Well Child Visits

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

During this visit, we:

• Check your baby’s weight
• Monitor for signs of jaundice
• Check to see how your baby is feeding
• Answer questions about your new baby

Immunizations: 

• HepB#1 (if not given in hospital)

Tests/Screens/Assessments:

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

Helpful Info: 

• Caring for Your Newborn

The 2 Week Visit (which can be sooner if you have concerns) is a time to talk about how your family is acclimating to your newest addition. Feeding, bowel habits, and sleeping are common topics. If you are breastfeeding, you will have the opportunity to meet with a local Lactation Consultant 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 their 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.

During this visit, we:

• Measure your baby’s weight, length and head size and record on a growth curve
• Remind you to give your baby a daily supplement of 400 IU of vitamin D drops if you are breastfeeding

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. 

During this visit, we:

• 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: 

• None

Helpful Info: 

• Back to Sleep, Tummy to Play

During this visit, we:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s first set of immunizations. Immunizations are safe, effective and keep your child and our community healthy
• Discuss any questions you may have about immunizations
• Screen for post-partum depression

Immunizations: 

• Vaxelis (DTaP, HIB, IPV, HepB)
• Rotavirus (2-dose)
• Prevnar-15

Tests/Screens/Assessments: 

• Post Partum Depression Assessment

Helpful Info: 

• Crying and Your Baby: How to Calm a Fussy or Colicky Baby

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.

During this visit, we:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss when to start feeding your baby solid foods
• Screen for post-partum depression

Immunizations: 

• Vaxelis#2 (DTaP, HIB, IPV, HepB)
• Prevnar-15
• 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.

During this visit, we:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss the introduction of fluoridated water to encourage the development of strong and healthy teeth. If you have city or rural water,  your water is fluoridated. If you have well water,  you should have your water tested for fluoride before offering it to your baby.
• Screen for post-partum depression

Immunizations: 

• Vaxelis (DTaP, HIB, IPV, HepB)
• Prevnar-15
• Rotavirus#3
• Influenza vaccine (during flu season)

Tests/Screens/Assessments: 

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

Helpful Info: 

• Teething

During this visit, we:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Discuss your baby's upcoming dental care. Your baby should see a dentist at 1 year of age. You should be brushing your child's teeth with an infant toothbrush and a tiny smear of fluoride toothpaste. 

Immunizations: 

• Influenza vaccine (during flu season)

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.

During this visit, we:

• Measure your baby’s weight, length, and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss dental health and apply fluoride varnish to your baby’s teeth
• Test your baby's hemoglobin and lead levels via capillary blood draw

Immunizations: 

• HepA#1
• MMR#1
• VAR#1
• Influenza vaccine (during flu season)

Tests/Screens/Assessments: 

• Lead Surveillance
• Oral Health Surveillance
• Anemia Surveillance

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.

During this visit, we:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations

Immunizations: 

• Prevnar-15
• Infarnix (DTaP)
• HIB
• Influenza vaccine (during flu season)

Helpful Info: 

• Choking Prevention and First Aid for Infants and Children

During this visit, we:

• Measure your child’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss dental health and apply fluoride varnish to your baby’s teeth
• Discuss temper tantrums

Immunizations: 

• HepA#2
• Influenza vaccine (during flu season)

Tests/Screens/Assessments: 

• MCHAT Questionnaire
• Anemia Surveillance
• Lead Surveillance
• Oral Health Surveillance

Helpful Info: 

• Is Your Toddler Communicating With You?

During this visit, we:

• Measure your child’s weight, length, head size and body mass index and record on a growth curve
• Most of our patients do not have immunizations due at this visit.  Your child may need immunizations if they are behind on their shots.
• Test for lead exposure with a finger prick in the office
• Test anemia level with a finger prick in the office
• Screen your baby for vision abnormalities with our ocular photoscreen device
• Discuss dental health
• Discuss toilet training and time out

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Lead Surveillance
• Dyslipidemia Surveillance
• Oral Health Surveillance
• Hemoglobin and Lead Test

Helpful Info: 

• Playground Safety

During this visit, we:

• Measure your child’s weight, length, head size and record on a growth curve
• Most of our patients do not have immunizations due at this visit
• Discuss dental health  (we recommend seeing a dentist prior to this visit)
• Discuss healthy meals/snacks, avoid food pouches and no or little juice

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Ages & Stages Developmental Screening

Helpful Info: 

• Snacks for Toddlers

During this visit, we:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Most of our patients do not have immunizations due at this visit.  Your child may need immunizations if they are behind on their shots or during flu season.
• Discuss dental health and apply fluoride varnish to your child's teeth

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Lead Surveillance
• Oral Health Surveillance
• Vision Testing

Helpful Info: 

• Toilet Training

During this visit, we:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Provide your child's immunizations
• Discuss dental health
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Proquad (MMRV)
• Kinrix (DTaP-IPV)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

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

Helpful Info: 

• Encourage Your Child to Be Physically Active

During this visit, we:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Review your child’s speech and development
• Discuss exercise and nutrition
• Discuss kindergarten readiness
• Discuss dental health
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Proquad (MMRV)
• Kinrix (DTaP-IPV) (if not received at 4 years)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Oral Health Surveillance
• Vision Testing

Helpful Info:

• Bedtime - The Four B's

There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During this visit, we:

• Measure your child’s weight, height and body mass index  and record on a growth curve
• Review your child’s school performance and development
• Discuss exercise and nutrition
• Review safety issues
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Dyslipidemia Surveillance
• Oral Health Surveillance
• Vision Testing

