Cash-pay pediatric care extends well beyond the well-child visit. Developmental wellness assessments, lactation consulting, pediatric sports medicine, integrative pediatric care, and pediatric weight management all operate on a direct-payment model. These service lines share a guardian-first workflow where the parent completes intake, grants consent, and manages billing for multiple children. Brooke handles all of it at $99 a month flat.
The cash-pay pediatric market is not just DPC family practices with children on the panel. Specialized pediatric service lines — developmental wellness, lactation, sports medicine for youth athletes, integrative pediatric approaches, and pediatric weight management — each operate on a direct-payment model with specific documentation and billing requirements that standard practice management software was not designed to handle.
Every cash-pay pediatric encounter has a unique workflow element: the patient is a child, but the intake, consent, and payment come from the guardian. The EHR needs to support a guardian profile that holds billing information, consent authority, and communication preferences for one or more children under their care. This distinction changes how the platform needs to be structured at the intake and checkout levels.
A family with three children who all receive care at the same pediatric practice should have one family account with three linked patient records, one billing card on file for all three, and one guardian contact for all communications. A platform that creates a fully separate unlinked account for each child adds administrative friction that a cash-pay pediatric practice cannot afford to absorb at every visit.
A cash-pay pediatric appointment begins with the guardian, not the patient. Brooke's intake and consent workflow is built around this structure from the first booking.
The guardian books online 24/7 for any child on the family account. The booking selects the child as the patient and routes to the correct provider calendar. Automated reminders go to the guardian contact on file, not to a minor's contact information.
Intake forms for the specific appointment type — developmental wellness, sports physical, lactation consultation, or integrative care visit — are sent to the guardian before the appointment. Medical history, developmental history, current medications, and allergy information are completed and in the child's chart before the visit begins.
Consent forms for the specific pediatric service are signed digitally by the guardian as part of the intake process. The signed consent is stored in the child's chart and is retrievable for every future visit without re-signing unless the form version changes.
The child's visit is documented in Brooke's treatment records. Clinical notes, assessment, treatment plan, and any administered products are recorded in the patient chart for this visit, linked to the child's complete visit history.
Payment is collected from the guardian's card on file or via tap-to-pay at the close of the visit. A family with three children on the same account checks out in the same system for any child's visit. The chart closes when the card runs.
Each of these service lines carries a distinct clinical workflow and a direct-payment billing model. All run on the same Brooke platform at the same flat $99 price.
Cash-pay developmental pediatric assessments covering developmental milestones, behavioral health screenings, sensory processing evaluations, and developmental wellness consultations. Multi-session assessment series with guardian intake, per-session documentation, and package or per-visit checkout.
Private pay lactation consulting for newborns and infants, including initial consultations, follow-up visits, and virtual lactation support. Guardian intake covering birth history, feeding history, and maternal health. Per-session or package billing with card on file for recurring follow-up visits.
Cash-pay sports medicine for youth athletes: sports physicals, acute sports injury evaluation, return-to-play assessments, and performance health visits. Guardian consent for all pediatric sports evaluations. Direct checkout for each visit without insurance authorization delays.
Cash-pay integrative pediatric practices addressing childhood health through nutritional, environmental, and functional approaches. Comprehensive guardian intake covering diet, environment, developmental history, and health goals. Supplement dispensing with inventory tracking and lot capture.
Cash-pay pediatric weight management and nutrition programs. Recurring check-in visits, family counseling sessions, and nutrition coaching on a direct-pay model. Package billing for multi-month programs, with card on file for recurring monthly charges.
Direct-access concierge pediatric practices with family membership billing. Monthly or annual family membership fees charged to guardian card on file. Unlimited visit access for all children on the family account, with same-day availability and direct communication with the pediatric provider.
A cash-pay pediatric practice that serves families needs billing infrastructure that operates at the family level, not the individual patient level. One card on file. One guardian contact. Multiple children. Every visit charged to the same family account regardless of which child was seen.
A family with two or three children under the same guardian is a single account in Brooke. Each child has their own patient record and visit history, but all billing runs through the guardian account. Adding a sibling to an existing family account does not require a new account setup.
One card on file for the family. Any child's visit is charged to the same guardian card without re-entering payment information at each appointment. A family that brings two children for visits on the same day checks both out through the same guardian card on file.
Concierge pediatric practices that offer family memberships charge a single monthly or annual fee covering all children under the guardian account. Brooke handles recurring family membership billing automatically on the billing cycle without a manual invoicing step.
Brooke covers the full clinical and operational workflow for specialized cash-pay pediatric practices at one flat price with no insurance billing infrastructure required.
Digital intake forms designed for each pediatric service type — developmental assessment, sports physical, lactation consult, or integrative care visit. Sent to the guardian before the appointment and completed before the child arrives. Medical, developmental, and family history in the chart before the first clinical question is asked.
Consent forms for each pediatric service type signed digitally by the guardian as part of the pre-visit intake process. Stored in the child's chart and linked to the guardian profile. No paper consent forms to collect and file, and no consent gaps at the start of the clinical visit.
