Well Child Visits

Congratulations! Your baby is finally here. Newborns are wonderful, but exhausting! Having friends or family around to provide extra help and support can be very helpful. Make sure all visitors wash their hands well. Your baby’s first visit to our office takes place during his or her first week of life, usually 1-2 days after you are discharged from the hospital.

We do a lot at this visit, including:

Immunizations:

• HepB#1 (if not given in hospital)

Tests/Screens/Assessments:

• Follow-up on Newborn Metabolic Screen (done in hospital)

Helpful Info:

• Caring for Your Newborn

The 2 Week Visit (sooner if you have concerns!) is a time to talk about how your family is acclimating to the newest addition. Feeding, bowel habits and sleeping are common topics. If you are breastfeeding, you will have the opportunity to meet with one of our Lactation Consultants for personalized breastfeeding assistance. Babies usually lose weight right after birth.

By 2 weeks of age, your baby will likely have regained his or her birth weight. Please remember that it is important to always put your baby to sleep on his or her back in a flat, firm and separate sleep space to reduce the risk of SIDS. As always, we are here to answer questions and offer anticipatory guidance.

We do a lot at this visit, including:

Immunizations:

• None

Tests/Screens/Assessments:

• None

Helpful Info:

• Back to Sleep, Tummy to Play

Families are usually settling in some by this visit. Feeding, sleeping and bowel habits are sometimes a concern. At this visit we will track your baby's growth and development and answer any questions. Your baby may be starting to smile now and that helps a lot!

Immunizations:

• HepB #2

Tests/Screens/Assessments:

• Post Partum Depression Assessment
• TB Surveillance

Helpful Info:

• Back to Sleep, Tummy to Play

Many babies seem more fussy or colicky at this age. Be patient. Colicky babies eventually outgrow their crying phase. Keeping your baby safe is the most important thing you can do. Even if you feel frustrated, handle your baby gently and reach out for help to friends, relatives or your pediatrician if the crying is getting to be too much. If you need a break and no one is available to help you, place your baby on his/her back gently in a safe space, such as a crib or bassinet and take a few minutes to calm down.

We do a lot at this visit, including:

Immunizations:

• Pentacel#1 (DTaP, HIB, IPV)
•  PCV#1
• Rotavirus#1

Tests/Screens/Assessments:

• Post Partum Depression Assessment

Helpful Info:

• Colic
• Crying and Your Baby: How to Calm a Fussy or Colicky Baby
• Your Child's First Vaccines- What You Need to Know

Your baby is becoming more active and verbal. Be careful not to leave your baby unattended, especially on a bed, couch or counter. They move faster than you think!



Babies need only breast milk or iron fortified formula for the first 4-6 months of life. We will talk at this appointment about the appropriate time to introduce solid foods and what foods to introduce first.

We do a lot at this visit, including:

Immunizations:

• Pentacel#2 (DTaP, HIB, IPV)
• Prevnar#2
• Rotavirus#2

Tests/Screens/Assessments:

• Post Partum Depression Assessment
• Anemia Surveillance

Helpful Info:

• Starting Solid Foods

Your baby will begin to move more and will be able to sit up independently for short periods of time. Now is the time to start baby-proofing your house - if you haven't already done so. You should move the mattress in your baby's crib down to the lowest level.

We do a lot at this visit, including:

Immunizations:

• Pentacel#3 (DTaP, HIB, IPV)
• Prevnar#3
• Rotavirus#3
• Influenza vaccine (during flu season)
• Rotavirus#3
• Covid vaccine (eligible after 6 months of age) 

Tests/Screens/Assessments:

• Post Partum Depression Assessment
• TB Surveillance
• Lead Surveillance
• Oral  Health Surveillance
• Fluoride Varish

Helpful Info:

• Teething

Your baby may be starting to crawl, pulling to a stand and cruising on furniture. Babies will want to touch everything - this is how they learn. This is a messy time! Have fun and be patient.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age)
• Influenza vaccine (during flu season, will need booster dose 1 month after first influenza vaccine then annually)

Tests/Screens/Assessments:

• Ages and Stages Questionnaire
• Oral Health Surveillance
• Fluoride Varnish, Hemoglobin Test
• Lead Test

Helpful Info:

• Teething

At this age, your baby can transition from breast milk or formula to cow’s milk. However, it is healthy to continue breast milk, if that is what you prefer, for your baby. Most babies need 3 meals, 2-3 snacks per day, and no more than 16-20 ounces of whole cow's milk per day. Your baby will be able to eat many of the foods you eat, but be careful to avoid small, hard foods that can cause choking.

It is time to wean your child from the bottle and offer all liquids in a sippy cup. It is much easier to wean your child now than if you wait until they are older. Avoid cavities and additional tears and make the change now!

Your baby will be outgrowing the infant carrier car seat. Continue to have your baby in a rear facing car seat until age 2(longer if possible, refer to height/weight limits on your carseat).

