Taking the children with me is definitely never going to be an option. Mainly because I just don't want to take 4 small kids to an appointment where I need to pay attention and discuss my health and focus on my needs and also because I do not have a vehicle that will fit everyone. Let alone my specialists are 45 min away and typically never run on time.

My contract notes "Whenever possible medical and personal appointments will be made after child care hours however, if I must use child care hours to secure appointments, I will have to close my child care home or open later in the day."

I think I'll ask the parents and see what they'd prefer after calling the doctor's office to see what my appointment options are. If I can't get late in the day then I'll just have to close and give as much notice as possible.