Monday through Friday, patients in our clinic are seen by appointment only. Appointments are made for a particular hour and day by calling the office during regular office hours. You may schedule an appointment with the physician of your choice. We do now offer telemedicine visits. Information on how to access All For Kids Telemedicine visits can be found here: afkpeds.org/telemedicine.
In order to insure that we can see our patients who become ill on any particular day, we intentionally do not pre-schedule all of our appointments for any day. We call the appointments that we hold until the beginning of each day “sick visits”. “Sick visit” appointments which are held unscheduled for all of our physicians, become available at 8:00 am each morning. During the Coronavirus outbreak, our clinic is seeing well children in the mornings and sick children in the afternoons.
To save time during your office visit, you can fill out our clinic forms by clicking on this link.
In case of extreme emergency in which there is an immediate need for a physician to sustain life, we recommend taking your child to the nearest emergency room or calling 911. A physician is on duty 24 hours a day at each of the emergency rooms in the Pulaski County area. We should be notified of your arrival.
An important part of our service to our patients is 24 hour availability because significant illnesses and injuries can occur at anytime. We rotate after hours call responsibilities to provide continuous call coverage for our patients at all times. We do appreciate only receiving calls pertaining to emergency and urgent medical problems which cannot wait until our regular office hours. It is important that you know your child’s medical history including the names of any medical conditions, the names of medications prescribed along with the names of any medication allergies. Please refer to the section on telephone consultation for information on how to contact us by telephone after hours.
If your child develops medical problems after our regular office hours at night and on weekends, we generally recommend the After Hours Clinic at Arkansas Children’s Hospital. Their hours of operation are: Monday through Friday 5:00 pm until 8:45 pm and Saturday and Sunday 9:00 am until 7:45 pm. If an after-hours problem arises with your child, consult the appropriate section of this handbook. If the handbook directs you to call or if you have further questions, then place a call to our answering service. We will help you determine if a referral to the After Hours Clinic at Arkansas Children’s Hospital is advised. Some insurance plans require that your doctor refer to an ER or After-Hours clinic for the visit to be financially covered. So, this is an important step.
Recently, urgent care clinics have come into existence in the Pulaski County area. Even though urgent care clinics are often conveniently located and have extended hours, please know that they are not generally staffed by pediatricians who are specifically trained to treat children. For this reason, we do not recommend using them.
We return telephone calls from our patients for non-emergency problems during our routine office hours. A trained pediatric nurse returns patient phone calls during this time.
When you call our office, be specific about the problem or question that you desire to have addressed. In discussing your child’s health problem with either our nurse or physician, the following information is helpful:
- length of illness
- main symptoms
- medications with dose currently being taken
- medication allergies
- significant past and current medical problems
- your child’s weight and age
- your child’s temperature, if they have a fever (see section on fever in this book)
- the phone number of a pharmacy that is open.
In calling our office for advice, please be aware that as a general rule, we do not practice medicine by telephone without a proper evaluation. We find that many parents expect us to come to a diagnosis and prescribe treatment for their child over the phone, based on information we receive during the phone conversation. The most common requests we get for this involve colds, ear aches, sore throats, fever, and rashes. Because coming to a correct diagnosis not only involves obtaining historical facts about the illness, but also performing a physical examination and sometimes obtaining laboratory tests and X-rays, it is impossible to gather all the necessary information by telephone to obtain a correct diagnosis. To treat a child without a correct diagnosis is dangerous for your child. Because of this, we do not treat children based on information obtained from phone calls alone. For instance, we do not generally prescribe antibiotics over the phone. For these reasons, if your child is ill and needs medical treatment, there is no need to speak with our physician or nurse by telephone. You should make an appointment directly with the receptionist.
If you have an emergency during office hours, tell the receptionist this. She will notify the nurse or physician. We do want you to know what constitutes an emergency. Problems such as severe breathing difficulty, poisonings, seizures, unconsciousness, uncontrolled bleeding, bone fractures and other like problems which pose an immediate threat to life and limb, are all emergencies. Emergencies such as these require immediate treatment. You may want to come directly to the office, go to the emergency room or call 911 should these happen. Problems such as fever and vomiting, while being medical problems which are concerning, are usually not emergencies, but are problems which are covered on this website as to what to do to manage them.
Telephone calls made to our office after our regular office hours should be limited to emergency and urgent medical problems which cannot wait until the office is open. If your child becomes ill after hours, you should consult the appropriate section this website prior to calling for advice. Instructions on how to handle the most common pediatric illnesses are covered here. If you still have questions or if the information on the website directs you to call, then place a call to our after-hours telephone number: 501-663-8400, The Pulaski County Medical Exchange. After-hours calls are first answered by our answering service. The calls are then referred to a trained, pediatric nurse who will call you back. The nurse will advise you on how to manage your child’s problem. If after a reasonable amount of time, we have not called you back (1-2 hours), you should call our answering service to determine the cause for the delay. If you have an emergency which requires immediate assistance, take your child to the nearest emergency room or call 911.
The simplest and most effective way of communicating laboratory testing results to our patients and parents is to have the parent call our office after a specified amount of time. At the time a test is done on your child, we will inform you as to when you should call for results. Of course, if an abnormal result of a laboratory test is obtained on your child, we will immediately try to contact you with that result.
Prescription refills are an important part of the management of chronic medical problems which come up on a regular basis in our practice. Preventative asthma medications generally are refilled on a monthly basis as are medications to treat problems such as seizures, attention deficit disorder and gastro-esophageal reflux. When a child is placed on a daily medicine, a certain number of refills will be indicated on the prescription. When those refills are exhausted, we generally intend for you to bring your child into the office for a follow-up visit prior to authorizing the next refill of the medication. However, most medications used to treat attention deficit disorder cannot be refilled. Because of this, please give our office a one-week notice to refill these prescriptions.
Follow-up visits are another very important aspect of our practice. Certain serious illnesses such as blood infections, staph infections and pneumonia, require daily follow-up visits until the problem is resolved. Other illnesses, such as ear infections, require follow-up visits usually two to three weeks after the infection to ensure that the problem has properly resolved. Chronic illnesses such as seizure disorders, asthma and attention deficit disorder require periodic follow-up visits to adjust daily medications and monitor disease progression. Follow-up visits are extremely important to ensure that further treatment is not needed. It is your responsibility to keep follow-up appointments as recommended by our office. Failure to keep your follow-up appointment may result in significant health effects in your child. Please be aware that we do charge for follow-up visits.
PAYMENTS AND INSURANCE
Like other professionals, we expect payment for services rendered at our clinic at the time of the service unless prior arrangements are made. We will assist you in filing your insurance for your reimbursement. For your convenience, we accept Visa, Mastercard, and Discover. Should you anticipate difficulty paying for the charges for your care, please consult our office staff. We will make every effort to work with you whenever possible.
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