seek
treatment immediately, and contact the office as soon as possible for
Please allow 24-48 hours to process routine refill
Controlled substances refills must be picked-up in the
office by a parent/legal guardian. ID is required. Please call the
office prior to coming in for the prescription, to ensure that it has
been prepared for you to pick-up.
Regular appointments must be kept in order for the
providers to provide refill.
Specialist testing results should be read by the
performing specialist. Please contact any specialist directly if you
have been referred out for special testing.
photographs or videos
Stafford pediatrics does not allow the taking of
photographs, or videos in our office or exam areas.
on to adult medicine
offices may only treat patients until their 23
year. Patient should begin the process of transitioning to an adult
provider after their 22
year annual physical.
Records request to transfer out of practice.
The rules having to do with protected health information
(PHI) are binding. Stafford Pediatric Associates may not make
exceptions regarding the handling of PHI.
-Records requests must be signed by the parent/legal
guardian for patients under 18 years of age
-Patients that are over 18 years of age must give
Stafford Pediatrics permission to discuss their PHI with their
Notice of Privacy Practice
Permission to discuss PHI (18 year old patients)
*Forms should be requested/given to the receptionist
at check in, please do not hand to the provider in the room.
forms/lead screening results/immunization records-
You will be provided with a physical form on the day of your
physical. Please retain this for verification for school, camp etc.
If you loose or misplace this form, please allow 3-5 business days
forms will not be accepted without the patient information filled out
completely. Please allow 3-5 days for completion.
patient portion of the form must be completed prior to review. Please
allow 3-5 days for completion.
housing, and utility health statements will be completed at the
providers discretion. All patient information must be completed prior
to review. Forms will be processed in the order that they are
received. All forms require 3-5 days to process.
Payment for all services is the responsibility of the parent or
guardian who presents to the office with the patient and is due and
payable at the time services are rendered.
When private health insurance coverage is with a company for which
Stafford Pediatric Associates
is a participating provider,
Stafford Pediatric Associates will submit a claim to the insurance
carrier. If this claim is not paid within a timely manner (60 days)
by the insurance company, then it becomes the responsibility of the
parent or guardian.
Private insurance contracts and coverage is between the subscriber
and their insurance company. To use insurance benefits to cover any
ordered tests, procedures or visits to specialists it is the
responsibility of the parent or guardian to contact the subscriber's
insurance company to verify benefits and participating facilities and
The parent or guardian is responsible for requesting any necessary
referrals prior to seeing any specialists, and prior to having any
tests or procedures performed. When possible these requests should be
made 5 days prior to the appointment date with the specialist. It is
up to the discretion of a Stafford Pediatric Associates provider
whether or not to issue a referral requested after the appointment or
procedure date. Any denial of payment for ordered tests from an
insurance company is between the subscriber and their insurance
company, realizing referrals are not a guarantee of insurance
benefits or payment.
The parent or guardian is responsible for all co-payments at the
time of service unless prior arrangements have been made with
Stafford Pediatric Associate's billing department.
All co-payments are due at the time of service when checking in
the patient. Any co-insurance, deductibles or rejected claims should
be paid to Stafford Pediatric Associates within 30 days of receipt of
a bill from Stafford Pediatric Associates.
For your convenience we accept Cash, Check, MasterCard or
(Any checks returned unpaid by your financial institution
will be subject to a fee of $20.)
code of conduct
Parents/guardians are not allowed in the lab for
weighing and measuring with the exception of parents/guardians of
children who do not yet walk.
Parents/guardians, and patients are expected to follow
the policies of Stafford Pediatric Associates.
Argumentative/disrespectful behavior regarding these policies, or
disrespectful language/shouting or swearing will not be tolerated by
Stafford Pediatric Associates, and may result in termination.