Khanna Pediatrics
401 RIDGEWOOD AVENUE
GLEN RIDGE, N.J. 07028
TELE: 973-748-6470
 
  1. ❖We accept most insurances
  2. ❖Please pay Co-Payment fees at the time of  Office Visit
  3. ❖There is no billing for co-payment fees
  4. ❖The types of acceptable payments: Cash, Personal Check, & Money Order
PAYMENT PHYSICAL/SCHOOL/SPORT FORMS
  1. ❖Please provide physical/school/sport forms ONE week in advance to allow the doctor time to fill out the form accurately
  2. ❖Please write the full name(first & last) of the Patient and Date of Birth on all forms
  3. ❖All parents must sign all forms in the appropriate area before submission
  4. ❖There is a charge for filling out forms
HIPAA
  1. ❖We abide by ALL HIPAA policies
  2. ❖Our patient’s privacy is important to us!
PARENT/GUARDIAN POLICY
  1. ❖ALL patient’s under the age 18 must be accompanied by a Parent/Guardian in order to receive vaccines and treatment
REFERRALS
  1. ❖Referrals are provided for patients on an as needed basis