Policies
& Forms
Learn about the policies that help us provide your children with the very best of care.
Policies
Policies
& Forms
Learn about the policies that help us provide your children with the very best of care.
Policies & Forms
Learn about the policies that help us provide your children with the very best of care.
Office Forms & Downloads
New Patient Forms
- New patient forms will be sent to you through your portal account to electronically acknowledge and sign. If you prefer to print and physically sign our documents, download our new patient packet and either bring it to your first visit or scan and send it to us through your portal account.
- New Patient Packet
- Demographic FormEn Español
- Release of Medical Information
Consent and Privacy Forms
- Release of Medical Information
- HIPAA Notice of Privacy PracticesThis notice describes how medical information about you may be used and disclosed and how you can get access to this information.En Español
- ImmTrac2 Minor Consent FormTexas Immunization Registry
- Authorization for Other Caregivers
School Forms
- Sports Physical FormMust be completed annually prior to participation in sports and physical activities.
- Allergy/Anaphylaxis Action Plan
- Medication Permit
Billing & Insurance
We are committed to providing you and your children with the highest caliber of care. As part of your relationship with Desert Bloom Pediatrics, a clear understanding of our financial policies is important so you will know what actions we will be undertaking on your behalf, as well as what your financial responsibilities are to Desert Bloom Pediatrics.
Accepted Insurance
- In order to be as accessible as possible to the families in our community, we take most insurances, including the plans listed below. If you have questions about whether we participate in your insurance plan, please contact your insurance company directly.
- AetnaHMO and PPO; Silver and Bronze CVS plans
- BCBS TexasPPO, HMO, and Federal
- BCBS New Mexico
- Champ VA
- CignaPPO
- El Paso First Medicaid
- Humana
- Texas Medicaid
- Preferred Administrators
- TriWest
- United Health CareGEHA
It is Your Responsibility
- To know the limits and coverage of your particular health insurance policy
- To show your insurance cards to us at each visit
- To pay any copays at the time of service
Our billing staff will do their best to assist you with insurance questions; however, if you have questions about your coverage, it is best to check with your specific insurance company.
Autopay
As a convenience to our patients and to simplify the billing process, we require a credit card to be kept on file to cover any balance that your insurance determines to be “patient responsibility” as determined by your Explanation of Benefits (EOB). Learn more about this policy.
Self-Pay Accounts
We are happy to work with families that prefer to pay directly for services or do not have insurance. For such patients, payment in full is required at the time of service. A discount will be applied to the bill if settled in full on the day of service. This discount does not apply after the day of the visit.
Appointments & Office Visits
We make every effort to meet the needs of our patients by offering routine well and sick visits, as well as telemedicine visits. We offer same-day sick appointments when at all possible. Please contact the office to schedule a visit.
Appointments are required. Patients who walk in without an appointment will be scheduled at the next available time and may be asked to return later in the day when the schedule allows.
Mutual Respect of Time
We strive to stay on schedule. Although there can be emergency situations that prevent us from staying on schedule, we pledge to provide quality care with minimal wait time to the best of our ability. In order to respect your time, we make the following requests:
- Arrive early or on time for your appointments. If you arrive more than 15 minutes late, we may have to reschedule you or squeeze you into a different time slot.
- If you plan on having additional children seen at your appointment, please let us know in advance so we can better accommodate you.
- If you are running late, please call the office. We may be able to accommodate you with advanced notice.
- Three (3) “no-show” appointments without notice from you in one year may result in dismissal from our practice.
- New patients who no show without notice to their first appointment may not be scheduled for additional appointments.
Well Check-ups Required
At Desert Bloom Pediatrics, we feel strongly about children having routine check-ups. These visits allow us to monitor for growth, developmental, behavioral, and academic issues so that we can identify them early, intervene, and treat them effectively. Per the American Academy of Pediatrics, children should receive preventative care at the following ages: 3-5 days, 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 24 months, 36 months, then 3-21 years of age on a yearly basis.
We expect parents to follow these guidelines so that we can provide quality healthcare to our patients. Failure to do so may result in being discharged from our practice. Documents and school forms will not be completed for patients who are not up to date on well checks.
Chronic Condition Follow Ups
Chronic medical conditions such as ADHD, asthma, depression, and anxiety require frequent follow ups to ensure the best care possible. Patients with ADHD need follow up every 3 months once they are stable on their medication. Other chronic medical conditions need follow up every 3-6 months once stable, depending on the child’s care plan. Medications may not be refilled unless patients keep their follow up appointments.
We are a vaccinating practice.
Vaccinations are safe and effective in preventing diseases and health complications in children and adults. Desert Bloom Pediatrics requires that all patients are immunized according to the current vaccine schedule recommended by the American Academy of Pediatrics and CDC.
In order to protect our patients, we do not accept families that don’t vaccinate their children. Although recommended, covid and flu vaccines are not part of this requirement. If families have any questions about vaccines, they can speak directly with the doctor about them. If your family ultimately decides not to vaccinate, we will ask you to find a clinic that better aligns with your views.
Resources
- Immunization ScheduleCenters for Disease Control and Prevention (CDC)
- Vaccine Information StatementsCenters for Disease Control and Prevention (CDC)
- Vaccine Safety: The FactsAmerican Academy of Pediatrics
- VaccinateYourFamily.orgHelping to protect people of all ages from vaccine-preventable diseases
- Institute for Vaccine SafetyJohns Hopkins Bloomberg School of Public Health
- Centers for Disease Control (CDC)
- Immunize.orgFormerly Immunization Action Coalition (IAC)
- Vaccine Education CenterChildren's Hospital of Philadelphia
Office Hours
Monday - Friday
8:00 am - 5:00 pm
Please call the office to make an appointment or speak with us. Whenever possible, we do our best to accommodate same-day appointments.
After-Hours Care
If your child’s illness or injury is life threatening, dial 911.
Poison Control Hotline
(800) 222-1222
Suicide & Crisis Lifeline
Dial 988
www.988lifeline.org
Otherwise, for urgent matters that cannot wait until business hours, call our office to leave a message with our on-call doctor, who will respond to your message within 30 minutes.