Frequently Asked Questions

Additional Info

What are your hours of operation?


CNS provides nursing services 24/7, including weekends and holidays. CNS regular office hours are Monday - Friday from 8:30 am - 4:00 pm and closed on holidays; however, we do have on-call staff for after-hours emergency support.




Does CNS offer Injection Training?


No, we do not offer injection training services.




What other forms of payment do you accept, besides insurance?


We accept all major credit/debit cards, ACH debit, FSA/HSA debit cards and CapexMD financing.




Do you offer any financing options for services?


Yes. Our preferred financing provider is CapexMD. For more information, visit ChildressNursing.com/Pricing




What space in my home should I use for injection administration?


All clients are required to sit or lay down during injection visits (as a preventive measure against any possible vasovagal syncope symptoms, fainting and rapid heart beat during injections). Most clients choose their front room sofa, comfortable mat on the living room floor, or bedroom. Your CNS Stork will adjust to any place of your choosing, so select an area that is most comfortable for you to lay and relax. Additionally, provide a cleared, cleaned hard surface for your nurse to place medical equipment and injection supplies near your place of injection. The surface should be about 3 feet long. Ideal furniture is something like a coffee table, small dining table, ottoman with hard surface, or bedside table.




What are CNS' Covid-19 preventive measures?


In response to the recent Covid-19 pandemic, Childress Nursing Services is implementing necessary standard protocols to keep our nurses and clients safe during this public health emergency. This means our nurses will receive regular Covid-19 health screenings, testing as needed, and be outfitted in full Personal Protective Equipment (PPE) and use disinfectants during all injection visits. If staff is exposed to a Covid-19 positive peson AND/OR showing any signs of an active Covid-19 infection, then they will be removed from their clients until they are medically cleared or test negative for Covid-19. Clients and any household members present in the home at the time of visit will receive a Covid-19 screening questionnaire and temperature check at the door before every visit. Additionally, the following Covid-19 diagnostic (diagnostic tests = molecular or antigen) testing requirements for clients will be implemented: Pre-Start of Care Clients must have been tested for Covid-19 and those test results received within 48 hours before the start of care date and time. Post-Start of Care For ongoing Covid-19 screening purposes, clients are required to be tested for Covid-19 every 7 days starting after receipt of start of care testing results until end of care date or termination of services. Positive Covid-19 Test Results Any client or household member(s) who test positive for Covid-19 will result in an immediate visit cancellation and will need to show proof of a negative Covid-19 test result to resume CNS home health services. CNS Testing If clients are unable to acquire Covid-19 diagnostic lab testing or choose to receive testing at home, as long as CNS has adequate testing supplies, CNS Testing, the laboratory division of CNS, can provide Covid-19 rapid, same-visit/same-day diagnostic testing and health screening. All CNS Testing visits will be performed by a CNS nurse, occur simultaneously with injection visits and will meet pre and post - start of care requirements. Clients should contact their provider about needing a Covid-19 diagnostic test order. Additionally, CNS will send a lab requisition form to the provider on behalf of the client. If CNS obtains a Covid-19 diagnostic test order for a client from their healthcare provider within 48 hours of start of care, then no upfront payment is due from client and insurance will be billed initially for testing fees. Note: Covid-19 antibody tests are optional, must be performed during same visit as molecular or antigen diagnostic test, and must be paid of out-of-pocket (not insurance billable). CNS Testing and Health Screening Fees Out-of-pocket discounts are available to those who qualify. Please visit our sister site, www.CNStesting.com for more information about our lab testing services and pricing. Unless medically exempted, all clients and household members present in the room during injection visits should wear a face covering throughout the visit.




Is CNS a licensed health care company?


Yes, Childress Nursing Services is Washington state licensed home health agency (License# IHS.FS.60959298) and mobile CLIA certified clinical laboratory (CLIA# 50D2181598). This means that we must undergo regular state department of health inspections to ensure that our company is in compliance with state laws.




What type of injection services does CNS offer?


We provide most medical and fertility home nurse injections.




What items will I need during my injection visit?


