On July 14^th, 2008, Dr. Robert Clifford and his colleagues from Remember returned from the Middle East after a successful medical outreach.  Working through the Jordanian churches, the team was able to implement clinics for underserved Iraqi refugees.  Dr. Clifford, local internist/CPA parent Dr. Chris McLain, and West Ashley nurse Lori Harmon spent several days ministering the to the medical needs of both displaced Iraqis and Jordanian citizens.  Later in the trip, the group travelled to the Anoor Tuberculosis Sanatorium in Mafraq, Jordan to offer medications and prayer support.

"It never ceases to amaze me how children can thrive in the midst of persecution," marvels Dr. Clifford.  "Scripture assures us that God's grace is sufficient; and, His strength is perfected in our weakness. These people are, indeed, a testimony to God's glory!"

The team is thankful for all of your prayers and looks forward to the opportunity to share their experience with you.

We would like to announce two new office policies that will help improve the medical experience for our patients with Attention Deficit/Hyperactivity Disorder (ADHD). 

• Three Month Prescriptions – As you are aware, federal prescribing laws control the writing and dispensing of prescription medications.  The vast majority of prescription medications used in the treatment of ADHD-related symptoms have been designated as controlled, schedule II.  Included are such commonly used stimulant medications as Adderall, Concerta, Daytrana, Focalin, Metadate, and Vyvanse.  As such, the prescriptions have been limited to one month supplies without refills.  Because a physical prescription with a handwritten signature is required, these medications cannot be "called-in." 

However, recent changes in federal guidelines now allow physicians to write three separate, thirty day prescriptions of these medications for established patients on stable dosing regimens.  All three prescriptions must be dated for the day of service with instructions that state "Do not fill until (blank future date)" for the second and third month supplies.  Upon receipt of the prescriptions, your pharmacy is now permitted to dispense a ninety day supply of medicine – thirty days at a time – without additional physician authorization.

• Three Month Patient Assessments – In light of the new prescribing guidelines, patients being treated for ADHD will need to be seen by a CPA physician every three months to receive new prescriptions.  During these appointments, your doctor will review any changes in past medical, family and social history, assess your child's interval, behavioral, academic, social and developmental progress, and perform a physical examination.  During the quarterly evaluation after your child's birthday, a complete preventative medical evaluation (Well Child Check) will also be performed.   Appointment requests can now be made by clicking the Request Appointment link above.

Your doctors strive to provide the most current, compassionate medical care available to your children.   It is our hope that the changes in prescribing guidelines, and the consequent changes in CPA policy, will result in a more convenient medical encounter for you and a more comprehensive medical experience for your child.  Please feel free to contact any of your CPA pediatricians if you have any specific questions or concerns regarding our new policies.