How do I choose a primary care doctor for my child? The American Academy of Pediatrics ( www.aap.org ) recommends that you choose a pediatrician as your child's primary care doctor. A pediatrician has years of training and experience in children's health care. If you don't have a pediatrician, you might ask friends or family members for the names of doctors they've worked with and liked. Many pediatric practices maintain websites, and many pediatricians are happy to speak with families on the phone or in person prior to an office visit, so you can get a sense of their personality and practice philosophy. If the pediatrician you choose is not in your helath insurance plan, you can ask the plan to include him or her. What does a pediatrician do? A pediatrician provides primary care for newborns, infants, children, adolescents and young adults through age 18. As a primary care doctor, he or she provides preventive care, takes care of illnesses and injuries, and diagnoses and treats acute and chronic disorders. A pediatrician makes referrals to pediatric medial suspecialists and/or pediatric surgical specialists when needed and coordinates other services for the total care of you child. Your plan may require that your pediatrician authorize or approve certain services. Without these approvals, you may have to pay for part or all of these services yourself. Care Philosophy Central Oregon Pediatric Associates is a ten doctor medical group serving Bend and its surrounding communities. As the only pediatric practice in our region, we provide care -- from preventive through intensive medicine -- to newborns through teenagers, in Central Oregon Specialties General Pediatrics Pediatric and Adult Infectious Disease Pediatric Allergy Neonatology Central Oregon Pediatric Associates, LLP 2200 NE Professional Court Bend, Oregon 97701 541-389-6313 541-389-8760 (FAX) West Bend Clinic 1820 NW Monterey Pines Bend, Oregon 97701 (541) 389-6313 (541) 389-8760 (FAX) Redmond Office 333 NW Larch Avenue Redmond, Oregon 97756 541-548-1154 541-548-1023 (FAX) We want you to be well aware of the dangers that face your children. Read through the topics below to keep yourself up to date on important issues facing your child's welfare. CHICKEN POX (Also known as Varicella) is a common child hood disease. It is usually mild, but it can be serious...Read More FEVERS High temperatures are the most common reason people call us after hours...Read More HIB Haemophilus influenzae type b (Hib) disease is a serious disease caused by a bacteria...Read More INJURY PREVENTION PROGRAM Did you know that every month nearly 400 children under 4 years old die because of...Read More MEASLES, MUMPS, and RUBELLA Why get vaccinated? Measles, Mumps and Rubella are serious diseases...Read More PNEMONIA Infection with streptococcus pneumoniae can cause serious illness or death...Read More POLIO Polio is a disease caused by a virus. Sometimes it does not cause serious illness but sometimes it can cause...Read More HEALTHY SNACKS Being active makes you really hungry! Give your kids snacks that replace the nutrients their bodies need...Read More DOG BITE PREVENTION The vast majority of dogs are safe, reliable companions. But even a friendly dog may bite...Read More SUN PROTECTION For all children, choose a broad-spectrum, waterproof sunscreen, made for children with an SPF of at least 15...Read More FEEDING YOUR BABY Every baby is special. Don't worry if your baby eats a little more or less than this guide suggests ...Read More TETANUS AND DIPTHERIA Tetanus (Lockjaw) and Diphtheria are serious diseases. Tetanus is a disease that enters the body through ...Read More HEPATITIS It is usually spread by close personal contact and sometimes by eating or drinking water containing ...Read More Treatment and Resources Food allergy, especially peanut allergy, is far more common today than in the past. Here is some information to make management of allergic reactions and prevention easier and safer. You can expect about a 1/5 chance of allergic exposure each year. Usually treatment is inadequate and exposes patients to the risk of severe life-threatening reactions. Be ready for the worst, suspicious of the possibility of allergic food exposure. Serious food reactions usually involve the same parts of our immune system which allow us to be allergic to pollens and animal dander. Reactions are usually mild but can be severe enough to cause death. The best treatment for a food allergy reaction is not known yet, but the following approach seems to work well. Preparation: * Learn how to read labels and be very suspicious of foods packaged outside the US. * Have liquid or rapid dissolving Benedryl and an epinephrine injector with you or your child all the time. * Gather resources and