Heart and Soul Pediatrics

Heart and Soul PediatricsHeart and Soul PediatricsHeart and Soul Pediatrics
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    • Home
    • TeleMedicine
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Heart and Soul Pediatrics

Heart and Soul PediatricsHeart and Soul PediatricsHeart and Soul Pediatrics
  • Home
  • TeleMedicine
  • New Patients
  • Photos
  • Membership

New patient information

Welcome!

Dr. Colón is happy to welcome new patients to Heart and Soul Pediatrics! Please read the office policies below, complete the necessary forms, and contact our office at 770-345-0055 to have your child become a patient in our practice.

Membership-Based Model

We are thrilled to announce that starting on January 1, 2025, Heart and Soul Pediatrics will be transitioning to a membership-based model. This change is designed to provide more personalized care, enhanced services, and increased access to our team.


For a monthy membership fee, your child will benefit from:

  • Extended appointment times for more in-depth visits.
  • Same-day or next-day sick appointments.
  • Telehealth appointments.
  • Direct communication with our staff via phone or email.
  • Priority scheduling for well visits and consultations.
  • Preventive care including vaccinations, hearing and vision exams, developmental assessments, lactation services, mental health screenings, and care coordination, among others.


Click below to learn more about membership in Heart and Soul Pediatrics.

Membership Details

Begin the Membership Process

To begin enrolling as a member of Heart and Soul Pediatrics, click on the button below. We will contact you to discuss the needs of your child and to provide you with the membership agreement.

Enroll as a Member

Vaccinations

Heart and Soul Pediatrics follows the guidelines and scheduling of vaccinations provided by the American Academy of Pediatrics (2021 Schedule for Birth-6 Years and 2021 Schedule for  7-18 Years) and the Centers for Disease Control (CDC).

New Patient Intake Form

Please complete this Heart and Soul Pediatrics Intake Form for each of your children. After you complete that form, you will receive two emails with each of the authorizations listed below to complete and sign electronically for each of your children. We will follow up with you about signing up for membership.

Authorization for Release of Health Information

This authorization is the records release form for your child's current or previous pediatrician. We will fax your completed form to the current medical office for the records. Dr. Colón must review new patient records before any appointments are scheduled. 

Authorization of Protected Health Information

This authorization is for the use and disclosure of protected health information below for each of your children. This form authorizes Heart and Soul Pediatrics to discuss your child's health information with the individuals whom you authorize. 

Next Steps...

When we receive all of the above information and records, we will call you to schedule your child's appointment. Please contact us with any questions at 770-345-0055. 


If you're having difficulty signing the forms electronically, you may download the forms below and fill them out by hand. Completed forms may be emailed to heartandsoulpediatrics@gmail.com or faxed to 770-345-0020.

Downloads

Authorization for Release of Health Information (pdf)

Download

Authorization for Disclosure of Protected Health Information (pdf)

Download

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