Our Services

We are fortunate to have Courtney Breven, LCSW, and Ariel Fuller, ATR-BC, on the PAR team to help navigate difficult childhood and adolescent challenges. In addition to connecting with your child and providing support, our behavioral health specialists review clinical information, monitor progress and collaborate with primary care providers at PAR. External psychiatric consultants are also available to the collaborating therapist and PCP as needed. Appointments are by referral from a doctor or nurse practitioner at PAR.

When indicated based on a patient’s history and current physical exam findings, all of our providers and locations are equipped to provide oral steroids and/or breathing treatments. These treatments often prevent the need for ER evaluation and treatment, saving you time and money. Your PAR provider will inform you if such treatments would benefit your child.

Checkups ensure that your child is attaining appropriate growth and developmental milestones. They’re also an excellent opportunity to learn and discuss what to expect in the months and years to come as your child grows. We see children for checkups as newborns; at months 1, 2, 4, 6, 9, 12, 15, & 18; at years 2, 2 ½, and 3; and yearly thereafter through high school graduation.

Pediatric Associates of Richmond continues to be a pioneer in providing in-house breastfeeding support services. Services include lactation consultation, nursing bra fittings, and assistance with breast pump rentals, purchase and adjustments. Most lactation services are covered by health insurance plans, and we can help take care of insurance reimbursement.

Lactation Appointments

Jan, Laura, Lauren, Heather, and Abby, our five International Board Certified Lactation Consultants (I.B.C.L.C.), have more than 60 years of combined experience and see patients at each of our locations. Because each I.B.C.L.C. is also a nurse practitioner, you have the option of combining your lactation visit with your infant’s regularly scheduled checkups or weight checks, which can save you time and money.

Lactation Rooms

We have three lactation rooms at our West End location, one at our Mechanicsville location, and two at our Short Pump location.

Accessories

Nursing bra fitting

Breast pump rentals, sales and adjustments. We are a certified Medela station.

Breastfeeding Support Services

• • Pre- and post-feeding weights for an accurate assessment of milk transfer
  • Difficulties with latch
  • Decreasing milk supply
  • Feeding multiples (twins, etc.)
  • Breastfeeding tongue-tied (ankyloglossia) infants (can be clipped in house if indicated, by Dr. McKnight)
  • Feeding infants with special needs
  • Feeding premature infants
  • Extended pumping and maintaining milk supply
  • Counseling regarding the impact of medications while nursing
  • Sore nipples/painful latch
  • Weaning
  • Preparing for Mom’s return to work

Breastfeeding FAQs

For more information on feeding your newborn, please see our Feeding Newborns page.

For prenatal breastfeeding support resources, PAR lactation consultants recommend in-person classes offered by both the OB practices and local hospital systems. If you prefer a virtual option, we encourage you to try https://www.modernguidetobreastfeeding.com/

PAR doctors are trained in performing evaluations for conditions such as ADHD, anxiety disorders, and depression. These evaluations are scheduled as “conferences” so that we can allow enough time to be as thorough as these concerns demand. Screening forms for each condition are available at https://parpeds.com/forms/. Please have these filled out and provided to the doctor in advance of your conference.

If a diagnosis is made, and medication is indicated, PAR doctors can prescribe and manage treatment.

Conferences can also be scheduled for behavioral or developmental concerns.

Prenatal visits are provided at no cost and are a wonderful way for expectant parents to meet one of our doctors, learn about our practice’s approach to care, take a tour of our office and learn what to expect after delivery. We try to cover as many topics as possible, and we encourage visitors to ask as many questions as needed. Classes are typically held on a weeknight during the 3rd week of each month, will be at the Short Pump or West End location, and start at 6:30 p.m. Please call (804) 282-4205 to reserve a spot.

While there’s no true substitute for an in-person visit and the ability to communicate face-to-face with a healthcare provider, some medical concerns can be addressed virtually. Examples include: behavior or sleep concerns, constipation, and mental health concerns.

Pediatric Associates of Richmond offers international travel consultations. A consultation with Dr. Weber or Kristin Flohre, CPNP, will provide recommendations for vaccinations, mosquito/insect bite prevention, and other safety strategies. If applicable, antibiotics for infections such as traveler’s diarrhea may be prescribed. We will also begin keeping typhoid vaccine at our West End office for administration (injection only; not pills). Other non-standard vaccines, however, may require a visit to a travel pharmacy. A full list of travel pharmacies is listed on our international travel page.

Please be advised of the following when scheduling an international travel consultation:

1. 1. We cannot provide prescriptions for parents.
   2. This service is only for patients whom we serve as primary care physicians.
   3. Please schedule your appointment at least one month before travel, as some of the medications and vaccines require completion well in advance.
   4. You may still use the local travel pharmacies/clinics if you prefer, or if they work better for your schedule.

What to tell the scheduler when calling for an appointment:

Names of the cities, states, provinces or regions within those countries to which your children will be traveling. Recommendations may differ depending on the region. The more detail you can provide, the more protected your children will be.

Names of all children traveling.

Name of country/countries to which they are traveling.

Our recommended immunization schedule is based on guidance from the American Academy of Pediatrics. This schedule utilizes the most rigorous scientific evidence available, and ensures children and adolescents receive immunizations at times when they will work best with children’s immune systems, and provide protection when patients are most vulnerable to certain diseases. PAR parents are expected, at minimum, to adhere to the CDC’s list of universally recommended immunizations: diphtheria, tetanus, pertussis (whooping cough), Haemophilus influenzae type b (Hib), pneumococcus, polio, measles, mumps, rubella, and chickenpox. Your PAR healthcare provider will review at check-ups why we also recommend protecting your child against hepatitis B, rotavirus, hepatitis A, meningococcus, and human papilloma virus (HPV), and which immunizations are required by the Virginia Department of Health for daycare attendance and/or school matriculation. Seasonal immunizations (influenza, covid, RSV) are routinely discussed as well.

¹Pentacel protects against Diptheria, Tetanus, Pertussis (DTaP), Haemophilus influenzae type B (HiB), and polio.

²Prevnar protects against pneumococcus

³Rotateq protects against rotavirus

⁴Varivax protects against chickenpox.

⁵Quadracel protects against DTaP and polio.

Check Out This App

CHOP (Children’s Hospital of Philadelphia) is one of the worldwide leaders in vaccine research. They have created a great app that teaches parents and children about the disease vaccines help prevent, the vaccines themselves, and potential side effects. Check it out.

For those stubborn warts that just won’t go away, or when over-the-counter wart-removal products fail, PAR can treat them with cryotherapy, using Histofreeze. Call 282-4205 to schedule a consultation and treatment.