Clinical notes, assessment, treatment plan, and administered product records per visit, all stored in the child's chart alongside the complete visit history. A provider returning to a pediatric patient after six months sees every prior visit in one chart view without searching a separate archive.
Vaccines, supplements, and in-office supplies used in pediatric visits tracked automatically with lot number capture in every treatment record. Low-stock alerts trigger before the practice runs out of high-use pediatric products. Lot capture provides the traceability required for pediatric vaccine and supplement administration.
A guardian can schedule appointments for any child on the family account through the same online booking flow. Provider calendars, automated reminders, and same-day booking all work at the family level. Reminders for pediatric appointments go to the guardian contact, not to the minor patient.
Revenue per provider, rebooking rate, average spend per visit, and revenue per service line — updated live. A cash-pay pediatric practice that wants to grow its developmental assessment program or add lactation consulting sees the current performance of each service line without pulling a separate report.
Lactation consulting is one of the most common cash-pay pediatric-adjacent services in the country. Most private lactation consultants bill directly without insurance. The clinical workflow is guardian-intake-first, with follow-up visit series and recurring support visits on a card-on-file model.
A lactation consulting engagement typically starts with a longer initial consultation and continues through several follow-up visits over the first weeks of breastfeeding. Brooke's series scheduling sequences all follow-up appointments at the initial visit, with automated reminders before each one. Cards on file handle recurring visit charges without a billing step at each appointment.
A lactation consultation intake covers both the maternal and infant history — birth details, feeding history, latch assessment findings, weight gain tracking, and maternal health factors. The guardian is the patient contact and the billing party. Brooke's guardian intake workflow captures both maternal and infant information in the same pre-visit form without creating two separate patient records for a single consultation.
A solo pediatric lactation consultant and a six-provider pediatric sports medicine group pay the same $99 per location. No per-provider fees, no appointment caps, and no upgrade required for guardian workflows, multi-child billing, or family membership features.
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Cash-pay pediatric service lines run on a guardian-first model that most practice management platforms were not designed for. Brooke handles guardian intake, guardian consent, multi-child accounts, and family billing at the flat $99 practice price.
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The best EHR for a cash-pay pediatric service line handles guardian-completed intake and consent, multi-child family accounts with one card on file, series scheduling for developmental or follow-up visits, pediatric vaccine and supplement lot capture, and direct checkout billed to the guardian account. Brooke provides all of these at $99 a month flat with unlimited providers, no per-provider fees, and no contracts.
Yes. Digital intake forms for each pediatric service type are sent to the guardian before the appointment. Medical history, developmental history, current medications, and allergy information are completed by the guardian and stored in the child's chart before the clinical visit
begins. Reminders for pediatric appointments go to the guardian contact, not to the minor patient.
Yes. A family with multiple children is a single guardian account in Brooke. Each child has their own patient record and visit history, but all billing, consent, and communications route through the guardian account. Adding a sibling to an existing family account does not require a new full account setup.
Yes. Cash-pay lactation consultants use Brooke for guardian intake covering maternal and infant history, series scheduling for initial and follow-up visits, card-on-file billing for recurring sessions, and per-session or package checkout. The guardian-first intake workflow applies directly to the maternal-infant consultation model.
Yes. Cash-pay pediatric sports medicine practices — sports physicals, injury evaluations, return-to-play assessments — use Brooke for guardian intake and consent, visit documentation, and direct checkout. Sports physical packages and per-visit fees are both supported in Brooke's checkout module.
Yes. Cash-pay integrative pediatric practices use Brooke for comprehensive guardian intake covering developmental, nutritional, and environmental history, visit documentation, supplement and product inventory with lot capture, and direct checkout. The same platform that handles functional medicine adults handles integrative pediatric care without modification.
A concierge pediatric practice that charges a monthly family membership stores the guardian's card on file at enrollment. The membership fee is charged automatically each cycle without a manual invoicing step. All children on the family account are covered by the membership, and any additional service charges are billed through direct checkout at each visit.
Yes. Vaccines, supplements, and in-office supplies are tracked automatically with lot number capture in every treatment record. Low-stock alerts trigger before the practice runs out of high-use pediatric products. Lot capture provides the traceability required for pediatric vaccine and supplement administration records.
No. Brooke charges $99 a month per location regardless of how many providers or staff are on the platform. A solo pediatric lactation consultant and a multi-provider pediatric sports medicine group pay the same price.
$99 a month per location. Unlimited providers and staff included. No per-provider fees, no appointment caps, no setup fee, and no contracts. The same flat price covers a solo lactation consultant, a developmental assessment practice, and a multi-provider pediatric sports medicine clinic.
Yes. Brooke migrates patient records, intake forms, and visit history from any current system at no cost. A pediatric practice switching platforms does not rebuild the patient database or recreate guardian consent records from scratch.
The best EHR for pediatrics handles the guardian-first workflow that cash-pay pediatric service lines require. Book a 15-minute demo or start your free trial today.
