health care for your healthy children
About our centers.
check-up | immunization | sport and school physical
Located next to our Pediatric Clinic of Mesquite, Sunnyvale, and Garland, are a separate offices for your child’s immunization, checkup and sport and school physical
In 2010 we opened the doors of our first Wellness Center. Our Wellness Centers are located next to our Mesquite, Sunnyvale, and Garland Clinics in separate office spaces.
The Wellness Centers are a unique setting, where we provide health care services to our healthy little patients. Our patients under 1 year of age are the most vulnerable. Every so often, while visiting your child’s pediatrician, your child can be exposed to unnecessary infections. In order to protect your child from unnecessary exposure and help to avoid illnesses during the crucial first months of your child’s life, we have opened our Wellness Centers.
Monday to Friday
8:00 AM - 5:00 PM
Learn about our
Download these instructive guides from the CDC to learn about vaccination
Answering some Frequently Asked Questions
Are vaccines safe?
Yes. Vaccines are very safe. The United States’ long-standing vaccine safety system ensures that vaccines are as safe as possible. Currently, the United States has the safest vaccine supply in its history. Millions of children safely receive vaccines each year. The most common side effects are typically very mild, such as pain or swelling at the injection site.
What are the risks and benefits of vaccines?
Vaccines can prevent infectious diseases that once killed or harmed many infants, children, and adults. Without vaccines, your child is at risk for getting seriously ill and suffering pain, disability, and even death from diseases like measles and whooping cough. The main risks associated with getting vaccines are side effects, which are almost always mild (redness and swelling at the injection site) and go away within a few days. Serious side effects after vaccination, such as a severe allergic reaction, are very rare and doctors and clinic staff are trained to deal with them. The disease-prevention benefits of getting vaccines are much greater than the possible side effects for almost all children.
Can vaccines overload my baby’s immune system?
Vaccines do not overload the immune system. Every day, a healthy baby’s immune system successfully fights off thousands of germs. Antigens are parts of germs that cause the body’s immune system to go to work to build antibodies, which fight off diseases. The antigens in vaccines come from the germs themselves, but the germs are weakened or killed so they cannot cause serious illness. Even if babies receive several vaccinations in one day, vaccines contain only a tiny fraction of the antigens they encounter every day in their environment. Vaccines give your child the antibodies they need to fight off serious vaccine-preventable diseases.
Why do vaccines start so early?
The recommended schedule protects infants and children by providing immunity early in life, before they come into contact with life-threatening diseases. Children receive immunization early because they are susceptible to diseases at a young age. The consequences of these diseases can be very serious, even life-threatening, for infants and young children.
Haven’t we gotten rid of most of these diseases in this country?
Some vaccine-preventable diseases, like pertussis (whooping cough) and chickenpox, remain common in the United States. On the other hand, other diseases vaccines prevent are no longer common in this country because of vaccines. However, if we stopped vaccinating, the few cases we have in the United States could very quickly become tens or hundreds of thousands of cases. Even though many serious vaccine-preventable diseases are uncommon in the United States, some are common in other parts of the world. Even if your family does not travel internationally, you could come into contact with international travelers anywhere in your community. Children who don’t receive all vaccinations and are exposed to a disease can become seriously sick and spread it through a community.
Can’t I just wait until my child goes to school to catch up on immunizations?
Before entering school, young children can be exposed to vaccine-preventable diseases from parents and other adults, brothers and sisters, on a plane, at child care, or even at the grocery store. Children under age 5 are especially susceptible to diseases because their immune systems have not built up the necessary defenses to fight infection. Don’t wait to protect your baby and risk getting these diseases when he or she needs protection now.
My child is sick right now. Is it okay for her to still get shots?
Talk with your child’s doctor, but children can usually get vaccinated even if they have a mild illnesslike a cold, earache, mild fever, or diarrhea. If the doctor says it is okay, your child can still get vaccinated.
Don’t infants have natural immunity? Isn’t natural immunity better than the kind from vaccines?
Babies may get some temporary immunity (protection) from mom during the last few weeks of pregnancy, but only for diseases to which mom is immune. Breastfeeding may also protect your baby temporarily from minor infections, like colds. These antibodies do not last long, leaving your baby vulnerable to disease. Natural immunity occurs when your child is exposed to a disease and becomes infected. It is true that natural immunity usually results in better immunity than vaccination, but the risks are much greater. A natural chickenpox infection may result in pneumonia, whereas the vaccine might only cause a sore arm for a couple of days.
Do I have to vaccinate my baby on schedule if I’m breastfeeding him?
