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Well Child Check Appointments/Sports Physicals

Given below is a schedule of well child checks with immunizations/tests at each visit.

PARENTS: PLEASE READ OUR VACCINE POLICY STATEMENT AND CONTACT US IF YOU HAVE QUESTIONS OR CONCERNS.

A well child check is recommended by the American Academy of Pediatrics EVERY YEAR. This annual health supervision visit includes a physical assessment of growth and development, in addition to a behavioral and learning assessment. This visit is recommended EVEN if your child’s immunizations are up to date and there are no on going health problems based on the Bright Futures guidelines of the AAP.

A well child check is also an opportunity for a sports/camp participation physical examination. Each school/camp will have a specific form that needs to be filled out by the parent and/or patient as well as by the Physician. Please make sure you have completed your portion of the form before you come in for the appointment. The provider needs to review the parent’s information PRIOR to the visit. The provider CANNOT complete her section of the form unless she has reviewed the completed parent section.

 

Age of Child Immunizations/ Tests
Birth (Hospital) Hepatitis B 1
Newborn Follow Up (1-2 days after hospital D/C) None
1 week 2nd Newborn Screen (PKU#2)
2 week Weight Check
1 month None
2 month Hepatitis B 2, DTaP, IPV, Hib, Prevnar, Rotavirus
4 months DTaP, IPV, Hib, Prevnar, Rotavirus
6 months DTaP, IPV, Hepatitis B 3, Hib, Prevnar, Rotavirus
9 months Lead screen and Hemoglobin
12 months MMR, Varicella, Prevnar, and Hepatitis A#1
15 months DTaP, Hib
18 months Hepatitis A #2, Autism Screen
2 years None or Catch Up Shots (If Needed), Autism Screen
3 years None or Catch Up Shots (If Needed)
4 years – 6 years DTaP, IPV, and MMR, Varicella
9 years and older Gardasil Vaccine (now indicated for boys AND girls)
10 years Tdap
11 years Menactra, Gardasil
16 – 18 years Menactra and TdaP booster
6 months and older Preservative Free Influenza Vaccine

 

Abbreviations/Terms
DTaP Acellular Diphtheria/Pertussis/Tetanus Vaccine
Gardasil (HPV) Human Papilloma Virus Vaccine
HIB Hemophilus lnfluenza B Vaccine
IPV Inactivated Polio Vaccine
Menactra (MCV4) Meningococcal Conjugated Vaccine
MMR Measles/Mumps/Rubella Vaccine
Prevnar 13 Pneumococcal Conjugate Vaccine
Proquad MMR/Varicella Combination Vaccine
Rotateq RotaVirus vaccine (oral)
TDaP Adolescent Diphtheria/Pertussis/Tetanus Vaccine
Varicella Chicken Pox Vaccine

Click here for detailed instructions on Caring For Your Child After Vaccinations.

Children <9 years of age receiving Influenza vaccine for the first time get 2 doses, one month apart. Flu shots are given every fall/winter.

A minimum interval of 6 months is required between the 2 doses of Hepatitis A Vaccine.

For older children, an additional dose of Hepatitis B vaccine may be required if the 3rd dose was given under 24 weeks (6 months) of age.

The PPV23 pneumonia vaccine is given only to children 2 years and older who are at high risk for pneumonia.

Typhoid vaccine is offered to children 2 years and older travelling to countries where typhoid is endemic. Typhoid is a bacterial infection transmitted through fecal contamination of food and water.

It is recommended that infants more than 6 months of age travelling to areas of the world where measles is endemic receive an additional dose of MMR vaccine prior to travel. These infants will also receive their routine doses of MMR at age 12 months and 4-6 years respectively.

The Gardasil (HPV) Vaccine is now approved for girls and boys aged 9 years and above. It is a set of 3 doses. There is an interval of 2 months between the 1st and 2nd doses and 4 months between the 2nd and 3rd doses. Gardasil vaccine is recommended for boys and girls aged 11 years and older.

TB skin testing is only done in children considered at high risk for TB exposure. BCG vaccination for Tuberculosis is NOT recommended in the US.

A Well Child Checkup is recommended annually by the American Academy of Pediatrics for all children aged 2 years and older.

Vision screening is done in children aged 4 years and older.

Other specific tests, for example, cholesterol and diabetes screenings, are done as warranted by the history and physical examination findings.

Autism Screening:

Based on the recommendations of the American Academy of Pediatrics, we now screen for Autism Spectrum Disorders in toddlers using a questionnaire called the Modified Checklist For Autism in Toddlers, MCHAT. This simple questionnaire is filled out by the parents and is scored during the office visit. Further referrals will be made if there are concerning behaviors for Autism Spectrum Disorder (ASD) on the MCHAT scoring.

We also use the Parents Evaluation of Developmental Status, PEDS Tool at the 9 month and 24 month well check visits.