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.

18 month well child checkup

Forms: 18 month pre-visit questionnaire

Examinations: Physical examination; Weight and length; Head circumference
Immunizations: Hepatitis A (HAV)1Diphtheria, Tetanus, Pertussis (DTaP)**; Influenza
Lab/Other: Fluoride varnish2
Screenings: Developmental/behavioral screening

Education materials:

2 year well child checkup

Forms: 2 year pre-visit questionnaire

Examinations: Physical examination; Weight and length; Head circumference; Body Mass Index (BMI)
Immunizations: Hepatitis A (HAV)1; Influenza
Lab/Other: Lead* (as needed); Fluoride varnish2
Screenings: Developmental/behavioral screening

Education materials:

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: Hepatitis A (HAV)1; Influenza
Lab/Other: Lead* (as needed); Fluoride varnish2
Screenings: Developmental/behavioral screening

Education materials:  (hyperlink to mirror how list for other ages)

3 year well child checkup

Forms: 3 year pre-visit questionnaire

Examinations: Physical examination; Weight and length; Head circumference; Body Mass Index (BMI)
Immunizations: Influenza
Lab/Other: Fluoride varnish2; Vision and hearing3
Screenings: Developmental/behavioral screening

Education materials:

4 year well child checkup

Forms: 4 year pre-visit questionnaire

Examinations: Physical examination; Weight and length; Head circumference; Body Mass Index (BMI)
Immunizations: Influenza†; These pre-kindergarten immunizations may be completed between ages 4-6.
Lab/Other: Fluoride varnish2; Vision and hearing3
Screenings: Developmental/behavioral screening

Education materials:


*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).

  1. Numb the skin
  2. Sugar water or breastfeeding (for babies 12 months or less)
  3. Comfort positioning
  4. Distraction

This is just one of the ways we go above and beyond for the most amazing people on earth.