Divorced/Separated Parent Policy

Altitude Pediatrics does not get involved in disputes between divorced, separated or custodial parenting arrangements regarding financial responsibility for their child's medical expenses. By signing as guarantor, you agree to be financially responsible for the care we provide to your child, regardless of whether a divorce decree, custodial or other arrangement places that obligation on your former spouse or the child’s other parent. We will be happy to provide receipts for paid medical bills for you as requested.

Legal documentation will be required when information concerning medical decision making is limited to a certain party.

Custody/Medical-Decision Making Disclosure form