Vaccine Exemptions:
Should your child need a vaccine exemption in order to attend school, please contact your child’s school to see if they accept the State of Texas vaccine exemption form. If your child’s school DOES NOT accept this form, then you will need to book a vaccine discussion appointment with us (in person or via telemed) to determine if your child meets the medical standards for a vaccine exemption letter. If an exemption letter has been written in the past by a SHINE provider due to a valid medical condition, a visit may not be needed.
You may also schedule a visit if you want to discuss how genetic testing, allergy susceptibility, health ailments, and autoimmune risk can affect your decision with vaccines.

Helpful Tips:

• State of Texas Vaccine Exemption (This vaccine exemption must be notarized)

This usually takes about 7-10 business days to receive in the mail, unless the state is backed up.

• Get these appointments on the books now, as we get extremely booked come August, and we cannot guarantee that we will be able to accommodate you during that very busy month.

1. If your child has NOT had a well child visit within the last 12 months with our office, then a well child appointment will be required to have these forms filled out. 
2. If your child HAS been seen at our office in the last 12 months for a well child check AND allergies, asthma or other medical conditions have been established with a provider then please submit your child’s ALLERGY/ASTHMA/MEDICATION ACTION plan form to us via the Klara app.  Please note: the parent portion of the form will need to be completed in order for us to complete our portion. In addition, all allergies should be listed on the form as well in the designated area.

1. If your child has NOT had a well child visit within the last 12 months with our office, then a well child appointment will be required to have these forms filled out. We recommend reaching out to us NOW to get this appointment on the books to avoid not being able to get an appointment for your child before school starts back up!
2. If your child HAS been seen at our office in the last 12 months for a well child check, then please submit your child’s sports physical forms to us via the Klara app. The parent portion of the form will need to be completed in order for us to review these. Based upon the information required on the form, (since most of these forms vary from school to school) we will contact you within 48 hours to let you know if an additional appointment is required for form completion. Sometimes, additional testing may be needed, and this type of appointment is booked as a sports physical appointment (i.e. EKG, SCAT-5 baseline concussion testing for contact sports, or other vitals that are not obtained during routine wellness exams). If no further testing is required you should receive your completed form via Klara within 3-5 business days.

1. If your child has been in a special education program with his or her school and additional paperwork is needed for re-evaluation, please complete the OHI/504 paperwork from your school counselor BUT also send us a blank copy.    We ask that the parent fill out the form to completion even the areas that state provider only.  We need to know exactly from you what you see as the issues with your child and what type of interventions you feel are necessary. We will then look at your notes and will add our professional statements to the blank form and send this to your school counselor.
2. If this is your child’s first assessment by the school education department, you must ensure that you have addressed these concerns before with a SHINE provider.  If we have nothing in your child’s chart regarding developmental delays, learning difficulties, etc, then we must schedule an appointment via telemedicine or in the office to discuss further before any paperwork can be completed. You are still more than welcome to complete the paperwork and send us a blank form which can be completed by the provider after the appointment.

We do not accept walk-in appointments, but we do offer same day and next day appointments! Please send us a message in Klara to schedule an appointment.

We accept a wide variety of health insurances. Please see the list here: (link attached)

Interested in joining our community at SHINE and eager to explore what sets us apart? Dive deeper into SHINE by signing up for one of our exclusive Meet and Greet options:

• Discover what sets Shine apart and our healthcare philosophy.
• Gain insights into Shine’s Integrative approach.
• Understand the benefits and risks associated with vaccines on an individual basis.
• Peek into the seamless appointment scheduling and Klara communication system at Shine.

• Option 1 (for SHEPHERD members): SHEPHERD members get access at no fee!

• Option 2 (for non-SHEPHERD members): non-SHEPHERD members can purchase 48 hour access to the Meet & Greet video here for $12. 
  • https://shepherd.shinepediatrics.com/checkout/shine-meet-and-greet

• Option 3 (live Meet and Greet with a provider): Embark on a one-on-one journey with one of our experienced providers during a personalized 30-minute appointment, either in- person or via video call. This unique opportunity allows you to have your specific questions answered and gain an in-depth understanding of SHINE’s distinctive patient treatment and care approach.

To schedule your Meet and Greet session today, please reach out to us through Klara or call our office at 469-333-1543. Note that a $150 payment is required prior to securing your appointment.

Discover SHINE – where healthcare meets a brighter future!

Currently, the demand is very high. We are making every attempt to keep up with this growing demand. 

We will continue to care for your child until they are removed from the parent/guardian’s insurance plan. We no longer see young adults who have become self-employed, graduated college, or become a parent themselves.

