Hilltoppediatrics.com

Hilltop Pediatrics

WebColumbia University College of Physicians and Surgeons, Overlook Hospital, Summit, NJ 1995 - 1998. Practice of General Pediatrics since 1998. Board Certification: American Board of Pediatrics, original certification 1998, re-certification 2005. Professional Organizations:

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URL: http://www.hilltoppediatrics.com/about.php

Hilltop Pediatrics

WebWelcome to the Hilltop Pediatrics web site. At the present time Dr. Margaret Gajda is the only pediatrician in our office. Our practice provides state of the art medical care for children since birth to twenty-one years of age. We will be delighted if you choose us to provide medical care for your child or children.

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Hilltop Pediatrics

WebRECOMMENDED WELL VISIT SCHEDULE LISTED BY AGE 1-2 WEEKS - Visit will include full physical and developmental examination with explanation of all findings, height, weight, head circumference measurements and standard vitals signs, an overview of expected growth and development milestones. Also, any questions parents or guardians have will …

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Hilltop Pediatrics

WebI am the billing specialist for the office. My responsibilities are to file all insurance claims, post all insurance payments and adjustments, make any follow up appointments that are needed when checking out of the office, and collecting any outstanding balances. Cheri - Billing Specialist. Krzysztof (Chris) J. Gajda, CPA Practice Manager.

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Dear Parent or Guardian

WebWell Visits and Immunizations Dear Parent or Guardian: Today or on a future date your child is to receive a well visit and/or immunization. Our goal is to verify your insurance coverage prior to your visit.

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PARENTAL AUTHORIZATION FOR TREATMENT OF A MINOR

WebPARENTAL AUTHORIZATION FOR TREATMENT OF A MINOR. (Parent/Guardian name) (Child’s name) to give consent for the medical treatment of the above named child for any health condition that he/she may encounter, or to bring the child to Hilltop Pediatrics for well check-ups/immunizations. I also authorize Hilltop Pediatrics Staff to give

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General Information HIPAA form

WebGeneral Information Page 2 of 3 Clinic Hours M-T-W-T-F 8:30 am to 5:00 pm After hours For life threatening medical emergencies after hours or weekends please call 911

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Medical Records Release Form

WebMedical Records Release Form PATIENT NAME: _____ DATE OF BIRTH: _____/_____/_____ By signing this form, I authorize you to release confidential health information

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Authorization Form For Release of Protected Health Information

WebAuthorization Form For Release of Protected Health Information 1. Release information from the medical record of: _____ _____ _____ Patient's Name - please print Date of Birth Social Security No.

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Hilltop Pediatrics Notice of Privacy Practice

Web•Inmates. (Medical information about inmates of correction institutions may be released to the institution.) • Workers’ Compensation. (Your medical information regarding benefits for work-related

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