At this visit we will:

Immunizations:

• HepA#1
• MMR#1
• VAR#1
• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine (during flu season, will need booster dose 1 month after first influenza vaccine then annually)

Tests/Screens/Assessments:

• Anemia Surveillance
• Lead Surveillance
• Oral health surveillance with fluoride varnish 

Helpful Info:

• Playing Is How Toddlers Learn

Your child may be able to climb and run, so be sure to safety proof your home.

Poison control is available 24 hours a day: 1-800-222-1222 - keep this number handy in your cell phone and on your refrigerator.

At this visit we will:

Immunizations:

• Pentacel#4 (DTaP, HIB, IPV)
• HepB#3
• Prevnar#4
• Influenza vaccine (during flu season, will need booster dose 1 month after first influenza vaccine then annually)
• Covid vaccine (eligible after 6 months of age)

Tests/Screens/Assessments:

• Anemia Surveillance
• Fluoride Varnish

Helpful Info:

• Choking Prevention and First Aid for Infants and Children

At 18 months, your child understands much more than he or she can say in words. Use words to describe your child’s feelings and gestures. Read and sing to your child often. When reading, use simple words to talk about the pictures.

At this visit we will:

Immunizations:

• HepA#2
• Dtap#4 
• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• MCHAT Questionnaire
• TB Surveillance
• Oral Health Surveillance
• Fluoride Varnish

Helpful Info:

• Is Your Toddler Communicating With You?

At this age, your 2 year old may go from trying to be independent to clinging to you; this is normal. It is better for toddlers to play than to watch TV. Even having television playing in the background interrupts healthy toddler play - background music is a better choice.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• MCHAT Questionnaire
• Lead Surveillance
• Oral health surveillance with fluoride varnish
• Vision Photoscreen

Helpful Info:

• Playground Safety

Your child will likely be moving into a world of make believe that they create with their imagination. Toys for dress up and make believe are important at this age. Read books, sing songs and play rhyming games with your child each day.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Oral Health Surveillance
• Vision Testing

Helpful Info:

• Toilet Training

Four year olds often like to sing, dance and act. They like to tell "tall tales" and make up stories.  Enjoy these fun moments with your little one!  Parents should continue to help with brushing teeth even though your child will want to do it all by themselves.

We do a lot at this visit, including:

Immunizations:

• MMR#2
• VAR#2
• Quadracel (DTaP, IPV)
• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Oral Health Surveillance
• Vision Testing
• Hearing Testing

Helpful Info:

• Encourage Your Child to Be Physically Active

At this age, your child needs more independence. However, you need to set clear limits. A regular bedtime and consistent bedtime routine are important. Be a great role model. Show an interest in what they are learning.

We do a lot at this visit, including:

Immunizations:

• MMR#2
• VAR#2
• Quadracel (DTaP, IPV)
• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine(during flu season)

Tests/Screens/Assessments:

• TB Surveillance
• Anemia Surveillance
• Lead Surveillance
• Oral Health Surveillance
• Vision Testing
• Hearing Testing
• Fluoride Varnish

Helpful Info:

• Bedtime - The Four B's

Encourage good learning by helping your child organize a distraction-free time to do homework and ensuring eleven hours of sleep each night. Teach your child what to do if there is a fire and have practice fire drills. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine(during flu season)

Tests/Screens/Assessments:

• Dyslipidemia Surveillance
• Oral Health Surveillance
• Vision Testing
• Hearing Testing

Helpful Info:

• Helping Children Help Themselves

Continue to encourage good nutrition and exercise for your child. This is the time he or she is building good health habits for a lifetime! There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine(during flu season)

Tests/Screens/Assessments:

• Vision Surveillance
• Hearing Surveillance

Helpful Info:

• Growing Up Healthy: Fat, Cholesterol, and More

Positive self-image is important as your child begins to enter the changes that come with puberty. Empower them to feel good about themselves, their interaction with others and praise their effort more than the outcome.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine(during flu season)

Tests/Screens/Assessments:

• Vision Testing
• Hearing Testing

Helpful Info:

• Developing Your Child’s Self-Esteem

Your child be is becoming more responsible and will be able to take on more tasks such as taking care of his/her own room. He or she may also start reading independently for pleasure.

At this visit we will:

Immunizations:

• Covid vaccine (eligible after 6 months of age) 
• Influenza vaccine(during flu season)

Tests/Screens/Assessments:

• Vision Surveillance
• Hearing Surveillance
• TB Surveillance
• Anemia Surveillance
• Lipid Profile testing (completed once between 9-11 years)

Helpful Info:

• The Benefits and Tricks to Having a Family Dinner

Your ten year old still requires adult supervision when you are away. Watching TV with your child allows you to discuss any controversial topics that may come up, but limit screen time to 2 hours per day. Family mealtime is important to keeping communication open and fostering healthy lives.

