First Year Health Guide Doctor Interview

General Information
Name of doctor: ____________________________________________________________________________________

Name of practice: __________________________________________________________________________________
Location: _________________________________________________________________________________________
Phone: ___________________________________________________________________________________________
How did you hear of this doctor? _______________________________________________________________________
_________________________________________________________________________________________________
Your health insurance company: ______________________________________________________________________
About the practice

1. Do you take my insurance?..................................... Y / N 8. How will we reach you if my child gets sick after
hours? ________________________________________
2. Is this a solo or group practice? ___________________ ______________________________________________
If solo, who covers when the doctor isn't available? ___ ______________________________________________
___________________________________________ ______________________________________________
___________________________________________
If group, how often will we see other doctors in the 9. When the doctor's not on call, who covers? _________
practice? ____________________________________ ______________________________________________
___________________________________________ ______________________________________________
___________________________________________ ______________________________________________
3. How many years has the doctor been in practice? ____ 10. Which hospitals is the doctor affiliated with? _______
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
______________________________________________
4. Does the doctor have any subspecialties? __________
______________________________________________ 11. Does the doctor see newborns at the hospital or at
the first office visit? ______________________________
5. What are the office hours? ______________________ ______________________________________________
______________________________________________
______________________________________________ 12. Does the office respond to e-mail? ........................ Y / N
6. What evening or weekend hours are available? ______ 13. Does the practice have a website? ........................ Y / N
______________________________________________ If yes, what's the URL? _______________________
______________________________________________ ___________________________________________
7. Are calls for routine/non-emergency questions 14. How do you handle payments, billing, laboratory
encouraged? ___________________________________ charges, and insurance claims? ____________________
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
______________________________________________
About the doctor
1. What do you like best about your job? _____________ getting babies to sleep? ________________________
______________________________________________ ___________________________________________
___________________________________________
2. Do you have children? _________________________ ___________________________________________
______________________________________________
alternative medicine? __________________________
3. Will you be available to discuss behavioral ___________________________________________
developments? __________________________________ ___________________________________________
______________________________________________
______________________________________________ 5. What parenting books or other resources do you
______________________________________________ recommend on baby or child care? __________________
______________________________________________
4. What are your views on: ______________________________________________
breastfeeding/bottle-feeding? ___________________ ______________________________________________
___________________________________________ ______________________________________________
___________________________________________ ______________________________________________
___________________________________________
Questions to ask yourself

circumcision? ________________________________
1. Was everything clean? ........................................... Y / N
___________________________________________
___________________________________________
___________________________________________ 2. Is the waiting room pleasant and kid-friendly? ....... Y / N
antibiotics? __________________________________ 3. Were there toys and books to keep kids occupied? Y / N
___________________________________________
___________________________________________ 4. Were the staff and nurses helpful and patient? ...... Y / N
___________________________________________
5. Was parking readily available? ............................... Y / N
immunizations? ______________________________
___________________________________________ 6. How long did you have to wait? __________________
___________________________________________
___________________________________________
7. Did your child respond well to the doctor? .............. Y / N
parenting methods? ___________________________

8. Did your child respond well to the nurses? ............. Y / N
___________________________________________
___________________________________________
___________________________________________ 9. Did the doctor seem to welcome questions? .......... Y / N
childhood obesity? ____________________________ 10. Did the doctor know the latest medical advances? Y / N
___________________________________________
___________________________________________ 11. Did you like the doctor's communication style? ..... Y / N
___________________________________________
___________________________________________ 12. Did you feel comfortable with the doctor? ............ Y / N

First Year Health Guide Doctor Interview

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First Year Health Guide Doctor Interview

Uploaded by

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General Information

Name of doctor: ____________________________________________________________________________________

About the practice

Questions to ask yourself

parenting methods? ___________________________

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