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203.323.1770
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203.972.5232
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NEW ENGLAND
PEDIATRICS

New England Pediatrics, founded in 1983, provides comprehensive health care to children from birth to 22 years of age. Families in Fairfield and Westchester Counties choose our practice for our experience and commitment to excellence.

We provide 24/7 on-call coverage. We welcome new families who expect compassionate, thorough, and collaborative care for their children.

Urgent care

Hours

PAYMENT & POLICIES

PAYMENT Fees
  • Co-pay: Varies per individual plan; payable at each visit.
  • Co-Insurance: Many plans require out-of-pocket payments in the form of a deductible or patient co-insurance. Until you satisfy your deductible or co-insurance amount, our charges are payable at the time of each visit.
  • Missed co-pay: $10 each
  • Missed Appointment: $50 - Well visit, $25 - Sick visit
  • Late PE Missed Appointment: Full PE Charge
  • School/Camp Form: $15 per form per patient or $30 for two or more forms per patient when submitted simultaneously.
  • Allergy Protocol Form: $15 per form per patient or $30 for two or more forms per patient when submitted simultaneously.
  • Returned check: $25 each
  • Collection charge: Individual
  • After-hours Surcharges: Services rendered outside of our standard business hours may be billed with surcharges. Surcharges may apply to walk-in hours, late physicals and weekend/holiday visits. If late physical appointments are missed, the full physical fee will be charged.
Statements
  • Your statement is mailed once a month and indicates your balance. Payment is due within 15 days from receipt of the statement.
  • We will bill any balance due to your account after your insurance company responds to our filing.
  • A balance 30 days past due is subject to an 18% annual interest charge.
Private Pay Patients If you do not have insurance or if you have an insurance plan that we do not accept, fees for our services are charged directly to the patient (or guarantor) and payment is due at the time of service. We do not bill your insurance carrier but at your request, we will provide you with an invoice at each visit so that you may file a claim.

New Health Exchanges If you have insurance through a health exchange, we are not able to see you “in network” even if the plan is through an insurance company with which we do participate, such as a commercial plan with Anthem or Oxford. If you choose to continue under our care, you will be responsible to make all payments at the time of each visit. If applicable, we will provide a bill for you to submit to your insurance plan for reimbursement.

POLICIES

FINANCIAL POLICY Each patient must have a guarantor who is responsible for timely payment of:
  • Co-pays and non-covered services.
  • Co-insurance and deductibles.
  • Fees for service if private pay.
  • Additional fees for forms, missed co-pays, returned checks, missed appointment or collection charges.
Before your first visit or after a change in coverage, confirm with our staff that we participate in your insurance plan. Read and sign our Financial Agreement & Authorization for Treatment form before services are rendered. We are required by insurance companies to receive a current and accurate insurance card at each visit to ensure timely filing of claims.

In the case of divorced parents, we cannot become involved in shared payment arrangements. The person who accompanies the child should be prepared and responsible for the necessary payment.

Our billing staff is available to help with questions and problems. Call 203.972.5233.

URGENT WEEKEND CARE If you require urgent care over the weekend, we are open on Saturday and Sunday mornings. Please call at 8:30 am for an appointment.

HIPAA UPDATE In order to protect Personal Health information (PHI) in accordance with government regulations, we may not share your PHI with schools, daycare, or camps without written consent via the” HIPAA AUTHORIZATION FOR RELEASE OF PATIENT RECORDS-Partial” form. We may share an Immunization Record Only with verbal parental consent. All other medication, health, sports, camp or absence forms require a written release form. We appreciate your understanding that our staff must follow government requirements.

18 YEAR OLD POLICY Patients who reach their 18th birthday are considered adults with regard to healthcare decisions. Their personal health information becomes protected from their parents regardless of the guarantor/insurance holder.
  • If a patient wishes, we will continue to provide care until 22 years of age. By age 22, patients must transfer care to another physician.
  • At age 18, we provide a packet that includes a summary of the conditions for care, particularly for those patients living away from home. We require a signed letter agreement from each patient acknowledging acceptance of those conditions along with private contact information. Each 18 year old can also sign a Consent to Release Patient Information form and may designate which type of medical information may be shared and with whom. Only with this permission may we discuss the patient's care with parents.
  • If you choose not to remain with New England Pediatrics after age 18, please arrange for transfer of care to an internist, family physician or gynecologist. A list of recommended physicians is included with the 18 year old packet. Transferred records are maintained for seven years after the last visit, and then are destroyed.