You will need to have your medications, sharps container, syringes, needles and accompanying alcohol pads and sterile gauzes ready for your injection visits. If you are receiving full cycle injections, then additional items to increase your comfort level and to combat common hormone injection symptoms will be recommended for you to purchase. These items are suggested, not required. Your CNS Stork will come equipped with all other medical equipment, gloves and bandaids.




Does CNS provide home health services in my area?


We currently operate in the state of Washington only. We service King, Snohomish, and Pierce counties.




Can I travel to your home office for injection service?


CNS is a home health company, meaning that we are licensed to provide services in the client's place of residence or dwelling only. Being a mobile health care unit means you get to skip the traffic, while we provide services in the comfort of your own home, office, hotel, and yes, even on your yacht.




I heard CNS can save me more than it cost. How?


  • For full cycle clients, your CNS Stork will help manage your medications during frequent "med checks" to prevent you from worrying about running out of meds and subsequently overpurchasing unnecessary medications.
  • Often times, clients end up needing only a couple more medication dosages before their cycle's final dosage or trigger shot. Because medication is often wasted during an unskilled person miscalculating dosages or expelling too much medication while trying to "clear" the syringe, this can leave people short on their medications. So, they can end up unnecessarily having to reorder medication bottles that contain more medication than what is needed for the injection cycle - costing more money. Additionally, as anyone who has ordered fertility hormone medications know, you generally cannot return fertility medications received at home - used or unused. Your CNS Stork is trained to extract as much medication as possible out of containers - right up to the last possible drop. This is important in "extending" medication availability and preventing overpurchasing of medications. Unskilled persons generally do not have this skill.
  • Because you are receiving assistance with injectable medications from a trained, competent CNS Stork, you can purchase the less expensive "non-healthcare professional, user-unfriendly" medication vials, instead of pens and prefilled syringes. This alone can save clients thousands of dollars!




Do you accept clients traveling to the Seattle metro area from a different state or country?


Many times, clients traveling to the Seattle metro area for business or vacation will book our home injection service during their visit. If this will be you, then contact our office as soon as you are aware of your travel plans, so we can accommodate your injection service needs. We will travel to your place of residence or dwelling within the area.




Do you accept insurance?


Yes! However, trigger shots only or one-time shots only are not insurance billable eligible and must be paid out-of-pocket upon final booking. For more information on health insurance acceptance, then click HERE NOTE: If you plan to pay via insurance, then we require at least a 2 weeks notice before estimated start of care, 4 weeks preferably if you want to ensure that your requested time slots will be available. We do accept FSA/HSA debit cards.




How many CNS Storks (nurses) will be in charge of my care?


Each CNS client is assigned to a nursing team. We try to limit the number of nurses who will be administering your injections; however, we need to make sure that we have adequate coverage, as it gets pretty tough to ask one nurse to work up to 18 consecutive days without a day off. As a result, you will be assigned a nursing team consisting of your primary and secondary nurse, along with back up nurse(s) in the event life happens with your other assigned nurses.




Can I meet my nurse before my injection start date?


Due to the Covid-19 pandemic, it is recommended that contact be limited with those outside your household. As a result, you will meet, most likely your primary nurse, on your first injection visit.




What can I expect during my 1st injection visit?


A few days before your projected start date, you will receive a "What to Expect" document from us that will go over what to expect during your first and subsequent visits, along with some helpful tips to make your injection cycle more tolerable and comfortable. Your 1st injection visit (granted no medical emergencies arise due to adverse reactions / side effects from medications) will be the longest visit and can take up to 1 hour. This visit includes: quick meet & greet, medication identification, medication review, medication count, 1st health check, overview of medication side effects, overview of stimulation injection cycle, injection cycle comfort helpful tips (pharmacological & non-pharmacological), Q&A session, and administration of your first day injection(s).





