For Teens Only Questions for Your New Provider
For Teens Only Questions for Your  New Provider
1. Do you take my insurance and/or Medicaid? ________ If I don't have insurance,
are youwilling to work with me regarding payments? ____________________________
2. Where do you send patients for emergency care and what hospitals do you have
privileges at?
_____________________________________________________________________
3. How many patients with my condition do you follow or have you followed?
_____________________________________________________________________
4. How do you handle appointments if I need to be seen on short notice due to an
acute problem with my condition?
_____________________________________________________________________
5. Who covers your duties after hours and for vacations _____________________
_____________________________________________________________________
6. What practices do you have with regards to following long term complications
associated with my condition? _____________________________________________
______________________________________________________________________
7. Can some of the issues regarding my condition be followed by my primary care
provider?_______________________________________________________________
______________________________________________________________________
8. Do you have support services such as social workers, dieticians, physical and
occupational therapy that I can be referred to if needed? ________________________
______________________________________________________________________
______________________________________________________________________
9. Who coordinates for care by additional specialty providers if this is needed?
______________________________________________________________________
______________________________________________________________________
10. Do you communicate by email?
______________________________________________________________________
11. What is the turn-around time on phone calls? Who returns phone calls?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

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