Quick Acute Sick Visit
These visits are for acute symptoms. 15 minutes for established patient and 30 minutes for new patient.
For babies 6 weeks to 6 months, must be part of this practice to be seen for a sick visit and must have been seen for one well visit prior to a sick visit.
For Babies 6 months and older, this sick visit is for a symptomatic children that have had symptoms for 4 days or less days - such as:
Fever
Sore throat
Cough, runny nose, cold, flu
Ear pain
Rashes
Diarrhea
Impetigo
Pink eye and the like.
*Please note, our office is not equipped for emergencies or urgent needs. Please go to a Pediatric ER for Emergencies and a Pediatric Urgent care for urgent needs. We recommend: (Little Spurs Urgent Care, Cooks or Dallas Children’s ER)
Comprehensive Consult Initial and Abbreviated Initial
Visits are designed for symptom(s) more than 4 weeks or diagnosis concern.
We offer the Following Abbreviated Comprehensive and Comprehensive Appointments
1. Comprehensive Abbreviated Initial Visit - In-Person
Duration: 60 minutes
For: New patients with a single mild issue lasting 4+ weeks
Examples:
Persistent cough
Rash
Mild eczema
Constipation
➡️ This visit is focused on one concern only.
2. Comprehensive Initial Visit - In Person Only
Duration: 120 minutes
For: New patients with multiple or complex concerns lasting 4+ weeks
Examples:
*Autism Diagnosis or Autism Like Tendencies
**ADHD
Abdominal Pain/Bloating
Anxiety
Asthma
Behavior Concerns
Constipation
Developmental Delays or Regression
Fatigue
Headaches
Mold Exposure or Concern for Mold
OCD - Obssessive Compulsive Disorder
PANS/PANDAS
Picky Eaters - Diet issues
Sleep Concerns
Any symptom(s) lasting 4+ weeks
3. Comprehensive Abbreviated Initial Visit (120+ Miles Away) - Telemedicine
Duration: 60 minutes
For: New patients with a single ongoing concern (4+ weeks) living 120+ miles from Fort Worth, TX
Examples:
Persistent Cough
Rash
Mild eczema
Constipation
📝 An in-person visit is required within 1 year.
*(I do not diagnose autism, this should be done through Child Study Center or through an appropriate autism diagnostician. However, I will see your child even if no formal autism diagnosis has been given.)
**(I do not order, refill, or discontinue any pharmaceutical medications for ADHD. This must be done by the provider that prescribed it initially - I use a biomedical approach.)
Follow Up Appointments
Individualized care takes time to find what works for your child. Some children need more, some less.
The expectation is minimum of 5-6 follow up visits in the year to monitor progress, review lab work, specialty tests, modify plans and evaluate next steps in the healing process. Follow up visits can be via telemedicine through your child's patient portal and HIPAA compliant Zoom or in person, whichever you prefer. Follow Up Visits We Offer are:
1. Blood Work Results Review - Telemedicine / In Person
Duration: 30 minutes
For: Reviewing standard lab work and discussing treatment plan
2. Follow-Up with 1 Specialty Test - Telemedicine / In Person
Duration: 45 minutes
For: Reviewing 1 specialty test and discussing treatment plan
3. Follow-Up with 2+ Specialty Labs - Telemedicine / In Person
Duration: 60 minutes
For: Reviewing 2 or more specialty labs and discussing treatment plan
4. NP Bosch Telemedicine Discussion Visits - Telemedicine only
Speak directly with Brenda Bosch, CPNP-PC, FMAPS for:
- Second Opinions
- Health Plan Discussions, Clarifications, Encouragement
- New Therapies or Other Therapy Options
Available in time blocks:
- 15 minutes
- 30 minutes
- 45 minutes
Why we started Praxis Integrative Pediatrics.
Brenda noticed a concerning rise in pediatric chronic issues like Autism, ADHD, Asthma, Allergies, Frequent illnesses, Gut issues, and Headaches - conditions that weren’t prevalent during her childhood.
Seeking answers for her patients, she attended conferences and pursued education in alternative therapies within integrative and functional medicine. Brenda discovered that integrative medicine focuses on identifying the root causes of health issues and promoting long-term wellness rather than temporary quick fixes. After personally benefiting from a specialized test and botanical treatment that avoided surgery, her commitment to this approach deepened. Brenda recently completed advanced training in Pediatric Special Needs through the Medical Academy of Pediatric Special Needs (MAPS). She earned the recognition of Fellow (FMAPS), thus equipping her to help others identify underlying causes of symptoms and reclaim their health.