Yes, even breastfed babies need to be protected with vaccines at the recommended ages. The immune system is not fully developed at birth, which puts newborns at greater risk for infections. Breast milk provides important protection from some infections as your baby’s immune system is developing. For example, babies who are breastfed have a lower risk of ear infections, respiratory tract infections, and diarrhea. However, breast milk does not protect children against all diseases. Even in breastfed infants, vaccines are the most effective way to prevent many diseases. Your baby needs the long-term protection that can only come from making sure he receives all his vaccines according to the CDC’s recommended schedule.
What are the side effects of the vaccines? How do I treat them?
Vaccines, like any medication, may cause some side effects. Most of these side effects are very minor, like soreness where the shot was given, fussiness, or a low-grade fever. These side effects typically only last a couple of days and are treatable. For example, you can apply a cool, wet washcloth on the sore area to ease discomfort.
Is there a link between vaccines and autism?
No. Scientific studies and reviews continue to show no relationship between vaccines and autism. Some people have suggested that thimerosal (a compound that contains mercury) in vaccines given to infants and young children might be a cause of autism. Others have suggested that the MMR (measles- mumps-rubella) vaccine may be linked to autism. However, numerous scientists and researchers have studied and continue to study the MMR vaccine and thimerosal, and reach the same conclusion: there is no link between MMR vaccine or thimerosal and autism.
Why are so many doses needed for each vaccine?
Getting every recommended dose of each vaccine provides your child with the best protection possible. Depending on the vaccine, your child will need more than one dose to build high enough immunity to prevent disease or to boost immunity that fades over time. Your child may also receive more than one dose to make sure they are protected if they did not get immunity from a first dose, or to protect them against germs that change over time, like flu. Every dose is important because each protects against infectious diseases that can be especially serious for infants and very young children.
What do you think of delaying some vaccines or following a non-standard schedule?
Children do not receive any known benefits from following schedules that delay vaccines. Infants and young children who follow immunization schedules that spread out or leave out shots are at risk of developing diseases during the time you delay their shots. Some vaccine-preventable diseases remain common in the United States and children may be exposed to these diseases during the time they are not protected by vaccines, placing them at risk for a serious case of the disease that might cause hospitalization or death.
What are combination vaccines? Why are they used?
Combination vaccines protect your child against more than one disease with a single shot. They reduce the number of shots and office visits your child would need, which not only saves you time and money, but also is easier on your child. Some common combination vaccines are Pediarix® which combines DTap, Hep B, and IPV (polio) and ProQuad® which combines MMR and varicella (chickenpox).
Why does my child need a chickenpox shot? Isn’t it a mild disease?
Your child needs a chickenpox vaccine because chickenpox can actually be a serious disease. In many cases, children experience a mild case of chickenpox, but other children may have blisters that become infected. Others may develop pneumonia. There is no way to tell in advance how severe your child’s symptoms will be. Before vaccine was available, about 50 children died every year from chickenpox, and about 1 in 500 children who got chickenpox was hospitalized.
What are the ingredients in vaccines and what do they do?
Vaccines contain ingredients that cause the body to develop immunity. Vaccines also contain very small amounts of other ingredients. All ingredients play necessary roles either in making the vaccine, or in ensuring that the final product is safe and effective.
Can’t I just wait to vaccinate my baby, since he isn’t in child care, where he could be exposed to diseases?
No, even young children who are cared for at home can be exposed to vaccine preventable diseases, so it’s important for them to get all their vaccines at the recommended ages. Children can catch these illnesses from any number of people or places, including from parents, brothers or sisters, visitors to their home, on playgrounds or even at the grocery store. Regardless of whether or not your baby is cared for outside the home, she comes in contact with people throughout the day, some of whom may be sick but not know it yet. If someone has a vaccine preventable disease, they may not have symptoms or the symptoms may be mild, and they can end up spreading disease to babies or young children. Remember, many of these diseases can be especially dangerous to young children so it is safest to vaccinate your child at the recommended ages to protect her, whether or not she is in child care.
What’s wrong with delaying some of my baby’s vaccines if I’m planning to get them all eventually?
Young children have the highest risk of having a serious case of disease that could cause hospitalization or death. Delaying or spreading out vaccine doses leaves your child unprotected during the time when they need vaccine protection the most. For example, diseases such as Hib or pneumococcus almost always occur in the first 2 years of a baby’s life. And some diseases, like Hepatitis B and whooping cough (pertussis), are more serious when babies get them at a younger age. Vaccinating your child according to the CDC’s recommended immunization schedule means you can help protect him at a young age.
Billing and Insurance
PAD values our patients and our number one priority is to provide our families with the highest level of pediatric treatment and services. Our office also feels it is important to work together with our patients to adapt to the changing way healthcare is financed and delivered. The information is being provided to assist your family in understanding the insurance process, financial policies of our office and the obligations and responsibilities of our patient.