RIGHTS &
RESPONSIBILITIES

PATIENT RIGHTS Privacy
You and your child have the right to privacy and confidentiality. People who are not involved in your care may not receive information about you without your permission. You and your child are entitled to know what role any observer has in your care and to have any observers unrelated to your care leave if you so request. You and your child have the right to a copy of your medical record within a reasonable time frame (approximately 10 days) after your written request has been received by us.

Respect
You and your child are important and unique, and we will respect you, introduce ourselves to you, explain our role in your care, and listen to you. We will respect your individual values and your religious beliefs. Each patient has the right to the best medical care required and available, without consideration of race, color, national ancestry, age, sex, physical or mental disability, religion or ability to pay.

Information
You and your child have the right to be fully informed about your health status, recommended treatment, alternatives, benefits and risks and to be involved in your plan of care and treatment. You and your child may ask questions about your care at any time and we will answer them honestly and clearly.

Pain Management
As a patient, you have the right to information about pain and pain relief measures. You and your child are entitled to an informed and concerned staff member who will respond quickly to reports of pain with the best method of pain relief that may safely be provided. You and your child are responsible for asking your doctor or nurse about what pain to expect and what options are available for pain management. You will need to ask for pain relief when the pain first begins, help the doctor or nurse measure your pain, and inform the doctor or nurse if your pain is not relieved.

Quality
Trained professionals will work together to care for you. You and your child have the right to know the name of the physician responsible for your treatment and to speak with that physician and others involved in your care.

Choices
You and your child have the right to request a second opinion regarding your treatment and to request the names of other physicians able to provide such a second opinion.

Conflicts
In the event of a conflict concerning the care of a patient, the practice manager, along with the doctor if necessary, will work with the patient and family to reach a resolution.
ACCOMPANYING YOUR CHILD We understand that you may not always be available to bring your child to a scheduled appointment. If you expect that another individual will accompany and be responsible for your child at any time, please complete our Consent for Treatment Form. Patients 16 years of age and older may come to appointments unaccompanied, however we will need parental permission by phone in order to administer any vaccinations.

New England Pediatrics may request identification of the person who accompanies your child to confirm they are indeed the individual listed on the Consent for Treatment form.

PRIVACY POLICY (HIPPA) New England Pediatrics understands that your health information is personal and private. As a patient of New England Pediatrics, you will be asked to read our Notice of Privacy Practices and to sign our Acknowledgement of Receipt of Notice of Privacy Practices.

Our Notice of Privacy Practices (HIPPA) describes our legal duty to protect your child's health information, how medical information about you may be used and disclosed and how you can obtain access to this information.

Any questions regarding our privacy practices may be directed to our practice manager at 203.972.5232 x218.

MEDICAL RECORDSTo obtain a copy of your medical records:
  • Please fill out and sign the Patient Directed Release of Records. For transfer to another practice, tell us if you want office notes only or all consult letters, lab and X-ray results. Per Connecticut law, the charge is 65¢ per page for copies plus the postage fee if the records are to be mailed. If you prefer an electronic copy and it is available for your records there is a flat $25.00 charge plus postage if applicable.
  • Be sure to identify to whom the records are being released, the purpose for the disclosure and allow 10 business days to process your request.
  • Patients 18 years of age or older must request and sign for their records or give us written permission for release to a parent or other individual.
  • If you plan to return to New England Pediatrics after a finite period, we will keep your chart on file. Otherwise, transferred records are placed in storage one year after transfer and retained for seven years after the last visit.

 

PRENATAL SESSIONS 

 

 2/11 • Dr. Palker
New Canaan

2/25 • Dr. Cipolla/Dr. Riordan
via zoom

3/10 • Dr. Davis
via zoom

3/24 • Dr. Morelli
Stamford

4/1 • Dr. Cipolla/Dr. Riordan
via zoom

4/14 • Dr. Palker
New Canaan

5/6 • Dr. Davis
via zoom

5/21 • Dr. Riordan
Stamford

 

 

 

 

 

 

 

 

 

 

 

CALENDAR OF EVENTS

Section 1557 Non-Discrimination Notice

NEW ENGLAND
PEDIATRICS

New England Pediatrics, founded in 1983, provides comprehensive health care to children from birth to 22 years of age. Families in Fairfield and Westchester Counties choose our practice for our experience and commitment to excellence.

