Our Practice

Reception Rooms

We have two separate reception rooms for sick and well children to minimize the chance of “catching something” at the doctor’s office.

You should take your child to the SICK reception room if he or she has any of the following:

  • Fever
  • Cough or Runny nose
  • Sore Throat
  • Ear Ache
  • Vomiting or Diarrhea
  • Rash (Other than Diaper Rash)

If any of the above symptoms are present, even if your child is coming in for a well physical or an ear recheck, please use the SICK reception room. The WELL reception room is for children who have no contagious symptoms. Your child will most likely be well for most of the check-up visits. There are also some office visits for illnesses that are not contagious – headaches, longstanding abdominal pain, injuries, and ear rechecks (if your child is well). Since these illnesses are not contagious, your child should go to the WELL reception room.

If you have any questions about which reception room is the best place for you, please ask us. Please do not allow your children to eat or drink in our reception rooms. We try our best to keep them neat and clean for all of our patients. Children under the age of 12 should never be left alone in our reception rooms. For their own safety, they must accompany you to the exam rooms.
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Emergencies

There are a few true pediatric emergencies that are best not handled in our office. We are more than happy to handle many urgent conditions that arise, but for your child’s safety our nursing staff will sometimes direct you to an Emergency Room. These will include situations that may require emergency allergic reaction treatment, trauma requiring prompt x-ray or surgery consult, severe airway and breathing problems, severe head trauma, and cuts needing stitches.

These and other such situations may undergo dangerous delay by calling us or coming here first. Our strongest interest is your child’s well being and safety, and in these rare instances the best place for your child is an Emergency Room.
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Your Time is Valuable!

We’ve all had this feeling as patients in doctors’ offices. We understand how frustrating it seems. We consider your time valuable and know how hard it is to wait with children.

We would like to explain how our schedule works and where the tie-ups occur.

  • We try to schedule our well visits in blocks of time that will not be interrupted by many unplanned sick appointments. We feel that parents who have made well appointments two or three months in advance should not have to wait to be seen because there are many ill children that day. However, other problems still occur that can cause you to have to wait for your well appointment. Sometimes a physical exam can require more than the expected time due to an unusual problem. In addition, visits scheduled to be relatively short (like ear rechecks) can become very long when parents ask us to address additional problems. If you feel your own visit will require more time than usual due to questions or concerns you have about your child, please let the receptionist know when you make the appointment. This would help alleviate frustration for the patients following you.
  • In the course of a day, parents may bring an extra-unscheduled child along for us to “take a peek at” (which entails a complete office visit). We prefer not to do this, but it is hard for us to ignore an ill child. If you find yourself with one child with an appointment and another of your children is suddenly ill and also requires an appointment, please let the receptionist know so that both children can be seen with the least disruption to the other patients’ appointments.

If everyone understands all of these factors, we can try to meet everyone’s needs in the most prompt fashion. If you do find yourself waiting and cannot keep your child happy with toys and books, notify the Medical Assistant or Receptionist that you would like to walk in the hall with your child. We will find you when it is your turn to be seen. We have asked our staff to notify you if they anticipate an unusually long wait so that you have the option of leaving the office to walk around the building or rescheduling your appointment.
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Phone Calls

Many routine issues are addressed on our website. Our staff of nurses handles calls for minor illnesses or for problems of a minor nature (i.e. feeding, fussiness, bowel movements, etc). You will find our nurses a good resource for many of your questions. You can reach them by calling (248) 855-7510 Monday through Friday, 8:30 a.m. to 12:00 p.m. and 1:00 p.m. to 5:00 p.m. If your question is one that a doctor should answer, you will receive a call back from the doctor at midday or the end of the afternoon. Of course, we are always available for emergency matters.

For illness related issues it is best to call the office in the morning. This way, if your child needs to be seen, there will be adequate time to do so during office hours. If there is any doubt as to whether or not your child needs to be seen, it is wiser and safer for your child to be examined. In general, we do not feel it is wise or safe to make a diagnosis over the phone.

For non-emergent problems, please do not expect us to interrupt a patient who is in the office. If the nurse cannot help you, a doctor will return your call. If everyone adheres to this principle, you, too, can and will get our undivided attention when you are in the office.

If an additional child may need to be seen, please schedule an appointment for this child as well. This will prevent undue waiting by other patients, as well as for your children. Please do not expect us to see two children in the time allotted for one – this delays appointments and is unfair to the patients that follow your appointment.

If an illness related appointment cannot be kept, please notify our office. Check-up appointments that are missed or not cancelled with a 24 hour notice will be charged a $25.00 cancellation fee.