At this visit we will:

Immunizations:

• Covid vaccine(eligible after 6 months of age) 
• Influenza vaccine(during flu season)
• HPV (if not previously completed, series of 2 doses separated by 6 months)

Tests/Screens/Assessments:

• Vision Testing
• Hearing Testing
• Lipid Profile (completed once between 9-11 years)

Helpful Info:

• The Benefits and Tricks to Having a Family Dinner

Your child may be transitioning to middle school at this age. He or she may be participating in more group activities. Expand your conversations about healthy living practices to include tobacco, drug and alcohol avoidance.

At this visit we will:

Immunizations:

• Tdap#1
• MCV#1
• HPV#1 (series of 2; 11-12 years)
• Covid vaccine(eligible after 6 months of age) 
• Influenza vaccine(during flu season)

Tests/Screens/Assessments:

• Vision Surveillance
• Hearing Surveillance
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Lipid Profile (completed once between 9-11 years)

Helpful Info:

• Substance Abuse Prevention

• Substance Abuse Prevention

Your child will be in middle school at this age. Continue your conversations about healthy living practices to include tobacco, drug and alcohol avoidance. Your child should be able to assume more responsibility for personal hygiene and chores. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

At this visit we will:

Immunizations:

• Tdap#1
• MCV#1 (if not previously completed at 11 years old)
• HPV (if not previously completed, series of 2 doses separated by 6 months)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Hearing Surveillance
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Vision Testing

Helpful Info:

• Establishing Chores and Routines

Even though friends are becoming more important at this age, having a caring adult to provide a listening ear and from which to obtain accurate health information is equally important. Foster open communication with your child. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of this visit with the parent out of the room.

At this visit we will:

Immunizations:

• HPV (if not previously completed, series of 2 doses separated by 6 months)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Vision and Hearing Testing
• Dyslipidemia Surveillance
• Adolescent Depression and Anxiety Screening

Helpful Info: 

• Teens
• Behavior

Your child may be showing an increasing interest in extracurricular activities. Have conversations about risk taking behaviors, driving, alcohol, drug use, family rules and expectations. Discuss media and internet safety. Make certain that they have an adult they can confide in if they are unable to communicate with you. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of this visit with the parent out of the room.

We do a lot at this visit, including:

Immunizations:

•  HPV (if not previously completed, series of 2 doses separated by 6 months)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Vision Surveillance
• Hearing Surveillance
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Helpful Info: 

• Teens
• Behavior

Your teen may be adjusting to the transition to high school. Development of family relationships continues to be important, but it is also normal for teens to place more and more emphasis on their peer relationships. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of this visit with the parent out of the room.

At this visit we will:

Immunizations:

• HPV (if not previously completed, series of 3 doses if started after 15 years old)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Vision and Hearing Testing
• Dyslipidemia Surveillance
• Adolescent Depression and Anxiety Screening

Helpful Info: 

• Teens
• Behavior

Congratulations! You are solidly in the teen years! It is exciting to see the wonderful person your child is becoming. Possible conflict can arise at this time as your teen assesses your family values versus those of culture and peers. Keep the lines of communication open and give them additional responsibility while being present for them when they inevitably make mistakes. Be supportive and allow them to develop resilience and self-pride. During the teen years, we provide the opportunity for your teen to have at least a portion of the visit with the parent out of the room.

At this visit we will:

Immunizations:

• MCV4#2
• HPV (if not previously completed, series of 3 doses if started after 15 years old)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Vision and Hearing Testing
• Lipid profile (completed once between 16-18 years old)
• Adolescent Depression and Anxiety Screening

Helpful Info: 

• A Message to Parents of Teen Drivers

Your child is getting closer to finishing high school and entering the adult world. Making mistakes are a normal part of growing up. Continue to provide emotional support and guidance for them during this time. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During the teen years, we provide the opportunity for your teen to have at least a portion of this visit with the parent out of the room.

At this visit we will:

Immunizations:

• MenB (optional)
• HPV (if not previously completed, series of 3 doses if started after 15 years old)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Vision and Hearing Testing
• Lipid profile (completed once between 16-18 years old)
• Adolescent Depression and Anxiety Screening
• Urine Gonorrhea and Chlamydia Screen 

Helpful Info: 

• Teens
• Behavior

Your child is now transitioning to adult life! They will still look to you for support and guidance, but will be more on their own when it comes to decision making. 

During the teen years, we provide the opportunity for your teen to have at least a portion of this visit with the parent out of the room.

At this visit we will:

Immunizations:

• MenB (optional)
• HPV (if not previously completed, series of 3 doses if started after 15 years old)
• Covid vaccine (if series not completed)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Hearing Surveilllance
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Vision Testing
• Urine Chlamydia Screen (females)
• Hemoglobin Test (females)
• Universal HIV Testing

Helpful Info: 

• Teens
• Behavior