Pediatric & adolescent care, two weeks through eighteen.

Children from age 2 weeks through age 18 inclusive in Ulster County and adjacent towns. The well-child schedule follows the AAP Periodicity Schedule with no deviation; our intake forms are a direct port of the Bright Futures tools.^[01]

Within that schedule we manage: routine immunizations as an active Vaccines for Children (VFC) provider; evaluation of common pediatric complaints (otitis, asthma, eczema, constipation, growth, sleep, school refusal, enuresis); developmental and autism screening at the AAP-recommended intervals; sports physicals to the AAP Preparticipation Physical Evaluation, 5th ed; ADHD evaluation pathway (with explicit boundaries — see § Contraindications); and confidential adolescent reproductive, mental-health, and substance-use care under NY Public Health Law § 17.^[02]

Pediatric care is delivered by Helena Rey, FNP-BC as the primary pediatric clinician and Tessa Voorhies, DO as the secondary. Adolescent care is shared with Salim Okonkwo, PMHNP-BC for behavioral health and with Maren Vanderlyn, MD for reproductive care. Continuity is panel-based: a child seen at a 2-week visit will be seen by the same clinician at every subsequent well-child visit unless the family asks otherwise.

The well-child visit shape: 45 minutes for a 2-week visit, 30 minutes for ages 1 month through 24 months, 30 minutes for the 24-month and yearly thereafter through age 5, 30 minutes for the annual school-age visit, 45 minutes for adolescent annuals (12, 14, 16, 18) which include time alone with the adolescent. The first ten minutes of every visit are with the medical assistant for vital signs, growth charting, and the AAP-screening questionnaires.

Lactation support is integrated into the early infant schedule; Helena Rey is an IBCLC-certified lactation consultant. We do not bill separately for lactation visits within the well-child schedule.

Children from 2 weeks through age 18 inclusive. We accept newborns from any of the three regional birth hospitals (HealthAlliance Broadway, MidHudson Regional, and the Northern Dutchess Hospital Birth Center); we ask that the discharging hospitalist send the discharge summary to front@pharos-kingston.example within 5 business days.

Insurance: same in-network list as CCH-001, plus CDPHP Medicaid Managed Care and Fidelis Child Health Plus. We are an active VFC provider; vaccines are at no cost to VFC-eligible children regardless of insurance status.

Membership: $10/month per child age 0–18 if added to a parent's adult CCH-001 membership; $40/month per child if standalone (we do not actively encourage standalone child memberships).

• Newborn (CCH-002-NB) — 45 minutes at 2 weeks, scheduled by the discharging hospital nursery via direct call to our front desk.
• Well-child (CCH-002-WC) — 30 minutes at the AAP intervals: 1, 2, 4, 6, 9, 12, 15, 18, 24, 30 months; then yearly from age 3 through 11.
• Adolescent annual (CCH-002-AA) — 45 minutes at ages 12, 13, 14, 15, 16, 17, 18, with time alone with the adolescent and (per HEEADSSS guidance) screens for substance use, sexual activity, mental health, and home safety.^[03]
• Sick (CCH-002-SK) — 20 minutes, same-day Mon–Thu, half-day Fri.
• Sports / camp / school physical (CCH-002-SP) — billed within the annual visit if same year; $40 cash if requested out-of-cycle.

• Subspecialty pediatric care. We do not deliver subspecialty care. We refer to Albany Med Pediatrics, Maimonides Children's Hospital, and the Hassenfeld Children's Hospital at NYU Langone as the most common destinations.
• Complex behavioral evaluations. Multidisciplinary autism evaluation, neuropsychological testing, and full developmental-pediatrics consultations are referred. Benhome Medical Evaluations in Poughkeepsie is our standing referral; the Children's Evaluation and Rehabilitation Center at Einstein is the closest hospital-based option.
• Inpatient pediatric care. We do not have hospital privileges for pediatrics. Children admitted to HealthAlliance Broadway are managed by the hospitalist team; we receive the discharge summary and reassume care at follow-up.

1. We will not initiate stimulant therapy for ADHD without a structured evaluation that includes Vanderbilt forms from at least two reporters (typically parent and teacher) and rule-out of common confounders (sleep, vision, hearing, mood). For complex presentations we require a current neuropsychological evaluation.
2. We will not establish primary pediatric care for children with current oncologic, transplant, or major-cardiac diagnoses where the subspecialty service is the central coordinator. We will be the secondary medical home if the family wants one.
3. We will not perform routine well-child care for children whose families decline the recommended ACIP immunization schedule altogether. Patients on a delayed but eventually completing schedule are welcome; patients categorically declining are referred to a practice that has elected this scope (AAP Refusal to Vaccinate form discussed at intake).
4. We do not accept new patients above age 18 into CCH-002; the transition pathway to CCH-001 is described in the glossary.

For new patients: please bring the immunization record from any prior pediatrician (NYSIIS, the NYS Immunization Information System, will usually populate ahead of your visit if you sign the release on the intake form), the most recent growth chart, and any specialist notes. For adolescent annuals: please be prepared for ten to fifteen minutes of the visit to be conducted with the adolescent alone, per HEEADSSS guidance and NY Public Health Law § 17.

We share AAP healthychildren.org handouts at every visit; we use the AAP Back to Sleep material for newborns and the AAP mental-health screening tools beginning at age 12.

Insurance: well-child visits and ACIP-recommended immunizations are covered under the ACA preventive-services list at most plans; the most common observed copay at our office is $0 for well-child and $25–$40 for sick visits. Sports physicals out-of-cycle are $40 cash. Vaccines for Children-eligible children pay nothing for vaccines at any visit.

Membership: $10/month child added to a parent's adult CCH-001 membership; $40/month standalone child membership. Membership covers all well-child and sick visits; it does not cover vaccines (insurance or VFC), labs, imaging, or specialty referral fees.

• Pediatric urgent care. We are not a 24-hour service. Use MidHudson Regional Pediatric Emergency, two miles north of Kingston, or call our after-hours line within window.
• Lactation-only consultations. Available to non-panel families on a fee-for-service basis at IBLCE-certified lactation consultants; we recommend the Beach Acres Provider Network directory for Hudson Valley IBCLCs.

This monograph is owned by Helena Rey, FNP-BC with adolescent-care contributions from Salim Okonkwo, PMHNP-BC and Tessa Voorhies, DO.

v2026.03.15 — supersedes v2026.01.10. Significant changes: § Mechanism updated to clarify lactation visit billing; § Outcomes refreshed with Q1 numbers; § Contraindications item 3 reworded to emphasize that delayed-but-completing schedules are welcome (the previous text was widely misread). Diff on the errata page.