Seasonal & Other News

2020 Flu Vaccine Information

Flu vaccine is now available, and we want to help get your child protected.   With the COVID-19 pandemic ongoing, it is more important than ever to protect your child from viruses like influenza.

There are two different types of influenza vaccine available:

Injectable:  Given to patients aged 6 months and above.    Patients with a history of severe reaction to eggs should be given this vaccine in a health care office.

Nasal Flumist:   Given to children 2 years old and above.   Children aged 2 – 4 years old with asthma or a history of wheezing in the past 12 months should not receive Flumist.  Children who are immunocompromised or in close contact with a severely immunocompromised person should not get Flumist.  Children aged 5 years and older with a diagnosis of asthma should ask their health care provider whether he/ she may receive Flumist.

Download the vaccine information sheets at the following links:

Injectable in English:

Injectable in Spanish:

Nasal Flumist in English:

Nasal Flumist in Spanish:


We are offering the flu vaccine during all scheduled well visits and medication checks.  We are also offering the flu vaccine on our nurse shot schedule at the following times:


10:00 AM to 12:00 PM

2:30 PM to 4:30 PM

Check our Facebook page for announcements about extra clinics including Saturdays.  Please call the office to schedule an appointment.




As all of us are having to modify our lives to respond to our national health emergency, we are implementing an action plan to protect the health and well-being of all our patients and families. We hope that these measures will only be needed for a short time and this will soon become a distant memory.

Beginning March 17, 2020 and for the foreseeable future, we will adopt the following:

Telehealth visits are available! Our physicians will see patients via a secure portal specifically designed for medical use. Examples of visits that can be conducted via telehealth include:

  • Skin rashes without fever
  • Complaints of pains of different types (due to injury, headache, stomach ache, back pain, insect bites)
  • Vomiting or diarrhea without fever
  • Developmental concerns: excessive crying, speech problems, tantrums
  • Behavioral, emotional or hyperactivity concerns. Medicine checks for these problems
  • Asthma or allergy concerns
  • Follow-up visits
  • Some well check-ups – please inquire!


Scroll down to view answers to some Frequently Asked Questions about telehealth.

★ Updated May 19, 2020 ★
We have made recent changes to how we are scheduling our in-office visits. In order to meet increased demand for well child care and to allow access to your child’s primary provider for these visits, we are now performing wellness care at both the Courthouse and Chester offices.

The Courthouse office will continue to see well patients only while the Chester office will see well patients in the morning and sick visits in the afternoon. Keeping our sick visits in the afternoon allows for extra cleaning and sanitation to keep everyone safe.

We continue to adhere to our best safety practices. These include personal protective equipment for our medical staff, sanitation, keeping our waiting rooms closed, and limiting the number of visitors to our buildings.

Should you have questions about our safety practices, or what type of appointment is most appropriate for your child, please remember to call us first. As always, we wish you and your family good health!

When making your appointment:

  • The receptionist will ask you a series of questions to help you identify what kind of visit would best suit your family
  • If you are coming to the office, we will ask you to provide the cell phone number of the person bringing your child in. When you arrive for your appointment, we will ask you to wait in the car, rather than inside the office, and will call you when we are ready to see you

When possible, restrict visits to one child and one parent for all visits. We understand that this may not always be possible.

If you or your child has any symptoms of illness (fever, cough, congestion, or difficulty breathing) and has recently traveled or has been exposed to someone with known or suspected Coronavirus, call our office at 748-9090. We can give you appropriate guidance.

Wondering about a telehealth visit?

Here are some answers to Frequently Asked Questions:

Q: Will my insurance pay for telemedicine visits?
A: Yes. Co-payments and deductibles apply to telemedicine just as they do for office visits.

Q: What about privacy and HIPAA?
A: Our telemedicine platform is HIPAA compliant. We suggest that you conduct your telehealth visit in an area that gives you privacy.

Q: What kind of technology is required?
A: You can use a Smartphone, tablet, desktop, or laptop. Your device will need a camera and a microphone and internet access. For best results, you should connect to us with Google Chrome or Firefox. Safari does not work.

Follow our Facebook page for updates, the CDC or the Virginia Department of Health. We will try to use the Facebook page with updates on how to deal with the challenges of the pandemic.

Thank you for your understanding and your help as we tackle this new reality. We will overcome this situation!


Asthma Prevention

Fall is traditionally a time when asthma may flare, usually due to allergies. We are seeing most of our patients on preventative treatments every six months or so. Please make an appointment if your child has not been seen within this time period.

Sports Physicals

As the school year begins so does the need for physicals for children in 6-12th grades. A Virginia sports physical form can be obtained from your school or by clicking here.

Please call for an appointment. The AAP recommends that your regular provider is the best source of an athletic participation exam. If you are regularly due for a checkup we will include the form completion with the checkup. If you have had a regular checkup within the past year, we can fill out a sports physical form for you for a $5.00 fee.