House Call Expectations - Member Guide - Whole Pediatrics Group
Member Guide

House Call Expectations

Understanding How House Calls Work

Whole Pediatrics Group | Riverside, California

House calls are a rare privilege. Fewer than 1% of pediatricians offer this service. This guide will help you understand how to request house calls and what to expect.

When to Request a House Call

✓ Appropriate Situations

  • Newborn follow-ups in the first month of life
  • Sick child overnight when office is closed but not a true emergency
  • Multiple sick siblings who shouldn't leave home
  • Post-procedure checks (circumcision, ear piercing, minor procedures)
  • Contagious illness better evaluated at home
  • Convenience when it genuinely works better for your family

✗ NOT Appropriate For

  • Emergencies (call 911 immediately)
  • Difficulty breathing or severe respiratory distress
  • Severe injuries or altered consciousness
  • Conditions needing hospital care
  • Last-minute demands ("come right now")
  • Situations better handled in office (I'll let you know)

How to Request a House Call

  • Contact me via text, phone call, or patient portal message
  • Describe the situation and explain why you're requesting a home visit
  • Provide your address and confirm you're within 15-25 miles of my office
  • Wait for my response - I'll let you know if a house call is appropriate or if an office visit would be better
  • If approved, I'll provide an arrival time window (not an exact time)
  • Be flexible - delays can happen due to other patient needs

Before I Arrive: Your Safety Checklist

  • Secure ALL pets in a separate room or outside the home
  • Clear a safe path from the entrance to where your child will be examined
  • Prepare a clean, well-lit area for the examination
  • Remove any weapons or unsafe items from the area
  • Ensure everyone in the home is sober and non-threatening
  • Have your child ready (undressed to diaper if infant, or in comfortable clothes)

⚠️ CRITICAL: If pets are not secured when I arrive, I cannot enter the home and the visit will be cancelled. You may still be charged for the house call fee. This is non-negotiable for my safety.

What to Expect During the Visit

  • Arrival window: I'll give you a time range (e.g., "between 2-4pm"), not an exact time
  • Delays happen: Other patients may have urgent needs that take priority
  • Limited equipment: I can't perform X-rays, extensive lab work, or hospital-level testing at home
  • May redirect to ER: If I determine your child needs hospital-level care, I'll send you to the emergency department
  • Same professional standards: Thorough evaluation just like in-office visits
  • Time with you: I'll take time to answer questions and provide guidance

What I Can and Can't Do at Home

✓ I Can Do:

  • Evaluate acute illnesses (fever, respiratory symptoms, vomiting/diarrhea)
  • Check ears, throat, skin, and lymph nodes
  • Assess injuries and wounds
  • Conduct newborn checks and weight checks
  • Provide follow-up care after procedures
  • Offer medical guidance and reassurance

✗ I Cannot Do:

  • Provide emergency care (call 911)
  • Perform X-rays or imaging
  • Conduct extensive lab testing
  • Replace hospital evaluation when needed
  • Guarantee a diagnosis without proper equipment

Important Reminders

  • House calls are discretionary - They're not guaranteed, and I determine if they're clinically appropriate
  • This is a privilege, not an entitlement - Fewer than 1% of pediatricians offer this service
  • Availability varies - Depends on my schedule, clinical priorities, and other patient needs
  • Boundaries matter - Repeated violations (unsecured pets, unsafe environments, unreasonable demands) may result in loss of house call privileges
  • Geographic limits - Available only within 15-25 miles of my office; outside this radius requires additional fees and approval
  • Fees apply - House call fees vary by membership tier (see your Financial Terms)

Geographic Service Area

  • Standard radius: 15-25 miles from my office in Riverside
  • Travel fees: $40 for distances 15-25 miles
  • Outside radius: Requests beyond 25 miles require additional fees and my approval
  • Confirm your address before requesting to ensure you're within range

After-Hours House Calls

  • Available in certain situations when clinically appropriate
  • Additional fees apply (disclosed before scheduling)
  • Not guaranteed - Depends on the situation and my availability
  • For true emergencies: Always call 911, don't wait for a house call
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