Integrative Pediatrics, LLC
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Policy & Billing

Appointment Policies
If you are unable to keep your appointment, you must cancel at least 24 hours prior by calling 503.643.2100. We have implemented an appointment/cancellation policy which enables us to better utilize available appointments for our patients in need of care. Failure to cancel your appointment without 24-hour notice is considered a "no show". No shows will be billed $150 for established patients per occurrence and $200 for a new patient visit. This will not be billed to your insurance and is patients' responsibility. We reserve the right to dismiss patients from our practice after 3 no show appointments.

Your current insurance card needs to be presented at every appointment.

Any changes in insurance coverage needs to be noted when checking in for your appointment.

Co-payments and deductibles are due at the time of service.

Integrative Pediatrics will gladly submit claims to your insurance carrier. We also offer Secondary and Tertiary billing. In the event of a Motor Vehicle Accident, we will submit your claim(s) to the motor vehicle carrier.

Medical Records
We are a medical home; our philosophy of primary care is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. When you transfer care you are no longer our patient. Transfer of records to a new physician will be sent complementary. Subsequent new provider transfers will be charged $75.00; payment is required prior to release of records. If balance is not paid in 30 days, your account will be billed.

For personal copies of medical records: $25.00-$300.00 fee per medical record (depending on size). We will call you upon readiness of records and payment is due at that time. We can mail your records if requested, for an additional charge. If you request to pick them up and have not done so by 30 days, your records will be mailed to the address you provided and shipping and handling will be added to your account balance.

If You Are Uninsured
If you are uninsured, or if we are unable to verify coverage, we require a $100.00 deposit at your first visit, which will be applied to your charges. If charges exceed the $100.00 we will send you a statement.

Unpaid Accounts
We take many steps to avoid collections, however if your account is placed with a collections agency; you will be assessed a $100 collection fee. This will be added to your final balance placed with the collection agency and you will also be responsible for all legal fees and court costs involved.

Billing Questions?
Please send an email to
Our Financial Policy Form

We are contracted with many insurance companies, however it is important for you to verify our provider is participating in your medical plan prior to receiving services.