Well Visits

We follow the recommended schedule of preventative health visits from the American Academy of Pediatrics (AAP). Please see the schedule below.

To allow parents with sick children to get through the phone lines quickly, we ask that you please call to make checkup appointments after 10:00 am Monday through Friday.  We encourage parents of school age children and adolescents to make checkup appointments well in advance, especially if you plan on coming in during the spring and summer months.

At each well visit we will start by measuring your child’s weight and length (and head circumference if under age 2 years). We will review nutrition, sleep and development. These topics vary a bit depending on age, but an age appropriate review of these topics and additional age-specific discussions. Your provider will answer any questions that the family has. And, we will complete a complete physical exam of your child. Below is a review of the other tests, vaccines and procedures we complete at each of the visits.

Schedule of Visits

 

  • Congratulations! We look forward to meeting you and your baby. We will review the delivery information from the hospital. We will discuss feeding, safe sleep, how to care for your baby and answer all of your questions.

    Screening: none

    Labs: None, bilirubin heel stick if concern for jaundice

    Vaccines: Hepatitis B #1 if not received in the hospital, Beyfortus/RSV if seasonally appropriate

  • At this point, you are typically getting more comfortable caring for your baby. We will monitor growth and development. This visit will include:

    Weight check: your baby should be back to birth weight

    Assess feeding plan, including pumping, schedules, formula questions, etc

    Discuss how to support your baby’s development

    Screening: Edinburgh postpartum depression screen for Mom

    Labs: none

    Vaccines: none

  • Your baby is constantly changing at this age. Just when you get used to things, they change!

    At this visit:

    We will review growth and development

    Discuss normal developmental milestones

    Screening: none

    Labs: none

    Vaccines: none

  • At this visit, we evaluate your newborn’s growth and development. Typically, we are seeing eye contact, turning to parent’s voice, increasing neck strength and more!

    This visit includes:

    Evaluation of growth and feeding.

    Review of sleep schedules.

    Screening: postpartum depression screen for Mom

    Labs: none

    Vaccines:

    Hepatitis B #2

    Dtap #1 (Diptheria, Tetanus, Pertussis)

    IPV #1 (Inactivated Polio)

    Hib #1 (Haemophils influenzae type B)

    PCV 20 #1 (Prevnar 20, pneumococcal vaccine against 20 strains)

    Rotavirus #1 (oral vaccine)

  • At 4 months, we discuss feeding including starting solids, if applicable. Sleep schedules and how to help your baby get good sleep. We also discuss developmental milestones: starting to roll over, cooing, laughing, and more!

    Screening: postpartum depression screen for Mom

    Labs: none

    Vaccines:

    Dtap #2 (Diptheria, Tetanus, Pertussis)

    IPV #2 (Inactivated Polio)

    Hib #2 (Haemophils influenzae type B)

    PCV 20 #2 (Prevnar 20, pneumococcal vaccine against 20 strains)

    Rotavirus #2 (oral vaccine)

  • At 6 months, we continue close monitoring of growth and development. We discuss introducing allergenic foods and expanding solid food intake.

    Screening: SpotVision screener, assess your child’s vision

    Labs: Hemoglobin (finger prick) to assess for anemia

    Vaccines:

    Dtap #3 (Diptheria, Tetanus, Pertussis)

    IPV #3 (Inactivated Polio)

    Hib #3 (Haemophils influenzae type B)

    PCV 20 #3 (Prevnar 20, pneumococcal vaccine against 20 strains)

    Rotavirus #3 (oral vaccine)

    Flu vaccine (if seasonally appropriate)

  • 9 months is a time of rapid development. We will be sure to discuss all areas of your child’s development including: sitting unsupported, crawling, first words.

    Screening: none

    Labs: none

    Vaccines:

    Hepatitis B #3

    Flu (if seasonally appropriate)

  • Congratulations! You made it to one year! Your baby is a toddler now, we will discuss movement including crawling and walking, language development and more. Also, keeping your toddler safe is a focus of this visit.

    Screening: none

    Labs: Hemoglobin and lead (fingerprick)

    Vaccines:

    MMR #1 (Measles, Mumps, Rubella)

    Varicella #1 (Chickenpox)

    Hepatitis A #1

    Flu (if seasonally appropriate)

  • 15 months is a fun time of rapid development and exploration. We will discuss growth, development, nutrition and answer your questions.

