Well Child Visits

Preventive care, also known as checkups, physicals, or well-child visits, form the foundation of our health relationship with you and your child. They are essential to maintaining your child’s optimal health and well-being. While we see children often when they are sick, it is only at checkups that we fully evaluate every aspect of your child’s health. In addition to performing a full physical exam, we also carefully monitor your child’s growth and physical development, as well as his or her mental, emotional and social development. We address academic and behavioral issues, perform screening tests for physical and developmental problems, test hearing and vision, and provide vaccines to keep your child healthy. We provide information on safety, nutrition, parenting, development, behavior and a variety of other topics, including parenting challenges and opportunities faced at each stage of your child’s development.

Many camps and sports programs require regular physical exams and forms to complete, and we take care of these as part of our regular well child visits. The full schedule of recommended well visits is available below.

We believe that regular well-child visits are an essential part of providing the best medical care to children. Consequently, we will not give routine vaccinations and other preventive care without being up to date on physicals. Also, children with chronic diseases must have regular physicals if we are to continue to prescribe medications and manage the chronic illness.

The best time to schedule physicals for school age children is in the summer, when the child is out of school and our office is not swamped with sick children.

Parents often want to know the whole sequence of well child visits. Well, here it is! Don’t worry; you don’t need to memorize it, because we tell you at each visit when the next one should be. The schedule applies to most children; in some cases, the schedule may vary somewhat due to chronic medical conditions, etc.

The schedule of check-ups and the vaccine schedule are closely related but not exactly the same; there will be some well child visits where no immunizations are given. You should schedule these visits as well. The schedule is designed so that children are seen often enough to detect serious problems at an early stage as they develop; children are seen more often during critical periods of growth and development and when they are at higher risks of serious diseases.

Listed below is the typical schedule, along with some of what is usually done at each visit, in addition to a complete physical exam and assessment of growth and development done at every visit.  At certain visits, a more thorough developmental screening is performed.

Age Immunizations Other tests and services
Prenatal TdaP vaccine each pregnancy for mom, once for other caregivers; flu vaccine in season; BabyShield Vaccines hospital care planning, breastfeeding plan, genetic family history; BabyReady Plan
In-Hospital Hep B #1 usually given newborn metabolic screening; jaundice, heart disease screening, hearing test, pediatrician exam
2-3 days after discharge none repeat newborn metabolic screening test if first test < 24 hours of life; expanded screening if desired; jaundice eval; breastfeeding eval; parent vaccines of not done prenatally
2 weeks none weight, growth, and feeding; parent vaccines if needed; Best Start Babies Program
1 month Hep B # 1 or 2 postpartum depression screening
2 months DTaP, HIB, IPV, PCV, RV postpartum depression screening
4 months DTaP, HIB, IPV, PCV, RV postpartum depression screening
6 months DTaP, HIB, IPV, PCV, RV, flu (seasonal) postpartum depression screening
9 months Hep B, flu (seasonal) developmental screening
12 months MMR, PCV, Hep A, flu (seasonal) anemia screening (hemoglobin); lead screening if at risk or Medicaid; photoscreening vision test; fluoride varnish for teeth
15 months HIB, VCV, flu (seasonal) none
18 months DTaP, Hep A, Hep B if necessary, flu (seasonal) autism screening, developmental screening; fluoride varnish for teeth
2 years catch-up if necessary, flu (seasonal) lead screening if at risk or Medicaid; autism screening; photoscreening vision test; fluoride varnish for teeth
2 1/2 years flu (seasonal) developmental screening; fluoride varnish for teeth
3 years flu (seasonal) photoscreening vision test; fluoride varnish for teeth
4 years DTaP, MMR, IPV, VCV boosters given sometime between ages 4-6 yr, flu (seasonal) hearing and vision screening
5 years boosters if not given yet; flu (seasonal) hearing and vision screening, blood count (hemoglobin), development
6 years boosters if not given yet; flu (seasonal) hearing and vision screening, development
7 years flu (seasonal) none
8 years flu (seasonal) hearing and vision screening
9 years flu (seasonal) cholesterol screening (once ages 9-11)
10 years flu (seasonal) hearing and vision screening, cholesterol screening (once ages 9-11)
11 years TdaP, MCV; HPV if desired; flu (seasonal) cholesterol screening (once ages 9-11)
12 years flu (seasonal) hearing and vision screening, anemia screening if female after puberty, once for males during teen years; begin transition planning
13 years flu (seasonal) anemia screening if female after puberty, once for males during teen years; teen risk behavior and depression screening
14 years flu (seasonal) females: anemia screening, chlamydia if at risk; teen risk behavior and depression screening
15 years flu (seasonal) hearing and vision screening; females: anemia screening, chlamydia if at risk; teen risk behavior and depression screening
16 years MCV booster; flu (seasonal) females: anemia screening, chlamydia if at risk; teen risk behavior and depression screening
17 years flu (seasonal) females: anemia screening, chlamydia if at risk; teen risk behavior and depression screening
18 years flu (seasonal) hearing and vision screening, cholesterol, HIV test, females: anemia screening, chlamydia if at risk, anemia screening once for males during teen years; adult risk behavior and depression screening
19 years flu (seasonal) females: anemia screening, chlamydia if at risk; adult risk behavior and depression screening
20 years flu (seasonal) females: anemia screening, chlamydia if at risk; adult risk behavior and depression screening
21 years flu (seasonal) females: anemia screening, chlamydia if at risk, women should see gynecologist for first pelvic exam and pap smear; adult risk behavior and depression screening
22 years flu (seasonal) females: anemia screening, chlamydia if at risk; adult risk behavior and depression screening; complete transition program to adult care