Policies & Forms
Learn about the policies that help us provide you with the best of care.
Well Child Visits
Well-child exams are a vital part of a child’s health care. These visits give us the opportunity to examine the child for overall health, growth, and development. We also discuss nutrition, sleep habits and age-appropriate topics such as potty-training, dental care and safety issues. Regular wellness visits allow us to detect and address health problems before they become serious, or in some cases prevent them entirely!
Many of the well-child visits in the first year of life include immunizations. These help to protect the child from some harmful and potentially life-threatening diseases.
We encourage parents to keep a list of questions they may have and bring the list to the visit.
Same-Day Sick Visits
We understand that children can become ill quickly and unexpectedly, which is why we reserve a portion of our daily schedule for sick children. Please call us to make a same-day appointment.
Missed or Late Appointments
Missing an appointment without giving prior notice to the practice deprives other patients of the chance to take a slot that becomes available. We require notice of at least one business day for all cancellations.
If going to be more than 15 minutes late, please call to see if we can accommodate you or if you need to reschedule your visit. Three missed visits may result in dismissal from the practice.
After-Hours Care
If your child’s illness or injury is life-threatening, call 911.
We know that children can get sick at any time! You can contact us with non-urgent questions through My Kid’s Chart, our patient portal.
Otherwise, for urgent matters that cannot wait until business hours, call our office to be connected to a pediatric-trained triage nurse.
Hospital Affiliations
- Dr. Wicker-Brown is affiliated with these local hospitals:
- Rapides Regional Medical Center
- Alexandria Emergency Hospital
- Ochsner Medical Center
Forms & Downloads
New Patient Forms
- Please print and complete these forms, and bring them with you to your child's first appointment.
- New Patient Information
- Medical Release AuthorizationComplete this form to permit information to be shared between health care providers.
- Assignment of BenefitsA standard form related to your insurance.
- Financial PolicyPlease review this carefully.
- HIPAA Release
- Notice of Privacy PoliciesThis document describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Authorization Forms
- Medical Release AuthorizationComplete this form to permit information to be shared between health care providers.
- Consent to Treat Minor
Insurance & Billing
Download our complete financial policy »Insurance Plans
To make our practice accessible to all families in the community, we participate in most insurance plans, including Tricare and Medicaid. For new patients, we are only accepting Medicaid for newborns and their siblings or siblings of established patients or Medicaid as a secondary insurance. We continue to see established patients with any insurance plan or change in insurance plan.
Because each insurance policy is different, it is impossible for us to know what your benefits may be. It is important that you contact your insurance company if you have any questions regarding your benefits, and for you to know what your payment obligations will be at the time of service.
Copayments and Deductibles
Depending on your insurance policy, a copayment and/or deductible may be required at the time of service. These payments are expected to be made at the time of service. Payment may be made in cash, by check or by card. We also accept Health Savings Account (HSA) cards for payment.
Patients Without Insurance Coverage
We are happy to work with families that prefer to pay directly for services or do not have insurance. For such patients, a time of service discount will be applied to the bill if settled in full on the day of service. This discount does not apply after the day of the visit.
Vaccines save lives.
Jackson Street Pediatrics supports evidence-based medicine and recognizes that immunizations are a key component of individual and public health, particularly in the context of the current health climate.
We only accept vaccinating families at our practice and recommend following the CDC immunization schedule. We are open to discussing any concerns with families, but if a family chooses not to vaccinate, this practice will likely not be a good fit.
Immunization Resources
- For information about these vaccines, the diseases they protect against, immunization schedules, vaccine safety and other important information, please visit these pages from the AAP and CDC.
- CHOP Vaccine Education Center
- Vaccine Safety: The Facts
- Immunization Schedule
- Immunizations (AAP)
- Vaccine Information Sheets (CDC)