1. What is pre-appointment screening? As an integrative Pediatric practice, we want to collect as many pieces of the puzzle before the time of your appointment. Screening allows our medical assistant to gather as much information for the provider prior to the time of the appointment. 

2. Why is it necessary? Shine wants to hear your full story! Often times patients seek care with us because they want to address root issues or implement natural remedies. Because of this, we want you to have as much time with your Shine Provider as possible. Screening frees up your time and your provider’s time to jump straight into problem solving!

Please note you must download the Klara app  to complete mandatory pre-appointment screening.

Benadryl Dosing

Two things to consider:

1. Is this an acute problem (i.e. yesterday the stool was normal and today it looks like diarrhea)? Many times acute issues are linked with fever, vomiting, blood in the stool, and/or dehydration. If your acute issues are linked with the above issues, then make an appointment and have your child evaluated.
2. If NO fever or vomiting, please send us a message on Klara for our health support line to contact you.

If your child has diarrhea for > 2 weeks, please make an appointment with your provider.

Fever is a sign that your body is dealing with some type of infectious process whether it is mild or severe. Height of the fever DOES NOT determine the severity of the infection. Appropriate observations to make/questions to ask: Does your child have breathing issues? Poor liquid intake? Unusual rashes or red polka dots on the skin? Changes to urine appearance or smell? Overall personality/demeanor changes? If yes, to any of these questions, your child will need an appointment with a provider. In addition, our providers in the office should also assess a fever lasting >5 days, even if there are no other symptoms and your child looks great.

• If the constipation started within the last week, without vomiting, please call our nurse line 469.333.1543 ext 211 to receive recommendations. 
• If constipation is chronic and has lasted > 2 weeks, please make an appointment to discuss with your provider.

YOUR CHILD MUST BE SEEN IMMEDIATELY in the office or at an urgent care/or emergency room, if they have any of the following concerns: 

• Persistent breathing problems over a 5-10 minute period of time
• Sudden onset of loud or noisy breathing (i.e. concern with swallowing an object, grunting, or fast breathing without fevers)
• Red polka dot rashes
• Confused or disoriented state (at times when your child is normally awake or alert), 
• Concerned that you cannot easily awake them from sleep 
• Any concerns for hydration due to vomiting and diarrhea occurring at the same time, or solely dry heaving due to repetitive vomiting

Nasal saline and suctioning your child’s or infant’s nose can be very helpful in clearing nasal secretions. If symptoms are ongoing or you have any concerns, please make an appointment and have your child evaluated. This is one of the most common complaints in the toddler and infant period. Tonsils/adenoids removal or having tubes put in become less necessary as we use our integrative model to support the immune system. If your child is having ANY breathing difficulties, take him/her to the ER or urgent care immediately.

We feel that breastfeeding is one of the most critical aspects of your child’s first year of life. We will do everything we can to motivate and assist our mothers to be successful at nursing. We will assess the child’s weight and hydration status before making recommendations about donor milk or formula supplementation. We have two IBCLC certified Lactation Consultants on site ready to assist. Please complete the following form to make an appointment with them. Lactaction Intake Form

It is understandable that in certain situations, formula is necessary. We want your child to thrive, and we will assist you in choosing the best formula for your infant. We also have homemade formula options, which have been approved by our practice and an independent nutritionist, to ensure that we are providing the infant with the proper nutrition. If you have questions about formula, please make an appointment with your provider. 

Over the counter options:

• Homeopathic teething tablets that dissolve in mouth
• Amber teething necklaces
• Motrin (ibuprofen) as needed over the age of 6 months
• Cold teething rings
• Clove essential oil (diluted and please discuss brands with us before using)

Our general philosophy encompasses an understanding that there are many steps that can be taken before a traditional specialist is needed. We evaluate other treatment modalities and offer other possible interventions before a referral to a specialist. These specialty tests will guide your Shine Provider as the direct your child’s plan of care. 

We need your specialist’s full name as it appears on your insurance plan along with their address, phone number and fax number.

If you require a referral for Speech, Occupational or Physical Therapy, most therapists will send us an order form requesting a signature from our provider and other necessary medical information. Please do not call or leave a message regarding needing a referral if the request has already been done by your therapist.

For referrals to specialists, if our providers have not seen your child for this condition or you have been asked by a provider to be seen for the referral to be made, call our office and make an appointment and specifically mention your need for a referral appointment.  If it is a condition we have seen your child for and the condition is not improving or you are looking for another opinion, we will gladly put in a referral for you.

Please allow up to 72 hours for referrals to be completed.

Do you have after hours access? or Urgent Care recommendations?