Helpful Info:

• Helping Children Help Themselves

There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During this visit, we:

• Measure your child’s weight, height and body mass index  and record on a growth curve
• Review your child’s school performance and development
• Discuss exercise and nutrition
• Review safety issues
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Vision Surveillance
• Anemia Surveillance

Helpful Info: 

• Growing Up Healthy: Fat, Cholesterol, and More

During this visit, we:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Measure your child’s blood pressure and heart rate
• Review your child’s school performance and development
• Discuss involvement in activities
• Discuss sleep
• Discuss anticipating pubertal changes
• Discuss exercise and nutrition
• Review safety issues
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Vision Testing

Helpful Info: 

• Developing Your Child’s Self-Esteem

During this visit, we:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Review your child’s school performance and development
• Discuss exercise and nutrition
• Review safety issues
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Vision Surveillance
• Anemia Surveillance

Helpful Info: 

• The Importance of Family Routines

During this visit, we:

• Measure your child’s weight, height, and body mass index and record on a growth curve
• Measure your child’s blood pressure and heart rate
• Provide your child’s immunizations
• Review your child’s school performance and development
• Discuss involvement in activities and peer relationships
• Discuss sleep
• Discuss exercise and nutrition
• Discuss puberty changes to expect or that may be starting to occur
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Vision Testing
• Lipid Profile (completed once between 10-11 years)

During this visit, we:

• Measure your child’s weight, height, and body mass index and record on a growth curve
• Provide your child’s immunizations
• Screen your child for anemia and dysipidemia per AAP recommendations
• Review your child’s school performance and development
• Discuss exercise and nutrition
• Discuss puberty changes to expect or that may be starting to occur
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Tdap#1
• MCV4#1
• ​HPV#1 (series of 2; 11-12 years)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Adolescent Depression Screening
• Vision Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Lipid Profile (completed once between 10-11 years)

Helpful Info: 

• Substance Abuse Prevention

There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

During this visit, we:

• Measure your child’s weight, height, and body mass index and record on a growth curve
• Review your child’s school performance and development
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet
• Discuss puberty changes to expect or that may be starting to occur
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations:  

• HPV#2 (if not previously completed; series of 2; 11-12 years)
• Flu 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

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.

During this visit, we:

• Measure your child’s weight, height, and body mass index and record on a growth curve
• Review your child’s school performance and development
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet
• Discuss puberty changes to expect or that may be starting to occur
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Vision Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Fasting labs as needed (between 12-18 years)

Helpful Info:  

• Teens
• Behavior

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.

During this visit, we:

• Measure your child’s weight, height, and body mass index and record on a growth curve
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Review your child’s school performance and development
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Vision Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Fasting labs as needed (between 12-18 years)

Helpful Info: 

• Teens
• Behavior

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.

During this visit, we:

• Measure your child’s weight and length and record on a growth curve
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Review your child’s school performance
• Reinforce healthy choices and risk behavior avoidance
• Perform any recommended yearly screening tests (depending on family history, sexual activity etc.)
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet
• Complete driver's permit if your child is 15y 6mo old or older
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Vision Testing
• Fasting labs as needed (between 12-18 years)

Helpful Info: 

• Teens
• Behavior

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.

During this visit, we:

• Measure your teen’s weight, height and body mass index and record on a growth curve
• Measure your teen’s blood pressure and heart rate
• Complete sports physical forms and discuss sport safety (if your teen is participating in sports, please bring any forms to the appointment)
• Review your teen’s school performance and development
• Discuss involvement in activities and peer relationships/dating
• Discuss sleep
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet
• Reinforce healthy choices and risk behavior avoidance
• Perform any recommended yearly screening tests (depending on family history, sexual activity etc.)
• Complete PA driver's permit. (If you do not do this at your well visit, your teen must be present and sign in the presence of the physician at another time)
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• MCV4#2
• Bexero (MenB#1)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Adolescent Depression Screening
• Vision Testing
• Fasting labs as needed (between 12-18 years)

Helpful Info: 

• A Message to Parents of Teen Drivers

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.

During this visit, we:

• Measure your child’s weight, height, and body mass index and record on a growth curve
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Review your child’s school performance
• Perform any recommended yearly screening tests (depending on family history, sexual activity etc.)
• Reinforce healthy choices and risk behavior avoidance
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• MenB#2
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

•  Vision Surveillance
• Anemia Surveillance
• Adolescent Depression Screening
• Fasting labs as needed (between 12-18 years)

Helpful Info: 

• Teens
• Behavior

During this visit, we:

• Measure your weight, height and body mass index and record on a growth curve
• Provide immunizations
• Screen your vision
• Discuss transitions to life after high school—whether that be work, travel, vocational school or college
• Discuss importance of responsible decision making and recognizing healthy -vs- unhealthy relationships
• Complete college physical forms and any required college screening labs/tests
• Perform any recommended yearly screening tests (depending on family history, sexual activity etc.)
• Reinforce healthy choices and risk behavior avoidance
• Transition you to an adult care provider
• Perform a vision test
• Perform a Capillary Blood Draw to test hemoglobin levels

Immunizations: 

• MenB (optional)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Vision Testing
• Fasting labs as needed (between 12-18 years)

Helpful Info: 

• Teens and Young Adults
• Behavior

After 21 years old we highly encourage you to transition to an adult primary care provider. We are happy to share referrals to help you connect with a local provider in this next exciting phase of life!