Almaden Pediatrics http://www.almadenpediatrics.com San Jose, California, Pediatrics Fri, 29 Jan 2010 23:04:39 +0000 http://wordpress.org/?v=2.8.6 en hourly 1 Autism Screening Form http://www.almadenpediatrics.com/in-the-community/forms/autism-screening-form http://www.almadenpediatrics.com/in-the-community/forms/autism-screening-form#comments Sun, 24 Jan 2010 13:28:47 +0000 admin http://www.almadenpediatrics.com/?page_id=891 Autism Screening Form
This questionnaire is used to help identify children who are at risk for autism. Please print, complete, and bring to your child’s 18 month and 2 year visits. You may also use this form for any child under the age of 5 years.
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]]> http://www.almadenpediatrics.com/in-the-community/forms/autism-screening-form/feed 0 Behavior/ADHD Evaluation and Diagnosis Forms http://www.almadenpediatrics.com/in-the-community/forms/behavioradhd-evaluation-and-diagnosis-forms http://www.almadenpediatrics.com/in-the-community/forms/behavioradhd-evaluation-and-diagnosis-forms#comments Sun, 24 Jan 2010 13:28:01 +0000 admin http://www.almadenpediatrics.com/?page_id=888 Behavioral/ADHD Diagnosis Packet and Forms
Our Behavioral/ADHD Diagnosis Packet includes the following important information and forms:

Our Behavioral Health Policy which outlines the financial arrangements and obligations of patients and their insurance company.

The Behavioral Initial Visit form which asks you to review the child’s behavior in various settings and is to be completed by the parents prior to the initial visit.

The Vanderbilt Parent Questionnaire which needs to be completed by the parents. We recommend that each parent complete an individual form.

The Vanderbilt Teacher Questionnaire. Please print and ask your child’s teacher(s) to complete the Vanderbilt Teacher Questionnaire. In addition to your child’s present teacher, we recommend that you have as many past teachers as possible also complete the questionnaire.

Download the Behavior Diagnosis Evaluation and Forms PacketDownload PDF

]]> http://www.almadenpediatrics.com/in-the-community/forms/behavioradhd-evaluation-and-diagnosis-forms/feed 0 Autism Screening http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/autism-screening http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/autism-screening#comments Sun, 24 Jan 2010 12:59:13 +0000 admin http://www.almadenpediatrics.com/?page_id=875 Autism Screening Form
This questionnaire is used to help identify children who are at risk for autism. Please print, complete, and bring to your child’s 18 month and 2 year visits. You may also use this form for any child under the age of 5 years.
Download PDF

]]> http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/autism-screening/feed 0 Behavioral & ADHD Diagnosis Packet and Forms http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/behavioral-adhd-diagnosis-packet-and-forms http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/behavioral-adhd-diagnosis-packet-and-forms#comments Sun, 24 Jan 2010 12:57:00 +0000 admin http://www.almadenpediatrics.com/?page_id=867 Behavioral/ADHD Diagnosis Packet and Forms
Our Behavioral/ADHD Diagnosis Packet includes the following important information and forms:

Our Behavioral Health Policy which outlines the financial arrangements and obligations of patients and their insurance company.

The Behavioral Initial Visit form which asks you to review the child’s behavior in various settings and is to be completed by the parents prior to the initial visit.

The Vanderbilt Parent Questionnaire which needs to be completed by the parents. We recommend that each parent complete an individual form.

The Vanderbilt Teacher Questionnaire. Please print and ask your child’s teacher(s) to complete the Vanderbilt Teacher Questionnaire. In addition to your child’s present teacher, we recommend that you have as many past teachers as possible also complete the questionnaire.

