Policies

We work hard to not overuse antibiotics.

We educate families on appropriate use of antibiotics, but follow evidence-based guidelines and don’t automatically treat ear pain or a green snotty nose with antibiotics.

We do not routinely prescribe antibiotics over the phone as we do not believe that is good medicine. We will prescribe an antibiotic when we believe it is an appropriate treatment.

We understand that a visit to the doctor can be stressful for both patients and their parents. We do our best to see patients at the time for which their appointment is scheduled, but we cannot completely control waiting room time. If you are in an examining room for what you believe is an excessive period of time, please notify a nurse or another employee; we will work to address the issue. Please remember that sometimes there are emergencies over which we have no control, and we are always doing our best to stay on time.

You are your child’s most important caregiver, and we look forward to working with you to make sure your child stays healthy and happy. It is beneficial to all involved if parents can assist us in examining their children; ideally, the provider and the parents act as a team towards ensuring the child’s overall health. Parental passivity or impatience do not enhance the experience and can convey a lack of support to your child during what can be a difficult time.

We expect children under twelve to be accompanied by a parent or guardian for a well child visit; nannies, baby sitters, and siblings cannot usually provide the information we need and often will not fully understand our instructions or requests. Adolescents are examined alone, and parts of the examination are confidential (see our Adolescent Privacy Policy below). Nevertheless, it is helpful for adolescents to be accompanied by a parent or guardian as well.

• Chaperone Policy
• Adolescent Confidentiality & Transition Policy
• HIPAA Information 
• Información HIPAA
• Over 18 HIPAA Consent & Release Form

Prescription re-fill requests can be called in to our office at (978) 745-3050 between 8:00AM and 4:00PM, Monday through Friday, for pick-up at your designated pharmacy that day. Requests made after 4:00PM can be picked up the following day.

For patients refilling prescriptions for Adderall, Concerta, Daytrana, Dexedrine, Focalin, Metadate, Methylin, Ritalin and Vyvanse:

• We are able to electronically prescribe these medications and send them to your pharmacy.

• Please make sure you bring a photo I.D. with you to pick up the prescription.

• Missing an Adderall, Concerta, Daytrana, Dexedrine, Focalin, Metadate, Methylin, Ritalin, or Vyvanse dose does not constitute a medical emergency. These medications do not build up in the system and no harm will come to the patient other than the distress of being less attentive and/or self-controlled.

• Please note that the on-call and weekend providers will not refill these prescriptions.

• We require medication rechecks at least every 6 months for controlled substances and mental health medications for behavior, anxiety, depression, ect.

Please remember that refills can only be given to patients who have been seen within the past year. If your child has not been seen for more than a year, you will need to schedule an appointment.

PAGS physicians have privileges at and are affiliated with Beverly Hospital and North Shore Medical Center. We refer our patients to all major hospitals and specialists in the Greater Boston Area, including Boston Children’s Hospital, Tufts Medical Center and Massachusetts General Hospital. Our primary care providers (PCP) work with many qualified specialists and will work with you to find the right fit for your family.

Everyone's Time is Equally Valuable.

We ask that you arrive 5 minutes before your scheduled appointment time. We understand sometimes things happen beyond your control that may cause you to be late. However, we reserve the right to ask you to reschedule if you arrive late for your appointment.

Our practice makes every effort to run on time with appointments, as we believe everyone’s time is equally valuable.

Upcoming Appointments Via Phone/Text Message/Email

Missed Appointments: Broken appointments represent a cost to us, to you, and to other patients who could have been seen in the time set aside for you. We reserve the right to charge a fee for canceled or missed appointments. We request 24 hours notice for cancellation of appointments.

A fee may be charged for a second missed appointment. The third consecutive missed appointment will result in discharge from the practice.

For new patients, a fee may be charged if the FIRST appointment is missed.

Efficiency through the use of technology

You will be encouraged to consult our website, register for and use our patient portal, and effectively use automated reminders for appointments and for routine care/immunizations that are due.

As medical professionals, we feel very strongly that vaccinating children on schedule with currently available vaccines is absolutely the right thing to do for all children and young adults. We are making you aware of these facts not to scare you or coerce you, but to emphasize the importance of vaccinating your child. We are more than willing to discuss any questions you may have about vaccines, but do require all new patients to our practice to adhere to the vaccination schedule endorsed by the American Academy of Pediatrics (AAP)

• We firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives.
• We firmly believe in the safety of our vaccines.
• We firmly believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP).
• We firmly believe, based on all available literature, evidence, and current studies, that vaccines do not cause autism or other developmental disabilities.
• We firmly believe that thimerosal, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
• We firmly believe that vaccinating children and young adults may be the single most important health promoting intervention we perform as health care providers, and that you can support as parents/caregivers.

The recommended vaccines and the schedule of administration are the results of years and years of scientific study and data-gathering on millions of children by thousands of our brightest scientists and physicians.

The vaccine campaign is truly a victim of its own success. It is precisely because vaccines are so effective at preventing illness that we are even discussing whether or not they should be given. Because of vaccines, many of you have never seen a child with polio, tetanus, whooping cough, bacterial meningitis, or even chickenpox, or known a friend or family member whose child died of one of these diseases. Such success can make us complacent or even lazy about vaccinating. But such an attitude, if it becomes widespread, can only lead to tragic results.

Over the past several years, many people in Europe have chosen not to vaccinate their children with the MMR (measles, mumps, rubella) vaccine after publication of an unfounded suspicion (later retracted) that the vaccine caused autism. As a result of under-immunization, there have been small outbreaks of measles and several deaths from complications of measles in Europe over the past several years. The United States experienced a record number of measles cases during 2019, with 1282 cases from 31 states reported to CDC's National Center for Immunization and Respiratory Diseases (NCIRD). This is the greatest number of cases since measles elimination was documented in the U.S. in 2000.

Furthermore, we firmly believe that by not vaccinating your child, you are taking selfish advantage of thousands of others who do vaccinate their children, which decreases the likelihood that a child will contract one of these diseases. We feel such an attitude to be self-centered and unacceptable. Even delaying or “breaking up the vaccines” to give one or two at a time over additional visits goes against expert recommendations, is not supported by any scientific data, can lead to unnecessary delays and errors, and can put your child, other children, and adults at risk for serious illness (or even death). It is therefore against our medical advice as professionals at Pediatric Associates of Greater Salem.