    Screening: SpotVision screener, assess your child’s vision

    Labs: None

    Vaccines:

    Hib #4 (Haemophils influenzae type B)

    PCV 20 #4 (Prevnar 20, pneumococcal vaccine against 20 strains)

    Flu vaccine (if seasonally appropriate)

  • At your 18 month visit, we will evaluate your child’s physical growth but also their social emotional development.

    Screening: M-CHAT Autism screening

    Labs: None

    Vaccines:

    Dtap #4 (Diptheria, Tetanus, Pertussis)

    Hepatitis A #2

    Flu vaccine (if seasonally appropriate)

  • The twos get a bad reputation but they can be wonderful! Your child is developing his or her personality, learning about the world around them and gaining some independence.

    Screening: SpotVision and M-CHAT Autism screening

    Labs: Hemoglobin, lead and non-fasting cholesterol (fingerprick)

    Vaccines:

    None, if up to date

    Flu (if seasonally appropriate)

  • At this visit we are checking on growth and development. And, as at all visits we will do a comprehensive review of nutrition.

    Screening: None

    Labs: None

    Vaccines: None, if up to date

    Flu (if seasonally appropriate)

  • This visit will include a general review of your child’s growth, development, nutrition, and more!

    Screening: SpotVision

    Labs: Hemoglobin (fingerprick)

    Vaccines: None, if up to date

    Flu (if seasonally appropriate)

  • At this age, your child has developed more independence and may be attending school. We will discuss any interval changes, nutrition, growth, and developmental milestones. This visit has to occur after the fourth birthday, this requirement is due to vaccine timing.

    Screening: Annual vision and hearing, urinalysis

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    Dtap #5 (Diptheria, Tetanus, Pertussis)

    IPV #5 (Inactivated Polio)

    Flu (if seasonally appropriate)

  • Five is a very exciting time, we are preparing for Kindergarten entry amongst other big changes!

    These vaccines need to be given prior to start of Kindergarten.

    Screening: Annual vision and hearing, urinalysis

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    MMR #2 (Measles, Mumps, Rubella)

    Varicella #2 (Chickenpox)

    Flu (if seasonally appropriate)

  • We have annual visits at ages 6-10 years, these visits allow you to touch base with your child’s doctor about any illnesses, ongoing issues and concerns. Additionally, we will review growth, development and perform a physical exam.

    Screening: Annual vision and hearing, urinalysis

    Labs: Hemoglobin (fingerprick)

    At age 10, fingerprick non-fasting cholesterol

    Vaccines:

    Flu (if seasonally appropriate)

  • The 11 year old visit will include a comprehensive review of your child’s health as well as a discussion about puberty.

    Screening: Annual vision and hearing, urinalysis

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    Meningitis ACWY

    Tdap (Tetanus, diphtheria, pertussis)

    Gardasil (Human Papilloma Virus)

    Flu (if seasonally appropriate)

  • Our agenda for this visit includes monitoring your child’s growth as they go through puberty and checking in on mental health during the middle school years.

    Screening: Annual vision and hearing, urinalysis, depression and anxiety screening

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    Gardasil #2 (Human Papilloma Virus)

    Flu (if seasonally appropriate)

  • At these visits, we will spend some time with the teen and parent together and we will spend some time with the teen alone. This allows the patient to begin having some independence and confidentiality.

    Screening: Annual vision and hearing, urinalysis, depression and anxiety screening

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    None, if up to date

    Flu (if seasonally appropriate)

  • We will cover all of the usual topics and discuss any concerns you bring to the visit. We also will discuss: driving, safety, dating, substance use and more!

    Screening: Annual vision and hearing, urinalysis, depression and anxiety screening

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    Meningitis ACWY #2

    Possibly, Meningitis B #1 (will need 2 prior to college entry)

    Flu (if seasonally appropriate)

  • This is often the pre-college visit. We will discuss getting ready for that transition and provide guidance about navigating this new independence.

    Screening: Annual vision and hearing, urinalysis, depression and anxiety screening

    Labs: Hemoglobin (fingerprick)

    Non-fasting cholesterol (fingerprick)

    Vaccines:

    Meningitis B (#1 or #2, depending on grade level, needs to complete the two shot series prior to college)

    Flu (if seasonally appropriate)

  • We often continue to see our patients through their college years. We can discuss any concerns you bring to the visit. We also will discuss: nutrition, exercise, dating, substance use and more!

    Screening: Annual vision and hearing, urinalysis, depression and anxiety screening

    Labs: Hemoglobin (fingerprick)

    Vaccines:

    Tdap (tetanus, diphtheria, pertussis), usually around age 18 years

    Flu (if seasonally appropriate)