Please note that you always have the ability to contact a SHINE medical professional after hours for medical advice. Please note there is an out of pocket fee associated with this service.  However, phone calls related to ongoing medical care regarding that day’s care of your child in the office or by phone will not be assessed a charge. 

Urgent medical matters can be handled by one of the several urgent care centers in the metroplex. Should you have concerns about the medical advice/assessment given at the ER or urgent care, please message us in Klara to schedule an appointment.  assessment, please contact us to schedule an appointment.Click here for a list of urgent care facilities we recommend

Dr. Naidoo will see newborns at Texas Health Resources Plano (formerly known as Plano Presbyterian) and Baylor Medical Center of Frisco.

Dr. Naidoo will occasionally admit older pediatric patients to THR Plano because they also have an inpatient pediatric unit.

We encourage families to utilize Children’s Medical Center Dallas and Plano campuses along with Medical City Dallas. These facilities specialize in children and the complexities of their healthcare needs. Dr. Naidoo does not have privileges at these locations, but the hospitals do keep us up to date on the plan of care and do communicate with Dr. Naidoo.

Call 911. They will take your child to the nearest ER to stabilize the patient and then will likely transfer your child to a pediatric specialty hospital.

Please Note: The responses to these frequently asked questions are only general recommendations and are intended solely for patients of Shine Pediatrics and Wellness Center, P.A.  They should not be used as a substitute for consulting your own medical physician.

If there are any questions, we first ask if you have insurance to match up your EOB (Explanation of Benefits) to our invoice that we have generated for you. Once you have your EOB, it will help to better understand what your insurance has taken care of, what deductibles or expenses are your responsibility along with what fees may be written off by your particular insurance plan, and what are covered and non-covered benefits. For non-covered benefits, our office will do our best to alert you to trends that we have seen with insurance plans, but our office is NOT RESPONSIBLE for notifying you of what benefits are covered by your insurance plan. If you feel there is a test or procedure that we are recommending for your child that you would like to inquire more about from your insurance, please feel free to do so. We will notify you if we feel that a test or procedure is required and is IMMEDIATE AND MANDATORY.

If there are any discrepancies from your Explanation of Benefits and your outstanding balance with Shine, you may contact us at 469-333-1543 and select “Billing” or message us on Klara and select “Billing” as the reason.

WE ARE NOT CONTRACTED WITH CHIP, MEDICAID, OR AMERIGROUP.

We see several families in our practice without insurance coverage or who have Medicaid but have ability to self-pay. We do not deny care to anyone. Please remember, if your insurance plan is not in our network or you are a self-pay or cash-pay patient, we have a fee schedule that is reasonably priced and affordable for most families. Most self-pay patients will have an average bill in the $95-$180 range. This price does not include any specialized testing done with laboratories such as Genova, Great Plains, Cyrex or other specialty labs and also for labs such as Quest, CPL, or LabCorp.

For any specialty labs, we will ensure you are aware of the pricing before we draw any blood or have you submit any specimens.

Yes! Please click here to pay your bill online. You can also access this under the current patient tab.

You may pay your bill one of two ways, through the patient portal or by visiting the home page of our website www.shinepediatrics.com and click on Pay My Bill on the right side of the page .

We accept a wide variety of health insurances. Please see the list here.

Please contact our office if you are needing medical records or copies of lab results.

Please review your child’s lab results before the time of their appointment. You can access the results through their patient portal. If you need help navigating, please watch this video for help.

What is screening? As an integrative Pediatric practice, we want to collect as many pieces of the puzzle before the time of your appointment. Screening allows our medical assistant to gather as much information for the provider prior to the time of the appointment. 

Why is it necessary? Shine wants to hear your full story! Often times patients seek care with us because they want to address root issues or implement natural remedies. Because of this, we want you to have as much time with your Shine Provider as possible. Screening frees up your time and your provider’s time to jump straight into problem solving!

What has changed? Prior to October 1, 2021, Shine Medical Assistants would call to pre-screen for your child’s appointment. Now, all of our screening questionnaires will be sent through our Patient Communication app Klara. Click here to download. This will give you the flexibility to complete the screening process on your own time. We just ask that you complete it as least 24 hrs prior to your appointment. 

REGISTRATION AND OFFICE POLICIES
We want to warmly welcome you to Shine Pediatrics and Wellness Center. We are honored that you chose us as your healthcare provider!

ONLINE REGISTRATION
To register as a new patient, you will need to register each child separately on our website and they will have their own individual patient portal account which can later be merged under one login. After registration, patient portal services are available online and include: encrypted (HIPAA compliant) lab information at your fingertips, access to vaccine records, and access to pertinent medical documents.