Download the Behavior Diagnosis Evaluation and Forms PacketDownload PDF

]]> http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/behavioral-adhd-diagnosis-packet-and-forms/feed 0 Records Release Form http://www.almadenpediatrics.com/in-the-community/forms/records-release-form http://www.almadenpediatrics.com/in-the-community/forms/records-release-form#comments Sat, 23 Jan 2010 14:11:35 +0000 admin http://www.almadenpediatrics.com/?page_id=861 Records Release
In order for us to receive records from your previous doctor, please print and complete the records release form.
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]]> http://www.almadenpediatrics.com/in-the-community/forms/records-release-form/feed 0 Patient Information Form http://www.almadenpediatrics.com/in-the-community/forms/patient-information-form http://www.almadenpediatrics.com/in-the-community/forms/patient-information-form#comments Sat, 23 Jan 2010 14:06:45 +0000 admin http://www.almadenpediatrics.com/?page_id=854 Patient Information Form
The registration form provides us with your family and contact information. Please complete this form online (use the Tab key to move around the form), print it and bring to your first appointment.
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]]> http://www.almadenpediatrics.com/in-the-community/forms/patient-information-form/feed 0 Immunization Policy http://www.almadenpediatrics.com/in-the-community/office-policies/immunization-policy http://www.almadenpediatrics.com/in-the-community/office-policies/immunization-policy#comments Sat, 23 Jan 2010 14:04:12 +0000 admin http://www.almadenpediatrics.com/?page_id=850 Immunization Policy
This form outlines our policy that all patients must be immunized. A signed form is required for all patients. Please print and sign.
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]]> http://www.almadenpediatrics.com/in-the-community/office-policies/immunization-policy/feed 0 Disclaimers http://www.almadenpediatrics.com/disclaimers http://www.almadenpediatrics.com/disclaimers#comments Thu, 21 Jan 2010 17:23:10 +0000 admin http://www.almadenpediatrics.com/?page_id=664 Notice to Website Viewers
This web site is provided for information and education purposes only. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information contained here should be used in consultation with a doctor of your choice. No guarantees or warranties are made regarding any of the information contained within this web site.

Policy Concerning Links to Outside Web Sites
Almaden Pediatrics’ Web site has links to outside Internet pages, which might have information on health topics of interest to you. Almaden Pediatrics, however, does not sponsor or endorse any of these sites, nor does Almaden Pediatrics make any guarantee, warranty or representation regarding the accuracy of the information contained on the Web sites. In addition, Almaden Pediatrics has no control over the privacy or security practices of external Web sites. The user should read and understand the policies of all Web sites with respect to these practices. These links are provided for your general information and education only, and should NOT be relied upon for personal diagnosis or treatment.

E-mails
Almaden Pediatrics uses a third-party vendor to manage and send e-mail newsletters to our patients and others who have requested to be put on our distribution lists. Your email address is never used for any other purpose than to communicate with you. We also do not link your e-mail address to any other personal health information you’ve given us. Almaden Pediatrics never shares any information, other than your e-mail address, with the vendor, which is not allowed to share your e-mail address with anyone else.

All newsletters offered by Almaden Pediatrics are by voluntary subscription only. You may cancel your subscription to a newsletter at anytime by clicking on the “unsubscribe” link found on the newsletter or other e-mail that you receive.

Links within newsletters are coded to track statistical data about the use of our e-mails, such as how many people have opened our newsletter. This tracking provides us with information on the usefulness of our communications.

]]> http://www.almadenpediatrics.com/disclaimers/feed 0 HIPPAA (Privacy) Policy http://www.almadenpediatrics.com/in-the-community/office-policies/hippaa-privacy-policy http://www.almadenpediatrics.com/in-the-community/office-policies/hippaa-privacy-policy#comments Mon, 18 Jan 2010 01:36:22 +0000 admin http://www.almadenpediatrics.com/?page_id=785 HIPPAA (Privacy) Policy
This document provides important information about your privacy rights. Please print and read this document.Download PDF

HIPPAA (Privacy) Acknowledgement
This form acknowledges that you have received and read our HIPPAA-compliant privacy policy. Please print and sign this form.
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]]> http://www.almadenpediatrics.com/in-the-community/office-policies/hippaa-privacy-policy/feed 0 Credit and Financial Policy http://www.almadenpediatrics.com/in-the-community/office-policies/credit-and-financial-policy http://www.almadenpediatrics.com/in-the-community/office-policies/credit-and-financial-policy#comments Mon, 18 Jan 2010 01:32:57 +0000 admin http://www.almadenpediatrics.com/?page_id=771 Credit and Financial Policy
Our credit and financial policy explains our procedures for billing your insurance company and outlines your responsibility to pay.
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