We provide 24/7 on-call coverage. We welcome new families who expect compassionate, thorough, and collaborative care for their children.

Urgent care

Hours

Section 1557 Non-Discrimination Notice

PAYMENT & POLICIES

PAYMENT Fees
  • Co-pay: Varies per individual plan; payable at each visit.
  • Co-Insurance: Many plans require out-of-pocket payments in the form of a deductible or patient co-insurance. Until you satisfy your deductible or co-insurance amount, our charges are payable at the time of each visit.
  • Missed co-pay: $10 each
  • Missed Appointment: $50 - Well visit, $25 - Sick visit
  • Late PE Missed Appointment: Full PE Charge
  • School/Camp Form: $15 per form per patient or $30 for two or more forms per patient when submitted simultaneously.
  • Allergy Protocol Form: $15 per form per patient or $30 for two or more forms per patient when submitted simultaneously.
  • Returned check: $25 each
  • Collection charge: Individual
  • After-hours Surcharges: Services rendered outside of our standard business hours may be billed with surcharges. Surcharges may apply to walk-in hours, late physicals and weekend/holiday visits. If late physical appointments are missed, the full physical fee will be charged.
Statements
  • Your statement is mailed once a month and indicates your balance. Payment is due within 15 days from receipt of the statement.
  • We will bill any balance due to your account after your insurance company responds to our filing.
  • A balance 30 days past due is subject to an 18% annual interest charge.
Private Pay Patients If you do not have insurance or if you have an insurance plan that we do not accept, fees for our services are charged directly to the patient (or guarantor) and payment is due at the time of service. We do not bill your insurance carrier but at your request, we will provide you with an invoice at each visit so that you may file a claim.

New Health Exchanges If you have insurance through a health exchange, we are not able to see you “in network” even if the plan is through an insurance company with which we do participate, such as a commercial plan with Anthem or Oxford. If you choose to continue under our care, you will be responsible to make all payments at the time of each visit. If applicable, we will provide a bill for you to submit to your insurance plan for reimbursement.

POLICIES

FINANCIAL POLICY Each patient must have a guarantor who is responsible for timely payment of:
  • Co-pays and non-covered services.
  • Co-insurance and deductibles.
  • Fees for service if private pay.
  • Additional fees for forms, missed co-pays, returned checks, missed appointment or collection charges.
Before your first visit or after a change in coverage, confirm with our staff that we participate in your insurance plan. Read and sign our Financial Agreement & Authorization for Treatment form before services are rendered. We are required by insurance companies to receive a current and accurate insurance card at each visit to ensure timely filing of claims.

In the case of divorced parents, we cannot become involved in shared payment arrangements. The person who accompanies the child should be prepared and responsible for the necessary payment.

Our billing staff is available to help with questions and problems. Call 203.972.5233.

URGENT WEEKEND CARE If you require urgent care over the weekend, we are open on Saturday and Sunday mornings. Please call at 8:30 am for an appointment.

HIPAA UPDATE In order to protect Personal Health information (PHI) in accordance with government regulations, we may not share your PHI with schools, daycare, or camps without written consent via the” HIPAA AUTHORIZATION FOR RELEASE OF PATIENT RECORDS-Partial” form. We may share an Immunization Record Only with verbal parental consent. All other medication, health, sports, camp or absence forms require a written release form. We appreciate your understanding that our staff must follow government requirements.

18 YEAR OLD POLICY Patients who reach their 18th birthday are considered adults with regard to healthcare decisions. Their personal health information becomes protected from their parents regardless of the guarantor/insurance holder.
  • If a patient wishes, we will continue to provide care until 22 years of age. By age 22, patients must transfer care to another physician.
  • At age 18, we provide a packet that includes a summary of the conditions for care, particularly for those patients living away from home. We require a signed letter agreement from each patient acknowledging acceptance of those conditions along with private contact information. Each 18 year old can also sign a Consent to Release Patient Information form and may designate which type of medical information may be shared and with whom. Only with this permission may we discuss the patient's care with parents.
  • If you choose not to remain with New England Pediatrics after age 18, please arrange for transfer of care to an internist, family physician or gynecologist. A list of recommended physicians is included with the 18 year old packet. Transferred records are maintained for seven years after the last visit, and then are destroyed.