 PLEASE BE COURTEOUS
We appreciate and expect that you will treat our staff and healthcare providers with courtesy and respect. We reserve the right to dismiss you from the practice for non-compliance of this policy. We are a busy practice with complex patients and complex medical histories. We expect you to be prepared at the time of your visit. For any documents that require the healthcare provider’s signature, we ask that you either submit those PRIOR to your visit or bring them with you at the time of your visit.
PLEASE NOTE: If your child has seen a specialist, has been prescribed medications for chronic conditions, required surgeries, or is being seen in our office due to a chronic or ongoing medical issue for the first time or our SHINE team asks you to complete a questionnaire, please complete this questionnaire PRIOR to your visit. This will allow your first visit to be high quality, efficient, and rewarding.

 LATE ARRIVALS
Please call if you are running late to your scheduled appointment. If you are more than 15 minutes late for your appointment, we may ask you to reschedule for another time.

NO SHOW /CANCELLATION POLICY
 Your appointment time is reserved especially for your child. A missed appointment leaves an empty slot that could have been used by a patient in need of medical care. Not canceling an appointment in a timely fashion is unfair to other patients. Therefore, we request that patients who are unable to keep their scheduled appointments notify us at least 24 hours in advance, so the time might be made available for another patient. A missed appointment will result in a $100 no-show fee for all Integrative and Telemed appointments, and a $50 no-show fee for all other appointments, which is not covered by insurance. Three missed appointments for each respective child in a family within 12 months may result in the dismissal of that individual from our practice.

MULTIPLE CONCERNS AT A PREVENTATIVE VISIT
 If your child’s visit to Shine Pediatrics and Wellness Center, PA is scheduled as a Well Check-up visit, that visit needs to be focused on child development, readiness or performance in school, screening measures for hearing and vision if appropriate, as well as various other tools and measures depending on your child’s age. If your child is sick, dealing with chronic medical conditions, requesting blood work or further workup for a chronic disease (i.e. autism, neurosensory issues, allergies, asthma, eczema, ADHD, nutritional concerns, significant concerns with development regarding unintended weight loss or gain, endocrine dysfunction, etc.), it is at the provider’s DISCRETION if your child can be seen for that additional complaint in the allotted time for a Well Check-up visit. If your child is seen for these other complaints, your insurance may be billed for TWO services at that preventative visit, which may cause lack of coverage and responsibility of payment by the financial guarantor. PLEASE BE AWARE OF THIS SITUATION, and if possible, schedule a subsequent visit to be respectful of the provider’s time and other patients who will be seen following your appointment. Thank you for your understanding in this matter.

 PATIENT VISITS WHEN THE PATIENT IS NOT IN ATTENDANCE
 Insurance coverage stipulates the patient must be in attendance for coverage to incur. When a parent would like to schedule a visit WITH A PROVIDER to go over labs or any other matter and your child is not present we cannot bill that appointment to insurance. If for any reason your child is not present at the time of the appointment, you will then incur a self-pay charge of  $150.00 for the appointment.

PRESCRIPTION  REFILL REQUEST
All prescription refills should be requested during regular office hours. Please have the pharmacy address and telephone number available when calling for the request. Please allow 5-7 business days for any ADD/ADHD or mood-stabilizing medication refills, these will NOT be available for same-day pick-up at the pharmacy. For Controlled Medication refills, there will be a $35 service fee for any changes that must be made after the initial prescription has been written due to insurance coverage, expired prescription due to the parent not picking the prescription up in time, or other reasons for changes. Please be sure you are clear on your insurance coverage regarding the type of medication coverage, 1-month vs. 3-month supply, and whether you are doing a mail-in-order program. Those concerns are not the responsibility of Shine Pediatrics and Wellness Center, PA. Please call for refills a few days before your prescription runs out rather than waiting until the last moment. Routine prescription refills (not controlled meds) will generally be phoned in within 48 hours. Our medical providers will not routinely prescribe antibiotics by phone or in Klara without a recent examination, this will ensure that your child receives the appropriate medication for his/her condition.

