COUNTRY CREEK PEDIATRICS
La Sharon Samuels, MD, FAAP * Elizabeth Johnson, DO * Patricia Boyst, NP
BETTER CARE FOR BETTER KIDS. PERIOD.
OUR SERVICES

Well child check-ups are normally scheduled at 3-5 days of age, 1,2,4,6,9,12,15,18, 24, 30 & 36 months and then annually thereafter.
Immunizations are provided.
Visits required for entry to Kindergarten should be scheduled in the spring to avoid the last minute rush. Parents will be responsible for full payment for visits demanded by schools or camps but not covered by insurance. Please consult your insurance policies to ensure exams are covered.
Call for your appointment at 248.289.7400.
Well

Country Creek Pediatrics guarantees Same Day Sick exams for when your child isn't feeling their best.
Children are seen
BY APPOINTMENT ONLY
with Dr. Samuels, Patricia Boyst, NP, Dr. Johnson or our 3rd year residents. We make every effort to accommodate your child into our schedule. Rapid Influenza tests and Rapid Streptococcal tests are available. Our convenient E-script service sends prescriptions directly to your pharmacy of choice.
Sick

Congratulations on your new addition! Schedule a
"Meet and Greet"
with Dr. Samuels or Dr. Johnson to prepare for the arrival of your little one! The Doctors
will answer your questions and discuss important medical decisions (immunizations, circumcision, etc.) to be made at the time of delivery. Call us at 248.289.7400!
Pre
Natal

Physicals
Summer camp? Baseball? Soccer? Football? Track? Basketball?
Tennis? Swimming? Traveling Abroad?
Get your physical with us!
Sports physicals must be performed
after April 15 of the current school year. If needed before then, an
Annual Well Exam must be on record or performed for any forms to be filled out. Parents are responsible for full payment AT TIME OF SERVICE
for exams demanded by schools or camps but not covered by insurance. Please consult your insurance policies to ensure exams are covered.
Call for your appointment at 248.289.7400.

Give your child a
good defense against
sickness and disease.
Call 248.289.7400 to
schedule a 15 minute
MA appointment today!
Vaccines

We are all great parents doing our best for our kids, but sometimes we need a little help. Call 248.289.7400 to schedule an appointment with Dr. Samuels to explore solutions for your child's best outcome.
Behavioral Health

Referrals
Country Creek Pediatrics
works with some of the best
Specialists and Hospitals
in the area to make sure your child gets the specialized care they deserve. Call us for an
appointment to get your referral today at 248.289.7400.

Special
Needs
Dr. Samuels has years of successful experience and results with children with special needs and their families. Schedule a consult to discuss concerns about your child. Call for an appointment today at 248.289.7400.
OUR POLICIES
Co-pays and Deductibles
Balances are to be paid at the time of service regardless of who accompanies the child to the appointment. This includes any and all co-pays and deductibles. Patients may not be scheduled or seen for an appointment until payment has been received. Balances in arrearage of 30+ days will be reported to all major credit bureaus. If payment arrangements have been made with Country Creek Pediatrics, it is a courtesy; payment is expected as agreed.
No Call, No Show
If you are unable to keep a scheduled appointment, please call the office a minimum of 24 hours ahead to cancel or reschedule that appointment. You must speak with a live operator after pressing Option 2 or your appointment will not be cancelled. You may also send a message via your Patient Portal account. Failure to cancel your appointment without 24 hours notice will result in a $25 fee.
We are happy to complete any forms needed for school, camp, sports or other activities. Please bring the form with you to your check-up and we will complete them and return them to you at the end of your visit for no additional charge. If the patient has a current Annual Well Exam on file, the form can be submitted to our office via mail, fax or dropped off in person. Due to the high volume of forms we receive, please allow 48 hours from time of receipt to return the form to you. Please read all forms before submitting them to be sure your child has had an exam within the required time. We will not falsify dates. All portions of the parent and student sections must be filled out completely by the parent and/or patient before a provider will fill out any form. All forms need to include instructions as to where to send the forms once completed, along with a self-addressed stamped envelope if they are to be mailed. We do not email forms.
Record Transfers
If transferring to our office from another practice - welcome! Please request the records be either be released directly to you or faxed directly to us at 248.475.5632. We request that we receive the records from your previous provider before scheduling an appointment in our office.
If transferring out of our office, complete and submit our “Authorization to Release Medical Records” form. The form must be signed by the parent or legal guardian. We do not mail records. There is a $30 fee for the copying and releasing of medical records directly to patients that is due upon submission of the request.
Walk-In Appointments
All visits in our office are by appointment only. If you need to be seen by one of our Providers, please call the office and we will make our best effort to see you in a timely fashion. We are unable to accommodate patients that walk-in the office without an appointment at that time, but will assess the situation and give an appropriate appointment.