Will I always see my Primary Care Pediatrician when I come to the Pediatric and Adolescent Medicine Department?
We are committed to caring for your child and want you to see your own provider as often as possible. On the days your PCP is not available there is always a pediatric provider available.
Who will care for my child?
Our receptionists greet all patients upon arrival to our department. They will assist you with making appointments by phone or at the desk.
The phone nurse is the link between you and your PCP; she answers your questions and can give you advice for concerns requiring a nurse's expertise. She can refill most prescriptions and make same-day appointments. She has direct contact with your PCP for urgent matters. After our regular office hours, our phones are answered by highly qualified phone nurses who work with the on-call pediatrician.
A clinical nurse or medical assistant greets you and your child in the waiting area and will then escort you to an exam room. She will ask questions, compile a brief history and make an initial assessment. She also keeps immunizations up to date, does treatments and other procedures.
Nurse practitioners (abbreviated A.R.N.P.) are registered nurses with advanced education and special clinical training in Pediatrics. Our A.R.N.P. diagnoses illness, prescribes treatments and does health maintenance visits.
Our pediatricians are all board certified or board eligible pediatricians with special training and experience in child healthcare and development.
What should I know about scheduling appointments?
To arrange appointments for physicals, routine health maintenance visits or scheduled follow-up care call 354-6666 Monday through Friday, 9:00 a.m.-5:00 p.m.
We provide care for unexpected illnesses and injuries as well as care for other urgent situations. To schedule appointments for sickness or same-day care, call our office at 354-6666 beginning at 8:00 a.m., Monday through Friday. Please phone as early as possible if you think your child may need to come in. This affords the best chance of seeing your child's primary care provider. Unless the problem is dangerously urgent, patients who walk in without an appointment will be seen by the on-call pediatric provider at the next available appointment time.
For emergencies and accidents call 354-6666. We encourage you to always call ahead which can often save you a trip in to our office, a trip to the emergency room, or an unnecessary wait when you arrive. If you are calling long distance, please call 1-800-649-0891 and ask the operator for Pediatrics.
How do I get my child's prescription filled?
To refill a prescription, please call 354-6666 weekdays between the hours of 9:00 a.m. and 5:00 p.m. Refills may also be requested through myD-H (formerly Patient Online (POL)). It is helpful if you have all the information about the medicine to be refilled at hand, including the name of your pharmacy. It is always best if you can call 5-7 days before you will run out of medicine, especially for controlled medicines like Ritalin or Adderall.
What if my child requires specialty care?
A pediatrician is a specialist in the care of many childhood illnesses. However, sometimes your pediatrician will need to consult with a specialist in a specific area of disease. If your child has a chronic illness, such consultation may be ongoing. You and your PCP will make this decision together based on your child's medical needs. Dartmouth-Hitchcock Keene provides many areas of specialty care, which means that most of the time your PCP can refer you to a highly qualified specialist right here!
What are the types of visits you provide?
Well Child Visits
We schedule well-child visits to coordinate with the immunization schedule at one week, 1, 2, 4, 6, 9, 12, 15 and 18 months, 2 years and annually after that. As part of our preventive care, we follow the guidelines of the American Academy of Pediatrics, which is dedicated to the health, safety and well-being of infants, children, adolescents, and young adults.
These routine well-child visits are important to assess your child's proper growth, nutrition and development, to perform a physical exam to be sure your child is growing big and strong, to ensure proper immunizations are given as well as to answer your concerns. Please try to develop a habit of jotting down questions about your child's health or behavior at home to discuss at your child's well-visits.
To be certain that we are able to care for sick children on the day you call and to prevent overbooking, we limit the number of well child visits in any day. Therefore, it is best to plan ahead and book your child's well visits ahead of time, as you are leaving is a good idea.
Teens & Young Adults
As our young patients grow older, they take more responsibility for themselves and for their own health care. We want them and their parents to know that we view them as our patients, and that our primary concern and responsibility is for them and for their needs. We encourage our adolescent and young adult patients to speak with us directly, and to feel free to discuss with us any concerns that they may have about their health and about their bodies.
On some occasions, there will be issues that our patients discuss with us that will be confidential in nature. We encourage discussion of these issues, because we feel that our patients deserve the right to have a physician who can listen to these issues and respond to them. It is our policy when dealing with adolescent and young adult patients to keep confidential any issues that our patients request us to, with the sole exception of issues that might be serious enough to be life-threatening.
If your child has an emergency that threatens life or limb, call 911 for assistance or go directly to the Emergency Room at Cheshire Medical Center/Dartmouth-Hitchcok Keene. If you can possibly call us first, we can notify the hospital of the emergency and facilitate your child's visit.
If you call after-hours for a problem and the pediatrician on-call tells you to go to the Emergency Room, please call the office the next day so that we can follow-up on the ER treatment. This call to the office is especially important if your insurance requires a referral to cover the ER visit.