Billing Office Administration
(214) 369-3303 Office
(214) 265-9563 Fax
Participating or In-Network Patients
Patients are encouraged to seek care from a “Participating” or “In-Network” physician or “Provider” in order to receive the highest level of reimbursement under their health plan. As a participating network provider, the provider has contracted with the managed care health plan or “Network” to provide services at a negotiated fee which is typically less than the provider’s billed charge. The negotiated fee or “Contract/Network Discount” is provided to the provider and patient, in a statement referred to as the “Explanation of Benefits”, upon processing of the insurance claim. In addition to any discount, the explanation of benefits will include payment made by the insurance company, any patient amount owed for the services such as co-pays, coinsurance, deductibles and non-covered services. It is important that patients review these statements carefully to insure claims are paid according to the patient’s benefits and plan coverage. The amount noted in the patient responsibility does not include payments already made to the provider for the services. This would mean if the amount shown in the patient responsibility was already paid to the provider, additional payment should not be due to the provider.
Filing Insurance Claims
PAD files insurance claims for all health plans in which we participate.
If PAD does not participate with your health plan, payment is due at the time services are rendered for treatment in the office and the patient must file insurance for reimbursement. As a courtesy, PAD will file insurance for hospital services, regardless of plan participation. Patient amounts due for hospital services after insurance, will be billed to the patient once insurance has been processed.
Filing Your Own Insurance
An itemized receipt is provided by PAD at the time of check out. Additional copies may be obtained by contacting the appropriate account representative, in our Billing Office. This receipt is required when submitting a claim to the patient’s insurance company for reimbursement. Most insurance companies require a claim form be completed and submitted to the insurance company along with the itemized receipt. Claim forms can usually be obtained from the employer or insurance company by requesting via the telephone or downloading from the insurance company’s website. The address for submitting claims can typically be found on the insurance card or in the plan benefit booklet provided by the health plan.
Insurance Plans Accepted
Please contact our office if you do not see your insurance plan listed below. Our office does not accept Medicaid.
- Aetna Health Plans POS and PPO
- Baylor Scott and White
- Beech Street PPO
- Blue Cross POS and PPO
- Blue Choice POS and PPO
- Cigna Health Plan HMO, POS, PPO, OAP, and Local Plus
- Coalition America/Stratose
- Coventry PPO
- First Health PPO
- Galaxy Healthcare PPO
- Great West PPO
- HealthSmart ACCEL
- HealthSmart GEPO
- HealthSmart PPO
- Humana-Choice Care PPO
- Integrated Medical Systems PPO
- MultiPlan PPO
- MultiPlan Viant/Beech/ppoNext PPO
- PHCS PPO * Multiplan
- Texas Bluebonnet Health Plan PPO, EPO, HMO
- United Healthcare PPO, HMO, POS, and Compass EPO
- USA Managed Care Organization PPO
Patient Financial Responsibility Statement
We are pleased to service our families by providing quality medical services and assisting in the billing process. However, it is important that our families understand that ultimately the financial responsibility of these services rests between the patient and the health plan. We hope this summary will be helpful in understanding your insurance and obligations.
The patient, parent or guardian accompanying the patient is responsible for providing our office with a valid and current insurance card. We must be notified of any changes, prior to rendering services. Patients unable to provide valid insurance information may be required to pay in full at time of service or reschedule their appointment.
The patient, parent or guardian accompanying the patient must pay any co-payment and applicable deductible amounts, as directed by insurance, at the time of service unless prior arrangements have been made with our office.
The bill will be sent to the health plan on record for direct payment to our office.
If insurance has not paid our claim within 60 days, we may expect payment from the patient.
If by mistake, the health plan remits payment to the patient, payment should be forwarded to our office along with all the paperwork sent to you at the time.
The patient, parent or guardian will remain responsible for any services that are not covered or noted as patient responsibility by the health plan.
Some of the reasons health plans may refuse or deny payment of a claim are:
- The provider of service is not listed as the primary care physician “PCP” for the patient, and/or no referral was obtained or the provider is out of network.
- Services provided were for a pre-existing illness that is not covered by the patient’s health plan.
- The patient’s deductible or co-insurance amount has not been met.
- The type of medical services received is not covered by your plan or subject to a maximum benefit allowance (generally per calendar year).
- The health plan was not in effect at the time the service was rendered.
- The patient has other insurance noted as the primary carrier which must be filed first.
- The insurance company requires the patient to contact them regarding whether or not the patient is covered by another health plan (generally required to update at least annually).
- Services indicate the patient was seen for an injury or accident. The patient must provide information regarding the accident or injury to the health plan as requested, before the claim will be paid.
- The patient or dependent receiving the services is not showing as a covered dependent under the health plan.