regularly visit the Food Allergy and Anaphylaxis Network (FAAN) web site. # http://www.foodallergy.org/ Practice with the demonstration injector until you are comfortable with using injected epinephrine. # Practice teaching others to use the injector and to make decisions around severe food allergy reactions. # Discuss your child’s food allergy with neighbors and relatives, using information you’ve learned from FAAN. # Be sure your daycare, preschool, regular school knows the information below about mild through severe reactions and knows what to do for each. # Become an advocate for nut free schools. Encourage hand washing at school and discourage food sharing between children. Classification of reactions: * Mild: itching, coughing, hives, flushing, and/or itchy, runny nose or eyes. * Moderate: puffiness, change in voice, coughing, nausea and/or vomiting, and/or abdominal pain. * Severe: wheezing, harsh sound on breathing in similar to croup, blue face, fainting, severe dizziness or shock. Treatment: * Mild: no treatment or Benedryl, 12.5 mg per 22 pounds of body weight to 100 mg maximum. Your child’s dose is: ___________________ * Moderate: epinephrine injected in muscle. Go to doctor office or ER after injection. * Severe: epinephrine injected in muscle. Call 911; ambulance transportation to ER is safer than driving yourself. * “Normal” reaction to epinephrine: paleness, vomiting, pain during injection. * Real EpiPens take more force than the demonstration ones. Hold your child firmly when you give the injection. New Patients We require new patients to pay in full at the time of the visit unless our office is contracted with your insurance company. To help us better serve you please fill out the following forms and bring them to your appointment. NEW PATIENT FORM (ENGLISH) NEW PATIENT FORM (SPANISH) HIPAA FORM "No Show Fees" We encourage all patients to keep their appointment whenever possible. With the overwhelming demand for pediatric services in our community, this allows us to help as may children as possible everyday. For this reason we charge a $20.00 "no show" fee if your appointment is not cancelled or rescheduled with at least 1 hour notification. Continued "no shows" may result in your family being discharged from our practice. Billing Co-payments and deductibles are due a the time of service. You may receive a balance due statement from COPA after we have received payment from your insurance company or if you have no insurance. It is our expectation that you will pay the balance due within 30 days. We accept cash, local checks, debit cards and credit cards; including VISA, MasterCard, and Discover. If payment in full is not possible, please contact our billing office at: 541-389-3905. Appointment Times The physicians make every effort to see you at your appointment time. Occasionally, unforeseen circumstances may cause them to be delayed or called away from the office. We hope that you will understand and realize that if your child has an emergency, the physicians will drop everything to attend to them. Please make every effort to arrive for your appointment at the scheduled time. This allows us the best opportunity to see everyone at the correct time and avoids the possibility of us having to reschedule your appointment Private Insurance As a courtesy COPA will submit claims to all insurance carriers if we have reeived proper verification of insurance coverage at the time of each visit. We bill insurance as a courtesy. However, you are ultimately responsible for all charges. Within 60 days of of the visit, a payment(by you or your insurance company) must be made on your account to remain in good standing with our office. Please remember that insurance companies often deny claims based on the coverage your policy provides or deductibles that have not been met. If you have any concerns regading your coverage or insurance payment, please contact your insurance carrier. Oregon Health Plan OHP patients are expected to provide a current medical card at each visit. Failure to provide a current medical card may require you to pay for the visit at the time of the service. You should be aware that there is a time limit for filing claims with OHP. If a valid card is not provided within the time limit, you will be responsible for the entire bill. We are contracted with the following insurance carriers: MONACARE LIFEWISE CLEAR CHOICE PACIFICARE OF OREGON(ONLY) PROVIDENCE GOOD HEALTH ANYTHING THAT STATES PROVIDENCE PREFERRED PACIFIC SOURCE BLUE CROSS / BLUE SHIELD AETNA(PROVIDENCE PREFERRED ONLY) CIGNA(PROVIDENCE PREFERRED ONLY) ASSURANT HEALTH(PROVIDENCE PREFERRED ONLY) ODS HEALTH NET HEALTHCARE DIRECT NO FIRST HEALTH NO PROVATE HEALTH CARE SYSTEMS NO CCN PLANS AT ALL NO HMO OR ANYTHING THAT REQUIRES A REFERRAL