Before Your First Visit
We will ask for basic information about your family, your insurance, and your child’s medical history before a first visit. Your first visit will go more quickly should you print, read, and complete the Patient Packet, Privacy Notice, Acknowledgement of Privacy Notice, and Authorization to Release Information prior to coming in for your visit.
When you arrive at your appointment, please bring the following:
- Your health insurance card or Medicaid information, or the information of the person who covers the child’s medical care
- Any changes in personal information such as address, insurance, or phone number
- Picture ID
- Completed forms (don’t worry if you forget these - we have plenty of blank ones in our offices)
Fountain at North Florida Pediatrics - Lake City (Main Office Location)
We understand that children can get sick without warning, and we do our best to see them as soon as possible. The earlier you call to schedule an appointment, the more likely you are to get an appointment that day. Should you call later in the day, we will do our best to provide you with an appointment as soon as possible, but may have to schedule your appointment for the next day.
If you would like to see a specific doctor for a regular checkup, plan on calling at least four weeks ahead of time to schedule an appointment with him or her. If you are unable to call that far in advance, we may be able to provide you with appointment but may need to schedule you with a different doctor or request for you to go to a different office.
We are here to schedule appointments starting at 8:00 a.m. on weekdays.
Please Note: To keep people from having to wait too long in our offices, we will reschedule your appointment if you are more than 15 minutes late to your doctor's visit.
Sometimes your pediatrician may recommend that your child will see another doctor or a specialist after their appointment. We will work with you and your insurance provider to find the best specialist near you for your child. In the event that you might have any questions about this process, you may personally ask your doctor or you may call our Lake City office and ask to speak with our Referral Coordinator.
We work with as many insurance plans as we can. Call our office or your insurance provider with questions about your coverage, how much you will have to pay, and which doctors you can see.
We accept the following insurance plans. If you have any other type of insurance, please contact our office to discuss your billing options.
- Aetna (HMOs must have Dr. Samuel Santelices listed as PCP)
- AvMed (HMOs must have Dr. Samuel Santelices listed as PCP)
- BCBS (HMOs must have Dr. Samuel Santelices listed as PCP)
- First Health Network
- Golden Rule
- Great West
- Mail Handlers Benefits
- Prestige Health Choice
- Sunshine Health
- United American Insurance Company
- UnitedHealthcare Healthy Kids
- Vista (both Healthy Kids & Commercial Plans)
*** North Florida Pediatrics does not discriminate any individual for provision of care based on ability/inability to pay or based upon an individual’s race, color, sex, national origin, disability, religion, or sexual orientation.
Sliding Fee Program
If you do not have insurance or have other concerns regarding insurance bills, please call and inquire about our sliding fee program. We do offer discounts to our patients based on household size and income.
*** North Florida Pediatrics does not discriminate any individual for provision of care based on ability/inability to pay or based upon an individual’s race, color, sex, national origin, disability, religion or sexual orientation.
For your convenience, all patient forms and policies are available here on our website. You may print out and complete any of these forms prior to your appointment. These forms are also available at each of our office locations.
- Patient Packet
- Privacy Notice
- Acknowledgement of Privacy Notice
- Authorization to Release Information
- HIPAA Violation Complaint Form
- Patient Satisfaction Survey Form
- Encuesta Satisfaccion del Paciente
- Notice of Nondiscrimination
- Sliding Fee Policy
Any other questions? Please do not hesitate to contact our main office at (386) 758-0003 for any questions or concerns.