KIDS 0to18 Integrative Pediatrics

07/04/2025

🎆🇺🇸 Happy 4th of July from all of us at KIDS 0to18 Integrative Pediatrics! 🇺🇸🎆

Wishing your family a day full of fun, laughter, and safe celebrations! Whether you're enjoying a BBQ, watching fireworks, or just spending time together — here are a few friendly reminders to keep your little ones safe:

🧢 Keep kids cool & hydrated
🧴 Apply sunscreen often (even on cloudy days!)
👂 Use ear protection for sensitive ears during fireworks
🔥 Keep a safe distance from sparklers and fire pits
💙 And most of all — have FUN and make memories!

We’re so grateful to be part of your family’s journey — today and every day.
Happy Independence Day! ❤️🤍💙

06/20/2025

☀️ Happy First Day of Summer from all of us at KIDS 0to18 Integrative Pediatrics!

As you head outside for fun in the sun, don’t forget to stay safe!

Check out the tips below to keep your family healthy all summer long. ☀️

06/15/2025

🧢💚 Happy Father’s Day from all of us at KIDS 0to18 Integrative Pediatrics! 💚🧢

To the superhero dads, bedtime story readers, boo-boo fixers, and snack-time champions—today is all about YOU! 💪📚🍎

Thank you for the piggyback rides, endless encouragement, and for always being there with a hug (or a silly dance move) when we need it most. You make growing up so much better.

Wishing all the amazing dads and father figures a day full of giggles, hugs, and love. You mean the world to your little ones—and to us too! 💚

06/01/2025

Sunny days are here! ☀️ Don’t forget to protect yourself & your little ones from the sun 🧴🕶️ 💛

05/08/2025

Happy National Nurses Week!

At KIDS 0to18 Integrative Pediatrics, we’re proud to recognize and celebrate Jonathan Tomás, MSN, APRN, NNP-BC, CPNP-PC & AC — our extraordinary nurse practitioner and the heart of our practice!

As a dual-certified pediatric and neonatal provider, Jonathan delivers expert, compassionate care to children from birth through young adulthood. Whether it’s a well visit or urgent need, chronic care or emotional support, he does it all — with dedication, heart, and a holistic touch.

This week and every week, we thank you, Jonathan, for your unwavering commitment to the health and happiness of every child and family you serve!

04/20/2025

Hoppy Easter from all of us at
Kids 0to18 Integrative Pediatrics!

We’re wishing you a joyful, healthy, and safe holiday weekend! As you enjoy egg hunts, treats, and springtime fun, here are a few friendly reminders to help keep your little ones safe:

• Sweet treats in moderation: Too much sugar can upset little tummies. Mix in some healthy snacks to balance the fun!
• Watch out for food allergies: Always check candy labels and ask about ingredients—especially at egg hunts or parties.
• Egg hunt safety: If you're using real eggs, make sure they're handled safely and not left out too long.
• Keep moving: Make Easter active with games, walks, or outdoor fun!
• Choking hazards: Keep small candies and toys out of reach of tiny hands (and mouths).

From our family to yours, we hope your Easter is filled with love, laughter, and lots of hopping around!

04/06/2025

Spring Allergies in Kids: Tips to Keep Them Under Control

As the flowers bloom and the weather warms up, many children begin to experience the discomfort of spring allergies. At KIDS 0to18 Integrative Pediatrics, we want to help you keep your child feeling their best during this beautiful season. Here are some practical tips for managing spring allergies and knowing when to seek help:

1. Know the Symptoms of Spring Allergies

Common signs that your child may be suffering from spring allergies include:

- Sneezing

- Runny or stuffy nose

- Itchy or watery eyes

- Coughing

- Post-nasal drip or sore throat

- Fatigue or irritability

2. Tips to Keep Allergies Under Control

- Limit outdoor activities on high pollen days. Pollen counts are typically higher in the mornings, so try to keep kids indoors during those hours.

- Keep windows closed at home and in the car to prevent pollen from getting inside.

- Shower and change clothes after outdoor play to remove pollen from skin and clothing.

- Use a HEPA air purifier in your child’s bedroom to help reduce allergens in the air.

- Keep your child hydrated to help flush out allergens from their system.

- Use saline nasal sprays to wash out pollen and other irritants from your child's nasal passages.

3. When to Consider Allergy Medications

If your child’s symptoms are persistent or affecting their daily activities (like school or play), allergy medications might be needed. Over-the-counter antihistamines, nasal sprays, or eye drops may help but always consult with a pediatrician to find the best solution for your child.

4. Schedule a Visit with Us

Spring allergies can often be managed with simple changes but some kids may need extra help. If your child is struggling with allergies it's a good idea to schedule a visit with us. At KID 0to18 Integrative Pediatrics, we can provide:

- Personalized treatment plans

- Natural and integrative approaches to help manage symptoms

Ready to take control of your child’s spring allergies? Call us today at (253) 400-0218 or schedule an appointment online at https://www.kids0218.com/

Stay allergy-free and enjoy the season! 🌿

04/04/2025

One in four U.S. children suffers from allergic diseases, and more than 6% of children are diagnosed with asthma, according to the Centers for Disease Control and Prevention.