Please note that payment collected at the time of service may not reflect the full patient responsibility after insurance. Our office is not responsible for any limitations in coverage that may be included in your plan. Should your health plan deny claims for any of the above reasons, you will then become responsible for the bill. It is the responsibility of the patient to pay denied amounts in full. We advise our families to understand their insurance benefits and review explanation of benefits and patient billing statements carefully. If you feel there has been an error, always contact the appropriate party with questions within a timely manner. Patient amounts owed are considered past due 30 days after the date of the initial billing statement. Anytime the patient is aware there will be a delay in payment, whether by the patient or insurance, it is important to notify our billing office of the situation. PAD understands that circumstances can sometimes arise. However, to allow additional time to pay, work through insurance problems or to establish other payment arrangements, we must be informed.
Newborn or Dependent Changes and Insurance
We understand when a change in dependent status occurs it is likely to be a very busy time in our families’ lives. However, it can be very costly to overlook the requirements of your health plan with relation to dependent changes. It is extremely important to understand this process and time restrictions involved.
Upon the birth of a newborn dependent, adoption or other change to a dependent status, you must contact the employer and/or health plan to add new dependents within the time limits defined by the health plan. Most insurance companies require notification of the change within 30 days from the date of birth, adoption or event date. If you already had dependent coverage prior to the birth of a newborn, adoption, etc., please be advised the insurance company will not automatically add the new dependent to the health plan. Failure to add the new dependent may result in a lapse of insurance coverage for the new dependent, meaning all services provided during the lapse time are the responsibility of the patient. Contact the employer or health plan with further questions regarding this process.
Insurance Referrals and Authorizations
Some health plans require insurance referrals or pre-authorizations in order to receive treatment from a specialist or for special services or medications. It is the responsibility of the patient to know their benefits and request the required referral or pre-authorization prior to receiving the services for which the referral or authorization is needed.
Referrals and Authorizations may be requested by contacting the Referral Desk in our Billing Office at (214) 369-3303.
Failure to Pay
Continued failure to respond to billing statements or make payments may result in the suspension of certain non-urgent services and ultimately in dismissal from our practice. Please be advised outstanding debts will be forwarded to a collection service where unpaid balances will be reported to the appropriate credit agencies.
Overpayments and Refunds
Should you feel you have made an overpayment to our office or are awaiting a refund based on insurance reimbursement, please contact the appropriate account representative in our Billing Office with questions. If you are entitled to a refund, our office will issue a refund check to the responsible party listed on the account, upon request. Due to the frequency of visits in pediatrics, if we do not receive a specific request for a refund, overpayments are applied as a credit to the patient’s account and applied towards future visits in our office.
Should you have any questions about this summary or any billing issues, we encourage you to discuss it with our Billing Office. We appreciate your dedication to our physicians and are happy to have your family as part of our practice. We look forward to providing many years of service to your family.
Call (214) 369-7661 for the following administrative services:
- Patient Accounts
- Insurance Questions
- Medical Records
- Physician Referrals
- Accounts Payable
Our goal is to provide quality, compassionate care and service to each and every one of our patients. If for some reason you feel that we have not met this goal, please contact us immediately so that we may reach out and remedy any issues that you have prior to formal actions. Please, allow us the opportunity to contact you within 48 hours so that we can address the problem directly.
In addition to contacting us directly, our online feedback form is available for your use!
PAD Feedback Form
Dear PAD families,
In an effort provide your family with excellence in pediatric care, the PAD team is interested in your feedback. Please, feel free to fill out the following form, email us directly at firstname.lastname@example.org, or download this pdf version and mail it to:
Pediatric Associates of Dallas
7859 Walnut Hill Ln
Dallas, TX 75230
Medical Records Release
PAD Release of Medical Records Policy
In keeping with this practice’s duty to protect patient confidentiality, we will not release confidential medical information without strict adherence to state and federal laws, rules, and regulations.
Original medical records are the property of the treating physician and as such will not be released from this facility unless in accordance with a court order, subpoena, or statute. Original medical records are never allowed to leave this facility without prior authorization and approval by the treating physician(s).
This facility recognizes the right of patients to obtain copies of their medical records or have them forwarded to another designee such as a relative, physician, or attorney.
A fee of $25 is charged for copying, mailing, or otherwise complying with any approved request for the release of medical records in accordance with limits set by the Texas State Board of Medical Examiners.
Oral requests for the release of medical records will not be honored. Any patient requesting release of his or her medical records must complete the attached Medical Records Release Form. Alternative release forms will be accepted only at the discretion of the office manager and/or Medical Records staff.
A parent or legal guardian will be required to sign the Medical Release Form when the patient is a minor. No other persons will be permitted to sign a record release in lieu of patients without a court order or similar legal directive.
The patient, or other person authorized to consent, has the right to withdraw consent to the release of any information. Such withdrawal must be in writing. No information should be released after consent has been withdrawn.
A copy of the written Medical Records Release Form must be retained and placed in the patient’s permanent medical record.
Preparing for your appointment
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