Years 1-4 exam and immunization schedule

12 month well child checkup

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Measles, Mumps, Rubella (MMR); Chickenpox (Varicella); Hepatitis A (HAV)Influenza
Lab/other: Hemoglobin*; Lead* (as needed); Tuberculosis (as needed); Fluoride varnish2
Screenings:  Developmental/behavioral screening


15 month well child checkup

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Haemophilus Influenzae Type B (HIB); Pneumococcal Conjugate Virus (PCV 13); Diphtheria, Tetanus, Pertussis (DTaP)**; Influenza
Lab/other: Fluoride varnish2
Screenings: Developmental/behavioral screening


18 month well child checkup

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Hepatitis A (HAV)¹; Diphtheria, Tetanus, Pertussis (DTaP)**; Influenza
Lab/other: Fluoride varnish2
Screenings:  Developmental/behavioral screening


2 year well child checkup

Examinations: Physical examination; Weight and height; Head circumference; Body Mass Index (BMI)
Lab/other: Lead* (as needed); Fluoride varnish2
Screenings:  Developmental/behavioral screening


3 year well child checkup

Examinations: Physical examination; Weight and height; Blood pressure; Body Mass Index (BMI)
Immunizations: Influenza
Lab/other: Fluoride varnish2; Vision and hearing3
Screenings: Developmental/behavioral screening


4 year well child checkup

Examinations: Physical examination; Weight and height; Blood pressure; Body Mass Index (BMI)
Immunizations: Influenza†; Pre-kindergarten immunizations may be completed between ages 4-6.
Lab/other: Fluoride varnish2; Vision and hearing3
Screenings: Developmental/behavioral screening


*Done at 9 or 12 month checkup
**DTaP given at 15 or 18 months
1HAV given at 18 months or 2 years
2Fluoride varnish available
3Vision and hearing screenings as needed
†Influenza – once a year during flu season; twice the first year given

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ADDITIONAL RESOURCES

Children’s Minnesota has a broad range of education materials as an information resource for parents. In addition to what to expect at each well child visit, developmental milestones and speech and language development, there is a wealth of information on everything from breastfeeding and medication charts to medical conditions and first aid. See our patient and family education materials for a complete listing.