partners_in_peds_3

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.

Well child exam

Immunizations and screenings*

Newborn Follow up instructions given prior to hospital discharge
1 month No vaccines scheduled
2 months DTaP/Polio/HBV #1; PCV13 #1; Rotavirus #1
4 months DTaP/Polio/HBV #2; HIB #2; PCV13 #2; Rotavirus #2
6 months DTaP/Polio/HBV #3; PCV13 #3; Rotavirus #3; Influenza #1
9 months Influenza #2 (minimum 1 month after Influenza #1); Hemoglobin and lead levels
12 months MMR #1; Chickenpox #1; HAV #1; Hemoglobin and lead levels (if not completed at 9 months)
15 months DTaP1 #4; HIB #3; PCV13 #4
18 months HAV2 #2
2 years No vaccines scheduled if up to date
3 years No vaccines scheduled if up to date
4 years DTaP1 #5; Polio #4; MMR #2; Chickenpox #2; Vision and hearing exam
5 years 4 year old vaccines if not completed already (must complete prior to starting Kindergarten); Vision and hearing exam
1-10 years Influenza (once a year during flu season)
11-19+ years Tdap**; MCV #1; MCV #2 (after age 16); HPV (3 doses if not previously given); Influenza (once a year during flu season); Chickenpox (2 doses if not previously given and no history of acquired disease); Men B (given at ages 16 and 18)

*Screenings

Beginning at age 3 annual check-ups include:

  • Physical examination
  • Weight and height
  • Blood pressure
  • Body mass index (BMI)
  • Vision
  • Hearing
  • Health questionnaire
  • Developmental/behavioral/mental health assessment

Vaccines

1DTaP: Given at 15 or 18 months.

2HAV: Given at 18 months or 2 years.

**Tdap: Teens 13 through 18 years old who missed the Tdap dose or received Td only at 11 or 12 years old should receive 1 dose of Tdap.

MCV: Teens who received the 1st dose of MCV4 at 11 or 12 years old should receive a booster dose at 16 years old. Teens who received the 1st dose at 13 through 15 years old should receive a booster dose at 16 through 18 years old. If the 1st dose was given at 16 years or older, a booster dose is not needed.

HPV: This vaccine requires 3 doses. The 2nd dose should be given at least 2 months after the 1st dose. The 3rd dose should be given at least 6 months after the 1st dose.

We think this information is important. As usual, feel free to contact us with any questions or to make an appointment. As a reminder, your child needs a physical exam every two years as recommended by the American Academy of Pediatrics.