RIGHTS &
RESPONSIBILITIES

PATIENT RIGHTS Privacy
You and your child have the right to privacy and confidentiality. People who are not involved in your care may not receive information about you without your permission. You and your child are entitled to know what role any observer has in your care and to have any observers unrelated to your care leave if you so request. You and your child have the right to a copy of your medical record within a reasonable time frame (approximately 10 days) after your written request has been received by us.

Respect
You and your child are important and unique, and we will respect you, introduce ourselves to you, explain our role in your care, and listen to you. We will respect your individual values and your religious beliefs. Each patient has the right to the best medical care required and available, without consideration of race, color, national ancestry, age, sex, physical or mental disability, religion or ability to pay.

Information
You and your child have the right to be fully informed about your health status, recommended treatment, alternatives, benefits and risks and to be involved in your plan of care and treatment. You and your child may ask questions about your care at any time and we will answer them honestly and clearly.

Pain Management
As a patient, you have the right to information about pain and pain relief measures. You and your child are entitled to an informed and concerned staff member who will respond quickly to reports of pain with the best method of pain relief that may safely be provided. You and your child are responsible for asking your doctor or nurse about what pain to expect and what options are available for pain management. You will need to ask for pain relief when the pain first begins, help the doctor or nurse measure your pain, and inform the doctor or nurse if your pain is not relieved.

Quality
Trained professionals will work together to care for you. You and your child have the right to know the name of the physician responsible for your treatment and to speak with that physician and others involved in your care.

Choices
You and your child have the right to request a second opinion regarding your treatment and to request the names of other physicians able to provide such a second opinion.

Conflicts
In the event of a conflict concerning the care of a patient, the practice manager, along with the doctor if necessary, will work with the patient and family to reach a resolution.
ACCOMPANYING YOUR CHILD We understand that you may not always be available to bring your child to a scheduled appointment. If you expect that another individual will accompany and be responsible for your child at any time, please complete our Consent for Treatment Form. Patients 16 years of age and older may come to appointments unaccompanied, however we will need parental permission by phone in order to administer any vaccinations.

New England Pediatrics may request identification of the person who accompanies your child to confirm they are indeed the individual listed on the Consent for Treatment form.

PRIVACY POLICY (HIPPA) New England Pediatrics understands that your health information is personal and private. As a patient of New England Pediatrics, you will be asked to read our Notice of Privacy Practices and to sign our Acknowledgement of Receipt of Notice of Privacy Practices.

Our Notice of Privacy Practices (HIPPA) describes our legal duty to protect your child's health information, how medical information about you may be used and disclosed and how you can obtain access to this information.

Any questions regarding our privacy practices may be directed to our practice manager at 203.972.5232 x218.

MEDICAL RECORDSTo obtain a copy of your medical records:
  • Please fill out and sign the Patient Directed Release of Records. For transfer to another practice, tell us if you want office notes only or all consult letters, lab and X-ray results. Per Connecticut law, the charge is 65¢ per page for copies plus the postage fee if the records are to be mailed. If you prefer an electronic copy and it is available for your records there is a flat $25.00 charge plus postage if applicable.
  • Be sure to identify to whom the records are being released, the purpose for the disclosure and allow 10 business days to process your request.
  • Patients 18 years of age or older must request and sign for their records or give us written permission for release to a parent or other individual.
  • If you plan to return to New England Pediatrics after a finite period, we will keep your chart on file. Otherwise, transferred records are placed in storage one year after transfer and retained for seven years after the last visit.

 

CALENDAR OF EVENTS

PRENATAL SESSIONS 

 

 2/11 • Dr. Palker
New Canaan

2/25 • Dr. Cipolla/Dr. Riordan
via zoom

3/10 • Dr. Davis
via zoom

3/24 • Dr. Morelli
Stamford

4/1 • Dr. Cipolla/Dr. Riordan
via zoom

4/14 • Dr. Palker
New Canaan

5/6 • Dr. Davis
via zoom

5/21 • Dr. Riordan
Stamford

 

 

 

 

 

 

 

 

 

 

 

NEW ENGLAND
PEDIATRICS

New England Pediatrics, founded in 1983, provides comprehensive health care to children from birth to 22 years of age. Families in Fairfield and Westchester Counties choose our practice for our experience and commitment to excellence.

