Patient Information

Patient Forms

We are accepting new patients!

Please fill out the new patient paperwork and submit!
We will call within 1-2 business days to schedule appointment.
Please be sure to bring DL, insurance card and copy of immunizations to first visit


Insurance Accepted

We accept most commercial insurances!

  • BCBS PPO & HMO

  • United Health Care

  • Aetna

  • Cigna

  • UMR

  • Meritain

  • All Savers 

  • Amerigroup

  • Wellpoint

We do not accept 

  • Golden rule

  • Cooks children 

  • Freedom life

  • Ambetter

  • Oscer

  • Aetna medicaid 

  • Us Health Group

If your insurance is not listed, please call our office to verify we are in network prior to filling out new patient paperwork


Resources

Immunizations

  • Hep B- given at birth or 1st doctor visit

  • 2 months-Hep B+Dtap+IPV, PCV, Hib & Rotavirus

  • 4 months- Dtap+IPV+Hib, PCV & Rotavirus

  • 6 months- Hep B+Dtap+IPV, PCV, Hib & Rotavirus

  • 12 months- MMR+Varicella & Hep A

  • 15 months- DTAP, PCV & Hib

  • 18 months- Hep A

  • 4 years- DTAP+IPV & MMR+Varicella

  • 11-12 years- Tdap, MCV4, MCVB & HPV 


Helpful Links


Frequently Asked Questions

  • There is a $50 no-show fee for all missed appointments. We reserve the right dismiss patients from our practice who fail to keep their scheduled appointments.

  • If you are more than 15 minutes late, we will try to work you in. In the unlikely event we are unable to, you may be asked to reschedule.

  • For non-controlled substances, please call your pharmacy and request a refill authorization to be sent to our office.

    For controlled substances, you may submit a request online, call our office at 817-861-2288, or email us at nussbaumoffice@yahoo.com. Please be sure to include the child's name, DOB, and medication requested. Please allow 24 hours before picking up a prescription. We are not able to call in or fax controlled substances, we apologize for any inconvenience. We can mail prescriptions upon request

  • If it is after office hours, you may call our office, which will then direct you to the answering service. The answering service will page Dr. Nussbaum and she will contact you shortly. If it is decided that your child needs prompt medical attention, she will refer you to one of the following:

    Pediatric After Hours

    http://www.pediafterhours.com/

    Cook Children's Urgent Care

    http://www.cookchildrens.org/FindCare/locations/urgentcare/Pages/default.aspx

    Bumps and Bruises

    http://www.bumpsnbruises.com/

  • Yes, we do our very best to accommodate same day sick visits. We understand the urgency of being seen the same day. We do not accept walk-ins. Please call our office to schedule a sick visit

  • Yes, for daycare and camp forms, you must have had a well-child visit within the 12 months. For infants, you must be current on your most recent well exam (ex. 2mo, 4mo, 6mo) Please allow 24 hours for those forms to be completed.

    There is a $45 charge for all sports physicals. Sports physicals require a doctor's visit. Sports physicals are not good exams. During your office visit, if cleared, you will receive the form the same day.