Rina Adeline, MD
Klinik Intervensi Biologi Medis (KIBM)
Pesona Wina J5/41 Kota Wisata Cibubur Gunung Putri
Bogor 16968
West Java
Indonesia
Telephone: 62-21-84934186
Fax: 62-21-84934186
Email: rina_dr@kibm.org, rinlup_dr@yahoo.co.id
Website: www.kibm.org
1. What are the primary medical specialties in which you were originally trained (e.g., pediatrics, family medicine)?
Family Medicine
2. Approximately how many individuals with autism have you treated, and what is the age range?
About 800 - 1200 patients; age range 2 - 7 years old
3. Do you usually have a waiting list?
Yes
4. On the average, how long do you spend face-to-face with a new patient for an initial consultation?
1 hour 30 minutes - 1 hour 45 minutes
5. After the first consultation, what is the average length of an appointment?
45 minutes to 1 hour 15 minutes
6. Are your patients advised to use special diets such as GF/CF, SCD, low-oxalate, etc.?
Yes
7. Can you collaborate with other specialists we will be dealing with (e.g., gastroenterologists)?
Yes, I can, definately
8. Are you willing to collaborate on treatment and testing with a child’s pediatrician if he/she is receptive?
Yes I am, absolutely
9. Do you or anyone in your office speak languages other than English?
Yes
10. Are you willing to offer phone consultations for distant patients?
Yes
11. Do you provide any form of after-hours support?
Yes, using online instant messenger
12. Do you sell proprietary nutritional supplements or have a sales agreement with supplement suppliers? Do you sell supplements at list price or less?
I don`t sell supplements but I am willing to help patients if they have difficulty getting supplements.
13. Do you take insurance? If not, do you provide organized, coded insurance forms?
No, but do provide organized insurance forms.
14. Do you bill for laboratory tests done by commercial laboratories? How do you break down the fees?
Yes, payment completed before laboratory sample taken.
15. Is there a reason you might not bill for an office visit?
Yes, if patient shows us they are incapable financially by bringing documents from local government province authority.
Defeat Autism Now! (DAN!) Conferences: Spring 2007, 2008, 2009; Completed Clinician Seminar 2007; Completed Level II Clinician Seminar 2008, 2009.
If there is a discrepency between the responses listed above and the practitioner's actual practice, please write to us at: ARI, 4182 Adams Ave., San Diego, CA 92116; or fax: (619) 563-6840