Information and Forms

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You're in great hands

Our staff is very experienced in providing high quality professional care and personalized family-based services for children.

For a shorter time in the waiting room, please read and fill out ALL the following forms before your first visit

 

Insurance Policy:

 
 

Cancellation Policy:

We are considered an out of network practice for all insurance companies. We will provide each family with a superbill that has all the information they should need to submit the claim to the insurance company so that they can reimburse you directly. 

 

Cancellation Policy: We ask for 24 hours notice if you find that you cannot make your appointment. For patients that schedule an evaluation and do not show to that evaluation a full session rate will be charged. Last minute cancellations (i.e., less than twelve hours before the designated appointment and/or no calls or no shows) will be billed for the entire treatment session missed.  Exceptions to the cancellation policy will be made for clients who are ill upon awakening.  Please call and leave a message first thing in the morning (before 8AM) if your child is sick. If you wait until right before the appointment to call and cancel you will be billed. If the weather is bad, we will contact you to discuss arrangements. If you are calling to cancel on the morning of the appointment, please call 703.606.6213 or leave an email at: ProgressivePediatrics1@gmail.com