In order to make phone calls more satisfactory and valuable, PLEASE:

  • Write out your questions – be brief and to the point.
  • Have a pencil and paper ready to write down any instructions we may give you.
  • Have your pharmacy phone number available.
  • Request prescription refills only during regular office hours.

After Hours, Weekends, Holidays

A physician will always be available after regular office hours and on holidays for emergency purposes. In the case of an emergency, call the office at (248) 855-7510 to receive the phone number for our answering service. A doctor will be paged and will call you as soon as possible. Please notify the answering service if a doctor has not returned your call within an hour.

We ask that you use good judgment and consideration when calling after hours. We are only too happy to respond to your call for emergency situations. Unnecessary calls, however, only detract from the service we can render to others with serious problems.

In the case of a severe emergency, call the local fire and rescue service (911) or go to the nearest hospital where immediate care is available. The hospital will contact us.
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After Hours Care

We understand that on rare occasions, the need for medical advice may arise after hours. Our answering service handles after-hours calls and relays messages to the doctor on call. Messages are grouped, so delays of 1-2 hours are possible. Please remember, we have limited ability to diagnose or treat your child over the telephone. In a true emergency, call 911 or take your child immediately to an Emergency Room. You can certainly call us with any urgent questions.

Our answering service is available to contact the doctor on call only for urgent medical problems. They are not authorized to take information about appointment requests or changes. Appointment calls can only be made directly to our receptionist staff during office hours (starting at 8:30 am).

We have included below a list of community resources available to you for after hours care. Please make sure that your insurance company does not restrict where you can go for this type of care. Please call us for non emergency care so we can direct you if you feel you cannot wait for office hours.

Beaumont After Hours Clinic

  • Wm. Beaumont Hosptial ER, Royal Oak
  • Phone: (248) 898-0222
  • Hours: Mon – Fri 6:30 pm to 10:00 pm
  • Satrurday 3:00 pm to 10:00 pm
  • Sunday 1:00 pm to 10:00 pm
  • Holidays: 3:00 pm to 9:30 pm

**Providence Park

  • 47601 Grand River & Beck Rd, Novi, MI 48374
  • Phone: (248) 465-4200
  • 24 Hour Emergency Room

Wm. Beaumont Hospital, Royal Oak

**Huron Valley Hospital

**Providence Hospital–Southfield

**Botsford Hospital

**St. Joseph Mercy Hospital

**We are not on staff at these hospitals

For after hours care, you may have insurance restrictions. Some Urgent Care facilities require cash payment at the time of service. It is best to obtain this information from your insurance company before your child has an after-hours illness.


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Patient Privacy

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY. THE PRIVACY OF YOUR MEDICAL INFORMATION IS IMPORTANT TO US.


Our Legal Duty
We are required by applicable federal and state laws to maintain the privacy of your protected health information. We are also required to give you this notice about our privacy practices, our legal duties, and your rights concerning your protected health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect April 14, 2003, and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided that such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our notice effective for all protected healthin formation that we maintain, including medical information we created or received before we made the changes.

You may request a copy of our notice (or any subsequent revised notice) at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us using the information listed at the end of this notice.

Uses and Disclosures of Protected Health Information
We will use and disclose your protected health information about you for treatment, payment, and health care operations. Following are examples of the types of uses and disclosures of your protected health care information that may occur. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that maybe made by our office.

Treatment: We will use and disclose your protected health information to provide, coordinate or manage your healthcare and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. We will also disclose protected health information to other physicians who may be treating you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.

In addition, we may disclose your protected health information from time to time to another physician or health care provider (e.g., a specialist or laboratory)who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician.

Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you, such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for protected health necessity, and undertaking utilization review activities. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.

Health Care Operations: We may use or disclose, as needed, your protected health information in order to conduct certain business and operational activities. These activities include, but are not limited to, quality assessment activities, employee review activities, training of students, licensing, and conducting or arranging for other business activities.

For example, we may use a sign-in sheet at the registration desk where you will be asked to sign your name. We may also call you by name in the waiting room when your doctor is ready to see you. We may use or disclose your protected health information, as necessary, to contact you by telephone or mail to remind you of your appointment.

We will share your protected health information with third party "business associates" that perform various activities (e.g., billing, transcription services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may also use and disclose your protected health information for other marketing activities. For example, your name and address may be used to send you a newsletter about our practice and the services we offer. We may also send you information about products or services that we believe may be beneficial to you. You may contact us to request that these materials not be sent to you.

Uses and Disclosures Based On Your Written Authorization:Other uses and disclosures of your protected health information will be made only with your authorization,unless otherwise permitted or required by law as described below.

You may give us written authorization to use your protected health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Without your written authorization, we will not disclose your health care information except as described in this notice.

