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Registration Form
Office Policies
Forms & Policies
Forms

Quickly and conveniently obtain forms from our office. To view the forms listed below, you will need Adobe Reader. You may bring or mail your completed forms to the office at the time of your visit.

You may download Adobe Reader for free at http://www.adobe.com/.

Registration Packet

All of our forms located within one file. You may download this, print it out, fill out the necessary forms to bring into the office.

Insurance Information

Young Pediatrics participates in the following insurance plans (as well as other smaller plans, please call for verification):

Aetna/ US HealthCare
Beech Street
Berkshire Health
Blue Cross/Blue Shield HMO/PPO - IL
Blue Cross/Blue Shiled HMO/PPO - MO
Cigna PPO and HMO
GHP
Great West Health Plan

Healthlink HMO/PPO
IDPA-All Kids
Tricare
Unicare
United Health Care

Insurance Tips:

  • Be sure to notify your insurance company about any newborns!
  • It is vital that you have your new baby added to your policy during the stated grace period. With most insurance companies this gives you thirty days from the date of birth to have the baby added or they will deny your claims back to the the babies date of birth.
  • We will ask you for a copy of your insurance card at your initla visit in order to verify your current insurance coverage. If your insurance coverage changes, please have your new insurance cards available at the time of the visit.
  • Find out if your insurance plan covers immunizations 100%. If your insurance plan does not cover immunizations completely, Young Pediatrics participates in the Vaccines for Children (VFC) program that provides immunizations to children at no cost to you!

 

 

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