Terms and Conditions
Effective Date: 8/15/2025
By using our services, website, or patient portal, you agree to the following Terms and Conditions.
1. Scope of Services
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Our clinic provides pediatric healthcare to infants, children, and adolescents.
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Services may include preventive care, sick visits, vaccinations, diagnostic testing, laboratory services, telehealth, and referrals.
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All care is provided by licensed healthcare professionals under California law.
2. Patient Eligibility
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Patients must be accompanied by a parent or legal guardian unless legally permitted to consent on their own (see Section 6: Patient Rights).
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Parents/guardians are responsible for providing accurate demographic, medical, and insurance information.
3. Appointments & Cancellations
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Appointments are required for most visits. Same-day visits may be available on a first come first serve basis or urgent needs.
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Please provide 24 hours’ notice for cancellations. Missed appointments may result in a fee.
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Repeated no-shows or late cancellations may affect future scheduling.
4. Telehealth Services (California Law)
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Telehealth is available when medically appropriate.
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Under California Business & Professions Code § 2290.5, informed consent is required before starting a telehealth visit.
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Patients may refuse telehealth and request in-person care.
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Telehealth is conducted over secure, HIPAA-compliant platforms.
5. Billing & Insurance
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Parents/guardians are financially responsible for all charges, including amounts not covered by insurance.
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Co-pays, deductibles, and balances are due at the time of service.
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We accept most major California insurance plans. Verification is required at each visit.
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Uninsured patients may request cash-pay rates or payment arrangements, as allowed by law.
6. Patient & Minor Rights in California
At Atlantic Pediatric, we respect the legal rights of pediatric patients and their families under California and federal law:
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General Patient Rights
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To be treated with respect, dignity, and privacy.
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To receive care regardless of race, ethnicity, religion, gender, sexual orientation, or disability.
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To access your child’s medical records, except where restricted by law.
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To request corrections to medical records.
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To consent to or refuse medical treatment (if the patient is legally permitted to consent).
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Parental Rights
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Parents/legal guardians generally have the right to make healthcare decisions for their children.
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Parents/guardians will be informed about diagnosis, treatment options, and care plans except when minors legally consent to certain services on their own.
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Minor Consent Rights (California Family Code §§ 6920–6929)
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California law allows minors to consent to certain healthcare services without parental involvement, including:
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Age 12+: Outpatient mental health treatment or counseling (if deemed mature enough).
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Age 12+: Services related to sexual and reproductive health (e.g., contraception, pregnancy, STD testing/treatment).
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Age 12+: Substance use disorder treatment.
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Any Age: Emergency care when delay would endanger health or life.
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In these cases, minors control access to their medical information, and parents/guardians may not have access to those records without the minor’s consent.
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Privacy & Confidentiality
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We comply with HIPAA and the California Confidentiality of Medical Information Act (CMIA).
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Patient information is only shared with authorized parties or as required by law.
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7. Website & Patient Portal Use
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The patient portal allows for secure communication, test results, scheduling, and billing.
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It is not for emergencies. Call 911 in life-threatening situations.
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Unauthorized use of the portal or website is prohibited.
8. Emergencies
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Our clinic is not an emergency care facility.
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For urgent or life-threatening emergencies, call 911 or visit the nearest emergency department.
9. Code of Conduct
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Respectful communication and behavior are required from patients, guardians, and staff.
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Threats, abuse, or discrimination may result in dismissal from the practice in compliance with California law.
10. Changes to Terms
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We may update these Terms & Conditions at any time. Updates will be posted in our office and on our website.
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Continued use of services constitutes acceptance of updates.
11. Governing Law
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These Terms & Conditions are governed by the laws of the State of California.
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Any disputes will be resolved under California jurisdiction.
12. Contact Information
For questions about these Terms & Conditions, please contact:
Cesear Pinon, Office Manager
Address: 7601 Atlantic Ave, Cudahy, CA 90201
Phone: (323) 562-3500
Email: shafaimd.inc@gmail.com