Others Involved in Your Health Care: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person's involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.

Marketing: We may use your protected health information to contact you with information about treatment alternatives that may be of interest to you. We may disclose your protected health information to a business associate to assist us in these activities. Unless the information is provided to you by a general newsletter or in person or is for products or services of nominal value, you may opt out of receiving further such information by telling us using the contact information listed at the end of this notice.

Research; Death; Organ Donation: We may use or disclose your protected health information for research purposes in limited circumstances. We may disclose the protected health information of a deceased person to a coroner, protected health examiner, funeral director or organ procurement organization for certain purposes.

Public Health and Safety: We may disclose your protected health information to the extent necessary to avert a serious and imminent threat to your health or safety, or the health or safety of others. We may disclose your protected health information to a government agency authorized to oversee the health care system or government programs or its contractors, and to public health authorities for public health purposes.

Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.

Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

Food and Drug Administration: We may disclose your protected health information to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations; to track products; to enable product recalls; to make repairs or replacements; or to conduct post marketing surveillance, as required.

Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Required by Law: We may use or disclose your protected health information when we are required to do so by law. For example, we must disclose your protected health information to the U.S. Department of Health and Human Services upon request for purposes of determining whether we are in compliance with federal privacy laws. We may disclose your protected health information when authorized by workers' compensation or similar laws.

Process and Proceedings: We may disclose your protected health information in response to a court or administrative order, subpoena, discovery request or other lawful process,under certain circumstances. Under limited circumstances,such as a court order, warrant or grand jury subpoena, wemay disclose your protected health information to law enforcement officials.

Law Enforcement: We may disclose limited information to a law enforcement official concerning the protected health information of a suspect, fugitive, material witness, crime victim or missing person. We may disclose the protected health information of an inmate or other person in lawful custody to a law enforcement official or correctional institution under certain circumstances. We may disclose protected health information where necessary to assist law enforcement officials to capture an individual who has admitted to participation in a crime or has escaped from lawful custody.

Patient Rights
Access: You have the right to look at or get copies of your protected health information, with limited exceptions. You must make a request in writing to the contact person listed herein to obtain access to your protected health information. You may also request access by sending us a letter to the address at the end of this notice. If you request copies, there may be a fee.  If you prefer, we will prepare a summary or an explanation of your protected health information for a fee. Contact us using the information listed at the end of this notice for a full explanation of our fee structure.

Accounting of Disclosures: You have the right to receive a list of instances in which we or our business associates disclosed your protected health information for purposes other than treatment, payment, health care operations and certain other activities after April 14, 2003. After April14, 2009, the accounting will be provided for the past six(6) years. We will provide you with the date on which we made the disclosure, the name of the person or entity to whom we disclosed your protected health information, a description of the protected health information we disclosed, the reason for the disclosure, and certain other information. If you request this list more than once in a12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests. Contact us using the information listed at the end of this notice for a full explanation of our fee structure.

Restriction Requests: You have the right to request that we place additional restrictions on our use or disclosure of your protected health information. We are not required to agree to these additional restrictions, but if we do, wewill abide by our agreement (except in an emergency). Any agreement we may make to a request for additional restrictions must be in writing signed by a person authorized to make such an agreement on our behalf. We will not be bound unless our agreement is so memorialized in writing.

Confidential Communication: You have the right to request that we communicate with you in confidence about your protected health information by alternative means or to an alternative location. You must make your request in writing. We must accommodate your request if it is reasonable, specifies the alternative means or location,and continues to permit us to bill and collect payment from you.

Amendment: You have the right to request that we amend your protected health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request if we did not create the information you want amended or for certain other reasons. If we deny your request, we will provide you a written explanation. You may respond with a statement of disagreement to be appended to the information you wanted amended. If we accept your request to amend the information, we will make reasonable efforts to inform others, including people or entities you name, of the amendment and to include the changes in any future disclosures of that information.

Electronic Notice: If you receive this notice on our website or by electronic mail (e-mail), you are entitled to receive this notice in written form. Please contact us using the information listed at the end of this notice to obtain this notice in written form.

Questions and Complaints
If you want more information about our privacy practices or have questions or concerns, please contact us using the information below. If you believe that we may have violated your privacy rights, or you disagree with a decision we made about access to your protected health information or in response to a request you made, you may complain to us using the contact information below. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

We support your right to protect the privacy of your protected health information. We will not retaliate in anyway if you choose to file a complaint with us or with the U.S. Department of Health and Human Services

Name of Contact Person: Beth Nadis
Telephone: (248) 855-7510
Address: 6900 Orchard Lake Rd Ste 206
West Bloomfield, MI
48322-3425
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