Current Patient Information

OnPatient

Once your child has become a patient of Twilight Pediatrics, you will receive online access to our patient portal.  This will allow you to send messages directly to the providers, and allow us to send imaging, lab orders, statements, & medical documents directly to you. All families must sign up for the OnPatient portal in order to have access to the providers outside of office hours. Please do not send messages to the providers regarding wanting to or planning to schedule an appointment.  These requests should be called to the office and our staff is waiting to assist you. The website is onpatient.com.

After-Hours & Emergencies

If you are an established Twilight patient and need to contact a provider AFTER-HOURS for Emergencies please use the OnPatient Portal app from your phone or computer, if you are unable to do this please take the child to the nearest Urgent care or hospital ER. We strongly encourage ALL of our parents to download the St. Louis Children's Hospital Kid Care App for their phone. It is a safe and easy to use education app and symptom checker that you can utilize to answer many questions that come up.​ All other NON-Emergent questions or concerns should be sent during office hours or called to the office. The office staff can help you determine what to do or connect you with the provider to take care of your concerns.

Sick Visits

We do our best to get sick patients in the same day if requested.  If the provider you ask to see has a full schedule, you will be offered to see the other provider if a time slot is available.  We pride ourselves on knowing our patients well; regardless of which provider you see, we consult each other on visits and best treatment plans.  In doing this; we are both able to jump in and provide care and keep your child comfortable when they come to see us. 

Medication Refills

All medication refill requests are to be sent to the pharmacy you use by use. The pharmacy will then send us a refill requests. Please do not send refill requests via onpatient portal.  Allow minimum 72 hours for refills, if you have trouble with a refill through the pharmacy call our office.  All ADHD visits must be current for any refills on those medications. If you have not had medication check in the required time frame, we will not be able to refill medications. Keep in mind- refills are sent Monday-Thursday. Requests received outside of those days will be filled on the next business day.

All patients are required to be seen yearly for well visits, and more often for mental health or behavioral management. If required appointments are not current we will not be able to fill medications or give advise virtually.

Billing

Primary Insurance will be billed for all in-person office visits and telehealth visits. It is the responsibility of the patients/parents to verify insurance in-network coverage prior to receiving care. Out of network billing and any remaining balances will be billed to the patient. Balance due statements are generated at the end of each month via the ONPATIENT PORTAL and all balances are due in full by the due date listed on the statement. You may send a check, call with CC, or utilize the online bill pay through the your child OnPatient account.

Cash-Pay patients: payment for the visit and any testing is due on the day of the appointment.

Parents & Telehealth

Adult/Parent Visits will be billed to primary health insurance. Parents MUST complete the health history documents prior to any telehealth visits, . We have incorporated telehealth visits for increased flexibility and less trips to the office. We have created an exclusive Telehealth Kit that can be purchased and used for telehealth exams anywhere; including an electronic otoscope enabling us to diagnosis ear infections virtually. This is a HUGE breakthrough as ear infections are the leading reason for sick visits in pediatric healthcare. Ask a member of our staff if you are interested!

Our Patient Portal

Do you have our OnPatient PHR app downloaded to your phone yet?

If not, ask our office staff to send you an OnPatient request via email to sign up.

This app should be used to contact our providers directly with questions or concerns you may have during AND after office hours. You are also able to check-in to appointments prior to arrival, make payments, & view documents and orders we may send to you.

The OnPatient PHR Portal App is for questions and non emergency concerns after hours before 9pm. OnPatient may take up to 24 hours for response. If there is an emergency and you fill the child needs seen quickly, please take the child to the nearest ER.

Please let us know if you have any questions! Thank you!