Your Child's Health Matters

How long can your child remain with a us?


*Please note that no matter what your child's age, if a pediatric patient becomes pregnant, she will need to transfer out to an adult practitioner who will be better equipped to handle these adult issues.  This is NOT because we no longer want to care for your child. This is for your child's health and safety because pregnancy is associated with risks that an adult provider is more equipped to manage.

18 Years of age

Our physicians will provide the best care for your child using their extensive experience in Pediatric medicine, however, once your child reaches an age at which he or she begins to experience medical issues that are typically seen in adulthood, a pregnancy, or once your child reaches the age of 18, (whichever occurs first) we require that you transfer care to an adult Primary Care Doctor.  An adult primary care physician will be better equipped to handle your child's adult medical needs and we will do our best to expedite the transfer of records once we receive your signed medical release form. ​

You may receive a letter from us within 6 months of your child's 18th birthday reminding you to begin seeking a Primary Care physician for your child.  The record release form can be found here. 



 For  a copy of our Financial Policy, click HERE.

For a copy of our Vaccine Statement / Policy, Click HERE.

 Our Vaccination Policy

he Center For Disease Control and the American Academy of Pediatrics have long maintained that vaccines are the cornerstone of children's health and life saving disease prevention.  This is also the foundation of trust between parent and provider.  In other words, the doctors of Healthy Starts Pediatrics firmly believe that if parents do not trust us about vaccines, then that trust may also not be present in other aspects of care for their children. In light of the increasing epidemics of Measles and Pertussis in Texas, California and Indiana, we are gravely concerned that such epidemics may occur here if we take a blind eye in enabling parents not to immunize their children.  This also puts the other patients at risk who may be exposed to unvaccinated children harboring diseases in our office, therefore, all of our patients must be vaccinated on CDC/AAP approved schedules.     *In January of 2018 we ran out of the flu vaccine for many of our patients who were late in considering the vaccine.  Therefore, our physicians strongly recommend that all patients plan to come in for the flu vaccine in September and October of 2018 in order to prevent the same level of anxiety and hysteria seen by the flu epidemic of 2017 / 2018.  

Missed Appointment (No-Show) Policy

Healthy Starts Pediatrics asks that patients provide a reasonable amount of notice prior to cancellation of appointments.  In addition, when patients fail to show for their scheduled appointment times, it affects not only the doctors and the staff, but the patient who could have been scheduled at that appointment time.     The policy for missed appointments is as follows:

  • Upon the 1st missed appointment, a reminder letter will be sent to the patient to remind them of the missed appointment and our policy. 
  • Upon the 2nd through the 4th missed appointment in a 2-year period, there will be a $50 charge to the patient’s account. If the appointment was for more than one child, this fee will be charged per child.  Due to the loss of appointment time, If your appointment was for 2 children, we may not re-schedule for both children for future appointments.
  • Upon the 5th missed appointment within a 2-year period, the patient(s) will be dismissed from the practice and will receive notification by mail of the dismissal.

 All ‘No Show’ / Missed Appointment fees will be due within 14 days in order to avoid additional fees or charges. 

 Late Arrival Policy

​By arriving on time for your appointment, you allow us to provide you with the best possible care.  Arriving late affects not only you, but those who must be seen after you.  Please understand that if you are more than 15 minutes late for your appointment, you may be asked to reschedule.  If a patient is more than 15 minutes late on more than 2 occasions, it may be counted as a missed appointment.  If a family is late too frequently, we reserve the right to dismiss them from the practice in order to be able to provide the best care to all of our patients.

 * Please be aware that in line with most physicians and facilities, our office does charge an after-hours fee of $30 for these premium appointments on Saturdays and after 4 pm.  This charge will be added to your personal balance if not covered by your insurance plan and is subject to the 20% discount if paid at the time of service.

We also understand that parents may want to empower their teens to take an active role in their health by having them call to schedule their own appointments, however, in our experience this often leaves the parents to deal with the fallout of a 'Missed Appointment'.  For this reason, and because the parents often are the subscribers on any insurance policy, we require parents to call for all appointments.​   

 Divorce, Separation & Custody Agreements Policy

  • Healthy Starts Pediatrics believe that custody matters should not enter into a child's medical treatment. 
  • The individual who is requesting the medical treatment will be asked to pay for the medical treatment, including co-pays, co-insurance or services not covered by insurance.  We are not a party to your divorce agreement, you are.
  • "Joint Custody" or “Shared Custody” most often means that each parent has equal access to the child's medical record.  It does not mean that we are responsible for ensuring that information is automatically provided.  This is the responsibility of the parents.
  • If a PFA is on file, our staff will do our best to follow the law.  It is the responsibility of the parent to provide updated documentation if the PFA is no longer active.
  • Without a court order, we will not refuse medical information, test results or appointment information to either parent.
  • We will not call the other parent for consent prior to treatment. That is the attending parent’s responsibility.
  • We reserve the right to refuse routine treatment if we believe that it violates a documented custody agreement.
  • Unless stated in the court order, both parents have equal rights and we will not get involved.  It is not the responsibility of this office to ensure that both parents have consented to treatment when our providers believe that the child is in need of such treatment.
  • Information pertinent to the child’s present exam will be discussed with the parent who accompanies the child to the visit.
  • Should the issues that come between parents become disruptive to our organization, we will discharge the patient from further treatment.
  • Parent signing this agreement understands that HSP will do what they can to ensure the safety and health of the child.  At no time will employees of HSP be held responsible for unintentional contact with either parent while conducting normal business matters such as notification of test results, responding to triages, billing or collections calls or appointment confirmations.