We provide 24/7 on-call coverage. We welcome new families who expect compassionate, thorough, and collaborative care for their children.
Section 1557 Non-Discrimination Notice

PAYMENT & POLICIES

PAYMENT Fees
  • Co-pay: Varies per individual plan; payable at each visit.
  • Co-Insurance: Many plans require out-of-pocket payments in the form of a deductible or patient co-insurance. Until you satisfy your deductible or co-insurance amount, our charges are payable at the time of each visit.
  • Missed co-pay: $10 each
  • Missed Appointment: $50 - Well visit, $25 - Sick visit
  • Late PE Missed Appointment: Full PE Charge
  • School/Camp Form: $15 per form per patient or $30 for two or more forms per patient when submitted simultaneously.
  • Allergy Protocol Form: $15 per form per patient or $30 for two or more forms per patient when submitted simultaneously.
  • Returned check: $25 each
  • Collection charge: Individual
  • After-hours Surcharges: Services rendered outside of our standard business hours may be billed with surcharges. Surcharges may apply to walk-in hours, late physicals and weekend/holiday visits. If late physical appointments are missed, the full physical fee will be charged.
Statements
  • Your statement is mailed once a month and indicates your balance. Payment is due within 15 days from receipt of the statement.
  • We will bill any balance due to your account after your insurance company responds to our filing.
  • A balance 30 days past due is subject to an 18% annual interest charge.
Private Pay Patients If you do not have insurance or if you have an insurance plan that we do not accept, fees for our services are charged directly to the patient (or guarantor) and payment is due at the time of service. We do not bill your insurance carrier but at your request, we will provide you with an invoice at each visit so that you may file a claim.

New Health Exchanges If you have insurance through a health exchange, we are not able to see you “in network” even if the plan is through an insurance company with which we do participate, such as a commercial plan with Anthem or Oxford. If you choose to continue under our care, you will be responsible to make all payments at the time of each visit. If applicable, we will provide a bill for you to submit to your insurance plan for reimbursement.

POLICIES

FINANCIAL POLICY Each patient must have a guarantor who is responsible for timely payment of:
  • Co-pays and non-covered services.
  • Co-insurance and deductibles.
  • Fees for service if private pay.
  • Additional fees for forms, missed co-pays, returned checks, missed appointment or collection charges.
Before your first visit or after a change in coverage, confirm with our staff that we participate in your insurance plan. Read and sign our Financial Agreement & Authorization for Treatment form before services are rendered. We are required by insurance companies to receive a current and accurate insurance card at each visit to ensure timely filing of claims.

In the case of divorced parents, we cannot become involved in shared payment arrangements. The person who accompanies the child should be prepared and responsible for the necessary payment.

Our billing staff is available to help with questions and problems. Call 203.972.5233.

URGENT WEEKEND CARE If you require urgent care over the weekend, we are open on Saturday and Sunday mornings. Please call at 8:30 am for an appointment.

HIPAA UPDATE In order to protect Personal Health information (PHI) in accordance with government regulations, we may not share your PHI with schools, daycare, or camps without written consent via the” HIPAA AUTHORIZATION FOR RELEASE OF PATIENT RECORDS-Partial” form. We may share an Immunization Record Only with verbal parental consent. All other medication, health, sports, camp or absence forms require a written release form. We appreciate your understanding that our staff must follow government requirements.

18 YEAR OLD POLICY Patients who reach their 18th birthday are considered adults with regard to healthcare decisions. Their personal health information becomes protected from their parents regardless of the guarantor/insurance holder.
  • If a patient wishes, we will continue to provide care until 22 years of age. By age 22, patients must transfer care to another physician.
  • At age 18, we provide a packet that includes a summary of the conditions for care, particularly for those patients living away from home. We require a signed letter agreement from each patient acknowledging acceptance of those conditions along with private contact information. Each 18 year old can also sign a Consent to Release Patient Information form and may designate which type of medical information may be shared and with whom. Only with this permission may we discuss the patient's care with parents.
  • If you choose not to remain with New England Pediatrics after age 18, please arrange for transfer of care to an internist, family physician or gynecologist. A list of recommended physicians is included with the 18 year old packet. Transferred records are maintained for seven years after the last visit, and then are destroyed.

