• Healthy Home Pediatrics

    Family Membership Interest Form

    Thank you for your interest in joining our practice! Take 15 minutes to learn about us and submit your information below.

  • READ & COMPLETE FORM:

    Please take 15 minutes to learn about us and complete the form below to get personalized information for your family. 

     

    ABOUT US: 

    We use house calls, office visits, and group activities to help families in our community improve their health, happiness, and peace. Below we will share a lot of information about our practice so that you can learn about how we can serve you. Then, we will ask for information about your family so that we can provide customized information about how we can work with your family.

    How are our services different? Watch this 2 minute introductory video. 

    What services do we offer? Please see our Membership Journey. 

    Want to know all about Dr. Jalan "J" Burton? See this detailed written interview.  

    How does the membership fee work? Watch this very detailed services, memberships, billing, and invoices video (it is almost 10 minutes).

    Want to know what our patients think of the care and service they receive? Here are some recent things our patients have said about their care: 

    • “We started working with Dr J immediately after our son was born. The benefits to working with her started even before he was born. She came into our home with such warmth and a genuine smile. She took such care of our baby and made sure that we were adjusting well and that breastfeeding was going well. When our son got sick with Covid and croup she spent time on the phone with me and suggested a telemedicine visit right away and once she saw him she knew that he needed support from the hospital. She told us exactly what to do and where to go and even called ahead so they knew we were coming.” N.T., first time mom
    • “Any time we'd have a question in between visits we could write to her in the portal and she'd answer there or suggest a call if she felt it was needed. She always provided links to any creams or supplements she was recommending so that it was easy for us to order anything we needed.” T. family
    • "As the parents of an infant, we love Dr. J so much! She is always so helpful and is there when we need her. I can't imagine working with another pediatrician. We are just so happy with the attention and services." E.B., first time mom
    • "When our son had a stomach upset after hours, we were so thankful that Dr. J was there by phone. We felt so comfortable knowing that we had a plan." E & P, parents to a 19 month old
    • "One day, our daughter R was playing doctor. She told us that being a doctor is 'about kindness and helping people'. That has been our experience with Dr. J and R seems to feel the same." Parents of R.

    ABOUT YOU: 

    Now that you know more about us and some of what our member families say, please take the time to complete all required fields below so that we can learn more about your family. After completing this form, expect to receive a detailed email from us within 12 hours. The email will include more information about the practice including videos, handouts, your personalized quote, and a scheduler for you to book an interview spot.
    If you have any questions throughout this process, please email our team at info@healthyhomepediatrics.com. 

  • We know having multiple children can be expensive, we love big families and we offer a 20% discount for the first sibling, a 25% discount for the second sibling, and a 30% discount for 3 or more siblings.

  • 4th Trimester Membership Quotation

  • The total Estimated Quotation for the 4th Trimester Membership does not include the travel package for house calls, as your location is not eligible for this service.

    • Child 1 (Primary = Youngest Child) 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

    • Child 2 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

    • Child 3 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

    • Child 4 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

    • Child 5 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

    • Child 6 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

    • Child 7 

    • The total Estimated Quotation listed above does not include the vaccine package, as the selected age is not eligible for this service.

  • Your Next Steps with Healthy Home Pediatrics

    We're all about making sure we’re the right fit for your family's healthcare journey.

  • Once you submit this form, you will receive a copy of the form with your answers, details about our practice, and a scheduler to book your spot for an interview. The interview gives you a chance to ask us any questions you may have and gives us an opportunity to discuss how we can help your family thrive.

  • Thank you for taking the time to complete this form. We look forward to potentially partnering with you for a healthy, happier, and more peaceful family life!

     

    Dr. J and the HHP Team

  • Should be Empty: