Immunization and Treatment Policy
Pediatric Health Associates requires a parent/legal guardian to accompany their child to each and every office visit.
In the event that this is not possible, then a written release must be provided to PHA including the following:
- Date the release is written
- Child’s name
- Child’s date of birth
- Parent/legal guardian signature
- Phone number where parent/legal guardian can be reached in case of an emergency
- Person authorized to accompany your child and make medical decisions in the event that a parent/legal guardian cannot be contacted.
Please note this person’s relationship to the parent and child. This is only effective for one date of service.
Please note that immunizations/allergy shots will only be given in the presence of the parent/legal guardian. Any other requests outside these guidelines must be approved in writing by our nursing manager.