RIGHTS &
RESPONSIBILITIES

PATIENT RIGHTS Privacy
You and your child have the right to privacy and confidentiality. People who are not involved in your care may not receive information about you without your permission. You and your child are entitled to know what role any observer has in your care and to have any observers unrelated to your care leave if you so request. You and your child have the right to a copy of your medical record within a reasonable time frame (approximately 10 days) after your written request has been received by us.

Respect
You and your child are important and unique, and we will respect you, introduce ourselves to you, explain our role in your care, and listen to you. We will respect your individual values and your religious beliefs. Each patient has the right to the best medical care required and available, without consideration of race, color, national ancestry, age, sex, physical or mental disability, religion or ability to pay.

Information
You and your child have the right to be fully informed about your health status, recommended treatment, alternatives, benefits and risks and to be involved in your plan of care and treatment. You and your child may ask questions about your care at any time and we will answer them honestly and clearly.

Pain Management
As a patient, you have the right to information about pain and pain relief measures. You and your child are entitled to an informed and concerned staff member who will respond quickly to reports of pain with the best method of pain relief that may safely be provided. You and your child are responsible for asking your doctor or nurse about what pain to expect and what options are available for pain management. You will need to ask for pain relief when the pain first begins, help the doctor or nurse measure your pain, and inform the doctor or nurse if your pain is not relieved.

Quality
Trained professionals will work together to care for you. You and your child have the right to know the name of the physician responsible for your treatment and to speak with that physician and others involved in your care.

Choices
You and your child have the right to request a second opinion regarding your treatment and to request the names of other physicians able to provide such a second opinion.

Conflicts
In the event of a conflict concerning the care of a patient, the practice manager, along with the doctor if necessary, will work with the patient and family to reach a resolution.
ACCOMPANYING YOUR CHILD We understand that you may not always be available to bring your child to a scheduled appointment. If you expect that another individual will accompany and be responsible for your child at any time, please complete our Consent for Treatment Form. Patients 16 years of age and older may come to appointments unaccompanied, however we will need parental permission by phone in order to administer any vaccinations.

New England Pediatrics may request identification of the person who accompanies your child to confirm they are indeed the individual listed on the Consent for Treatment form.

PRIVACY POLICY (HIPPA) New England Pediatrics understands that your health information is personal and private. As a patient of New England Pediatrics, you will be asked to read our Notice of Privacy Practices and to sign our Acknowledgement of Receipt of Notice of Privacy Practices.

Our Notice of Privacy Practices (HIPPA) describes our legal duty to protect your child's health information, how medical information about you may be used and disclosed and how you can obtain access to this information.

Any questions regarding our privacy practices may be directed to our practice manager at 203.972.5232 x218.

MEDICAL RECORDSTo obtain a copy of your medical records:
  • Please fill out and sign the Patient Directed Release of Records. For transfer to another practice, tell us if you want office notes only or all consult letters, lab and X-ray results. Per Connecticut law, the charge is 65¢ per page for copies plus the postage fee if the records are to be mailed. If you prefer an electronic copy and it is available for your records there is a flat $25.00 charge plus postage if applicable.
  • Be sure to identify to whom the records are being released, the purpose for the disclosure and allow 10 business days to process your request.
  • Patients 18 years of age or older must request and sign for their records or give us written permission for release to a parent or other individual.
  • If you plan to return to New England Pediatrics after a finite period, we will keep your chart on file. Otherwise, transferred records are placed in storage one year after transfer and retained for seven years after the last visit.

 

CALENDAR OF EVENTS

PRENATAL SESSIONS 

 

 2/11 • Dr. Palker
New Canaan

2/25 • Dr. Cipolla/Dr. Riordan
via zoom

3/10 • Dr. Davis
via zoom

3/24 • Dr. Morelli
Stamford

4/1 • Dr. Cipolla/Dr. Riordan
via zoom

4/14 • Dr. Palker
New Canaan

5/6 • Dr. Davis
via zoom

5/21 • Dr. Riordan
Stamford

 

 

 

 

 

 

 

 

 

 

 

STAY INFORMED

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Section 1557 Non-Discrimination Notice
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