 INSURANCE
We accept most major insurance plans; however, this does come with certain limitations. For example, we must physically see your child in order to prescribe medications or make diagnoses. Please be sure to bring your insurance card with you and to alert the practice of any changes in your insurance status or mailing address. Please note, that high deductible insurance or limited coverage policies mean the financial guarantor of the patient is responsible for any balance not covered by insurance. Some full coverage policies will not cover all lab costs or office visits. This will be the responsibility of the financial guarantor. It is the responsibility of the patient/parent to ensure that Randy Naidoo M.D. is a participating provider for their insurance plan. If Randy Naidoo M.D. at 3600 Shire Blvd. Suite 110, Richardson, Texas 75082 is not a participating provider for your particular plan, you may still select our office for your medical care, but “out of network” benefits will apply. In that case, patients will be responsible for the full cost of their visit on the day of service and can submit a receipt for reimbursement to their insurance plan. It is not Shine’s responsibility to know or advise you on your insurance benefits. Patients/parents with questions about their coverage should contact their particular insurance carrier’s customer service representatives. Dr. Naidoo has practiced at other locations that are not affiliated with Shine Pediatrics and Wellness Center, PA. Therefore, providing the address to the insurance company will ensure no mistakes in proper coverage for your visit. Additionally, we do accept cash-pay clients into the practice. If you are utilizing Shine Pediatrics and Wellness Center, PA for your child’s preventative care and you also have another provider that your child sees, you will need to ensure that your visit with Shine Pediatrics and Wellness Center, PA is a covered benefit prior to your visit.

FINANCIAL/PAYMENT POLICY
Shine Pediatrics and Wellness Center, PA can accept cash, checks, or credit card payments (Visa, MasterCard, Discover, and American Express) for your convenience. Patients are required to pay the full amount of their copay, co-insurance, or deductible fees for their visit at the time of the visit. It is understood, and agreed, that if an outstanding balance is not paid by your insurance company, the financial guarantor is personally responsible for the payment of all charges due. Checks can be written to Shine Pediatrics and Wellness Center at the time of the visit. In the event of a returned check, there will be a $35 non-refundable fee in addition to the amount originally owed.

AFTER-HOURS PHONE CALLS
Please note that you always have the ability to contact a SHINE medical professional after hours for medical advice regarding non-critical care. Phone calls after office hours will have a $60 charge from 5pm-9am (The fee starts at $60 but can increase due to length of call or calls). Phone calls related to ongoing medical care regarding that day’s care of your child in the office or by phone will not be assessed a charge.
Additionally, there will be a $35-$60 charge for any phone calls during the day that require a nurse, nurse practitioner, or physician to review the patient’s chart before replying back to a request from the parent through our Nurse Care Call line. This also involves any rashes where pictures are required for the provider to review and phone calls that require a nurse, nurse practitioner, or physician to spend extensive time reviewing the chart or making detailed recommendations.

LAB/RADIOLOGY RESULTS
 We try to do our best to establish the total cost of lab testing in advance, however, costs are an estimate and can vary depending on the type of testing completed and insurance coverage. Parents are responsible for all lab fees if insurance does not cover or does not apply the balance to the deductible. It is highly recommended that patients/parents check with their insurance to see if lab tests are a covered benefit. Most ROUTINE lab tests are covered, but some SPECIALTY labs are not covered and will require some out-of-pocket expense. Lab results will need to be discussed in the office with the provider. The parent and child shall be present at the visit. In the event of NORMAL lab values, a follow-up visit is not required and the results will be available online via the patient portal. We have specific charges for lab tests for self-pay patients. If you choose to have lab tests submitted through your insurance or use a different lab facility, your cost could be higher due to deductibles not being met or due to tests being a non-covered benefit under your plan.

HOSPITAL AFFILIATIONS
Randy Naidoo M.D. has hospital privileges at Baylor Medical Center at Frisco and Texas Health Presbyterian Hospital Plano for newborn infant care and non-complex, inpatient care. In the event that a patient requires admission to a hospital for a complex issue requiring continuous observation and care, the patient will be admitted to a free-standing pediatric medical facility under the direction of pediatric hospitalists. Dr. Naidoo will work closely with these hospitals to coordinate your child’s care but is not involved in the decision-making for your child’s day-to-day care.

EMERGENCY CARE
 In the event of a serious emergency, you should go immediately to the nearest hospital emergency room or call 911. Should your child have an urgent matter, we will do our best to respond to your issue promptly. In a less serious situation that needs to be addressed, you may call the office and you will be contacted as soon as possible. If you have any doubt about the seriousness of the emergency, it is best to go directly to the emergency room.

GROUNDS FOR TERMINATION
 A physician may terminate a relationship with a patient at any time by giving 30 days’ notice during which the physician is responsible only for responding to urgent medical matters. Dr. Naidoo will reserve this action for patients who demonstrate a lack of respect for themselves and the practice by repeatedly missing appointments, failing to pay their bills, disregarding the stated policies of the practice, or acting in a way that is deceptive, dishonest, or abusive. We are all working toward a common goal of caring for your family and encouraging them to be healthy…so they can SHINE!!!!