03/29/2025

My Commitment to Your Family

Welcome to a healthcare experience that blends the warmth of small-town service with the efficiency of modern city conveniences. You can effortlessly schedule appointments online using our intuitive Google calendar, text with us, share files, high definition pictures and videos, and have virtual chats, all in our HIPAA compliant platform.
Rest assured with guaranteed same-day sick appointments. As your child's primary care provider and practice owner, I'm dedicated to delivering exceptional, integrated whole-child healthcare and unparalleled customer service. I encourage you to reach out to me before considering urgent care or a hospital for non-emergencies; I'm often available for after-hours, weekend, and immediate virtual visits.
KiDS 0 to 18 is designed to be a unique practice, offering comprehensive medical, developmental, and behavioral care. We manage routine and complex needs, coordinating directly with mental health professionals and medical specialists to ensure a seamless and supportive experience for your family.

Sincerely,

P. Jonathan Tomás
MSN, APRN, NNP-BC, CPNP-PC&AC
Owner - Nurse Practitioner - Neonatal,
Pediatric Primary & Acute Care

03/18/2025

Dear Families,

A Heartfelt Thank You!

We want to express our sincere gratitude for your continued trust and support. It's a privilege to partner with you in ensuring the health and happiness of your families. Here are some updates:

Convenient Appointment Scheduling with Google Schedule:
We've implemented a Google Schedule on our main website for easy appointment booking, available to both current and new families. This is now the preferred method for scheduling and modifying appointments within a 4-hour to 60-day window. The website features buttons that guide you through an algorithm to determine whether a 15 or 30-minute appointment slot is necessary. Use this tool to book both in-person and virtual visits (virtual visits will continue via Klara).

Same-Day and Next-Day Appointments:
Same-day and next-day appointments are always available for sick children and newborns. If you don't see an available slot on the Google Schedule, please call us. If needed we will stay after hours.

Emergency Situations:
For emergencies, call 911 or proceed to the nearest emergency room.

Non-Emergent Care:
Please contact me before going to urgent care or the emergency room for non-emergent issues, even when the office is closed. I may be able to offer an in-office visit or a virtual visit to avoid unnecessary wait times, expenses, and exposure to infectious diseases.

After-Hours and Weekend/Holiday Calls:
For urgent matters, please call my direct number or the main office number and follow the prompts to my extension. It's best to call me after office hours before sundown and after sunrise, but I understand that sometimes things happen in the middle of the night. I can offer you guidance to make informed decisions, give home care advice, and make special appointment arrangements.

Extended Support Hours:
Our attendants are available from 7:00 AM to 6:00 PM, Monday to Friday (excluding holidays), to assist with your needs and handle Klara messages too.

Integrated Behavioral Health:
We've created a hidden, HIPAA-compliant page for behavioral health forms (anxiety, depression, ADHD): KiDS0218.com/forms. Parents, children, and teachers can complete questionnaires discretely and securely online. When possible, parents should allow children aged 8 to 18, or teens aged 13 to 18, to answer their designated forms themselves. However, they may need your assistance. After completing the forms, book a behavioral health appointment on the main website and indicate that you've submitted the forms in the "reason for visit" section.

Pain and Fear Reduction During Vaccinations:

J-Tip Transdermal Lidocaine Injectors: We offer J-Tip injectors for pain reduction during vaccinations, helping to prevent needle phobia. They work within 1-2 minutes and have a $20 charge per application. Not recommended for children under 1 year or those with sensitive skin.

EMLA Cream: We also use EMLA cream for babies 2 months and older, available upon request at no charge. It requires 20-60 minutes to take effect.

Distraction and Play: We offer distraction techniques, toys, and a playroom to help reduce pain and fear. We can also teach parents effective distraction methods.

Additional Important Information:
Klara Secure Text Messaging and Telemedicine: We will continue to use Klara for virtual visits, secure text messaging, and the exchange of documents, pictures, and videos. Staff will monitor Klara messages during business hours. I will check messages twice daily (morning and evening) after hours and on weekends/holidays. Please ensure all uploaded pictures and videos are of high definition. To access please go to patient.klara.com or download the app on the App Store or Google Play.

Office Hours: To help me focus on patient care: My phone is silenced during office hours. The office staff will answer the main number.

Medical Records, Bill Pay, and Check-In (Develo Family Portal): Our new system, Develo, features a Family Portal. Access growth charts, immunization records, forms, letters, visit summaries, pay bills, and check in for appointments. Please allow sufficient time for the check-in process, as screening questionnaires and registration forms may be required. It's NOT an app! Please save this link: portal.letsdevelo.com/kids0218

We are committed to providing you with the highest quality care and a seamless experience. Thank you for being a part of the KiDS 0 to 18 family.

Sincerely,

P. Jonathan Tomás
MSN, APRN, NNP-BC, CPNP-PC&AC
Owner - Nurse Practitioner - Neonatal,
Pediatric Primary & Acute Care

KiDS 0 to18 Integrative Pediatrics
4700 Point Fosdick Drive NW, Suite 208
Gig Harbor, WA 98335
www.kids0218.com
Phone: 253-400-0218
Fax: 253-500-0218

03/17/2025

03/10/2025

Parenting can be tough and sometimes it feels overwhelming. Just remember, doing your best is what matters most. Here are some helpful tips to keep in mind as you navigate this journey.