Booking

Booking Process Overview


How to book home fertility injection service Start by visiting: ChildressNursing.com/Insurance Then, fill out the form for us to verify your insurance coverage or choose the out-of-pocket payment plan that works best for your needs. Fill out the intake forms and upload the necessary documents. Note: You will need your Injection Calendar or a copy of your provider's medication orders for form completion. Most fertility clinics will email clients their medication orders. You can take a full screenshot (make sure that the medication(s) date, name, dosage and route of administration can be seen in the screenshot) of the email and save as a picture or pdf to upload to the form. Insurance: You will need a front and back copy of your insurance card. After you have submitted your forms, then we will double check to ensure that your requested date(s) and time(s) are available. If we need additional information, then we will email you. For insurance clients: Please note that your booking can take 7+ business days, as we will need to verify insurance benefits and obtain various healthcare provider orders. Note: We book on a first reserved, first served basis. Prior clients have priority booking. If your requested service dates are available, we will email you an invoice via QuickBooks, if paying out-of-pocked. Once your payment has been made (or your insurance coverage has been verified), then we will let you know that your service request has been reserved and booked. The booking process is now complete. Follow the instructions given in subsequent emails.




Trigger Shots


How soon can I book my Trigger Shot? We suggest at least a 7-day "heads-up" advanced notice for all trigger shots. You can email our office by clicking HERE. However, you will not be allowed to officially book your Trigger Shot until you have a confirmed date and time. *Trigger shot only service visits are not insurance billable eligible. Note: We generally keep a few open slots each day for last-minute trigger shot requests. However, current clients will have priority booking. Cutt-off time for final booking and payment for trigger shots is at 3:30 pm every day. Booking is not complete until payment is received. You will need to have your provider's order with the name of medication, dosage, administration route, date and time of injection ready to upload on the intake form. You can obtain this by uploading a picture or pdf copy of your Trigger Shot prescription (usually found on your pharmacy medication list) and a copy of the email from your clinic with the required medication info. You can also have your provider or provider's nurse type up a order with the provider's dated signature and email that document to our office. My Trigger Shot is today, but I won't know my exact time until after I receive my blood draw results this morning or afternoon. What should I do? We know that many times clients will not know their exact injection date/time until the morning or afternoon of their blood draw. If you did not give us an advanced notice, then you should contact our office immediately to see if we can accommodate your request. Because trigger shots have to be given at an exact time, we take a limited number of trigger shot-only clients and current/prior clients are given priority booking. To avoid your Trigger Shot service request being rejected, it is best to contact our office as soon as possible.




Full Stimulation Cycle Injections


How soon can I book my Stimulation Injections? Because of the extra time that it takes to obtain the additional paperwork needed to book full stimulation cycles and to ensure adequate nurse coverage, we suggest at least a 21-day advanced booking for full stimulation cycle injection requests. Space is limited. We operate on a first booked, first served basis. I have a special circumstance that requires me to book in less than 21 days. What should I do? Call our office immediately!




Frozen Embryo Pre-Transfer (FET) Injections


How soon can I book my FET injections? Because of the extra time that it takes to obtain the additional paperwork needed to book FET clients and to ensure adequate nurse coverage, we suggest at least a 30-day advanced booking for FET injection requests. Space is limited. We operate on a first booked, first served basis. I have a special circumstance that requires me to book in less than 30 days. What should I do? Call our office immediately! My FET injection schedule does not fit into one of your injection packages. So, what plan should I choose? Contact our office to see if a customized package can be developed for you.




Progesterone / Pregnancy Maintenance Injections


How soon can I book? Because of the extra time that it takes to obtain the additional paperwork needed to book Progesterone clients and to ensure adequate nurse coverage, we suggest at least a 30-day advanced booking for Progesterone injection requests. Space is limited. We operate on a first booked, first served basis. I have a special circumstance that requires me to book in less than 30 days. What should I do? Call our office immediately! I have a special progesterone / pregnancy maintenance injection schedule other than a once or twice daily injection schedule. So, what plan should I choose? Contact our office to see if a customized package can be developed for you.




Can I book only a few days for my stimulation injection cycle?


We do not book partial cycles. The only circustance when "partial" injection cycles will be booked is for a Trigger Shot only visit. The one exception is for clients who do not reside but traveling to the Seattle metro area. Contact our office, if you are traveling to the area.





Serving Greater Seattle, Washington metro area

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