Scheduling an Appointment: We use SigmaMD for our electronic health record platform. You can easily self-schedule appointments on the SigmaMD app once you enroll and download the app on your phone.

Telemedicine Visits & Phone Consultations: For your convenience, we offer telemedicine visits and phone consultations for some visits types. Simple, uncomplicated sick visits, chronic care follow ups (including most PANDAS/PANS Follow Up), and the initial patient intake appointments can be done by Telehealth. Get the care your child needs from the comfort of your home.

After-Hours Concerns: Upon enrollment and activating your child's membership, you will be able to send our team messages through the SigmaMD app. You can send a chat message to Dr. Adame directly for after-hours concerns. She typically responds within a few hours. For urgent emergencies, please visit the nearest emergency room.

Ages Treated: We provide dedicated care for newborns through young adults up to the age of 22. Most of our families keep their membership with us through the end of college graduation.

Your Child's First Visit: To ensure a smooth and meaningful first appointment, we kindly ask that you submit your child’s medical records and complete the intake forms at least two weeks prior to scheduling the initial visit. This helps us prepare thoughtfully and make the most of our time together.

Prescription Refills: Prescription refill requests can be easily made by sending us a message on the SigmaMD app refill chat feature. Refill requests take us 48-72 hours to process.

Care for Out-of-State Patients: We proudly care for families from across the country. To establish care, your child must be seen in person at our Culver clinic within a few weeks of enrollment. This visit is essential to meet legal requirements, perform a baseline physical exam, and ensure safe, personalized care. Follow-up visits are often available virtually. For families unable to travel, a doctor-to-doctor consult may be an option.

No Minimum Contracts. Cancel membership any time: You can cancel at any time. We understand that circumstances change, and we will help make the transition as smooth as possible, including sending your child’s medical records to their new doctor upon written request.

If you decide to return to Culver Pediatrics Center in the future, a re-enrollment fee of $1,000 per child will apply to reactivate membership, which helps us manage the resources needed to provide personalized care to each of our patients.

Care Made Simple with the SigmaMD App: We use the SigmaMD Patient App to give you seamless access, convenience, and high‑quality care at your fingertips. You can message our team, view all your child’s health records (labs, clinical notes, prescriptions, etc.), schedule appointments easily in a few taps, and securely handle billing and payments—all in one place.

IVIG Treatment Information For PANDAS/PANS: If IVIG is indicated, Dr. Adame typically sends the orders to Memorial Beacon Outpatient Infusion Center, about 50 minutes north of Culver Pediatrics. They provide excellent care, and we work closely with their team.

IVIG is a two-day outpatient treatment. If you're not near South Bend, IN, we can help find a closer center. Keep in mind Dr. Adame is only licensed in Indiana and Ohio, and some locations require an order from an in-state physician.

We’ll submit a prior authorization (PA) to your insurance, though processing times vary widely. While we’ll advocate and appeal as needed, coverage decisions are ultimately made by your insurer.

Vaccines: We offer routine childhood immunizations and flu clinics for all ages to members and non-members.

Medical-Grade Ear Piercing: A safe and professional option for your child. We use the Blomdahl Medical Grade Ear Piercing system.

InBody Scans: A detailed analysis of body composition to support health and wellness goals.

Text Nurse Becca at 574-544-2343 to schedule any of these services.

We believe in building a strong community around holistic wellness. We are excited to host a variety of events open to both members and non-members, including:

1. Weekly and Monthly Free Yoga

2. Camp Veggie

3. DPC Physician Women's Retreats

Check our events calendar for upcoming dates and registration information!