For well child exams and preventive care we follow American Academy of Pediatrics (AAP) guidelines. Each visit includes a complete physical examination. At this exam, we will check your child’s growth and development as well as offer guidance on nutrition, sleep, safety, and other important topics. Following this schedule of preventive care and immunizations are important to keep your child healthy.
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 varnish
Screenings: Developmental/behavioral
15 month well child checkup
Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Haemophilus Influenzae Type B (HIB); Pneumococcal Conjugate Virus (PCV13); 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; Influenza†
Lab/Other: Fluoride varnish2
Screenings: Developmental/behavioral screening
2 year well child checkup
Examinations: Physical examination; Weight and length; Head circumference; Body Mass Index (BMI)
Immunizations: Influenza†
Lab/Other: Lead* (as needed); Fluoride varnish2
Screenings: Developmental/behavioral screening
2.5 year well child checkup
Forms: 2 year pre-visit questionnaire
Examinations: Physical examination; Weight and length; Head circumference; Body Mass Index (BMI)
Immunizations: Influenza†
Lab/Other: Fluoride varnish2
Screenings: Developmental/behavioral screening
Education materials:
- Your child’s checkup: 2.5 years
- Disciplining your toddler
- Toddler reading time
- Fitness and your 2- to 3- year-old
- Feeding children ages 1 to 3
- Communication and your 2 to 3 year-old
- Calcium and your child
- MyPlate food guide
- Healthy habits for TV, video games and the internet
- Developmental milestones: 2 to 3 years
- Vaccine information: Guide to reliable resources
- Acetaminophen/Ibuprofen dosing
3 year well child checkup
Examinations: Physical examination; Weight and length; Blood pressure, Body Mass Index (BMI)
Immunizations: Influenza†
Lab/Other: Fluoride varnish2; Vision3
Screenings: Developmental/behavioral screening
4 year well child checkup
Examinations: Physical examination; Weight and length; Head circumference; Blood pressure; Body Mass Index (BMI)
Immunizations: Diphtheria, Tetanus, Pertussis (DTaP)**; Measles, Mumps, Rubella (MMR); Chickenpox (Varicella); Inactivated Polio Virus (IPV); Influenza† These 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
Children’s Comfort Promise
Taking the scary out of needles isn’t impossible. That’s why we’ve made a promise to our patients. We call it Children’s Comfort Promise. It means we will do everything possible to prevent and treat pain.
Evidence supports that if we always use the following 4 steps, children will have less pain with needle procedures (like immunizations, lab draws or IV starts).
- Numb the skin
- Sugar water or breastfeeding (for babies 12 months or less)
- Comfort positioning
- Distraction
This is just one of the ways we go above and beyond for the most amazing people on earth.