Schedule of Visits

Congratulations on your new baby! This is an exicitng – and exhausting – time for most new parents. If you have family and friends visiting, please make sure they wash their hands before touching your baby. If anyone has symptoms of a respiratory illness, we recommend masking to prevent the spread of potentially harmful illnesses to your newborn.

At this visit, we will:

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

Immunizations:

• Hepatitis B (if not done at birth)

Tests/Screens/Assessments:

• None

Developmental Milestones:

• None

The two-week visit is a time to check in with your child’s pediatrician about how you are adjusting to life with a newborn, feeding questions and concerns, and monitoring your baby’s growth. By two weeks postpartum, most babies are at or above their birth weight. If you are breastfeeding and need assistance, this is also an opportunity to ask for extra support. We will also discuss safe sleep habits to ensure your child is sleeping safely and comfortably.

At this visit, we will:

• Check your baby’s weight (pre- and post-feed if there are feeding concerns)
• Discuss Vitamin D supplement
• Answer any questions you may have

Immunizations:

• None

Tests/Screens/Assessments:

• Newborn screening review
• Postpartum Depression Assessment

Developmental Milestones:

• None

Most families are starting to settle in to life with their new baby at this point. You may even be seeing your baby’s first smiles at this point! We will discuss feeding, bowel movements, sleep, and any other concerns you may have.

At this visit, we will:

• Check your baby’s weight (pre- and post-feed if there are feeding concerns)
• Answer any questions you may have

Immunizations:

• None

Tests/Screens/Assessments:

• Postpartum Depression Assessment

Developmental Milestones:

• None

Many babies start experiencing colic or increased fussiness at this age. While this can be exhausting for parents, it’s developmentally normal and your child will outgrow it. Remember that your baby’s safety is paramount; if you are feeling frustrated, it is ok to put your baby in their crib and walk away for a few minutes to regain your composure. Please don’t hesitate to ask friends and family for help if you need it. And as always, your pediatrician is here to support you.

At this visit, we will:

• Check your baby’s growth (weight, length, head size)
• Immunizations
• Screen for developmental milestones
• Answer any questions you may have

Immunizations:

• DTaP, HIB, IPV, HepB
• Prevnar (1st dose)
• Rotavirus (1st dose)

Tests/Screens/Assessments:

• Postpartum Depression Assessment
• ASQ-3 (2mo) developmental questionnaire

Developmental Milestones

• CDC 2-Month Developmental Milestones

By this point your baby is probably becoming more verbal – cooing and laughing are exhilirating milestones! Your baby may start rolling over at this point; it’s important not to leave them unattended, especially on high surfaces like a bed or changing table.

While many babies will continue to breastfeed or formula feed until they reach 1 year old, you can start introducing solids at this point if your child is able to hold their head up and sit with some support. At this appointment we will discuss the introduction of solid foods and help you determine when to offer solids and some great first options for them.

At this visit, we will:

• Check your baby’s growth (weight, length, head size)
• Immunizations
• Screen for developmental milestones
• Discuss the introduction of solid foods
• Answer any questions you may have

Immunizations:

• DTaP, HIB, IPV
• Prevnar (2nd dose)
• Rotavirus (2nd dose)

Tests/Screens/Assessments:

• Postpartum Depression Assessment
• ASQ-3 (4mo) developmental questionnaire

Developmental Milestones

• CDC 4-Month Developmental Milestones

By 6 months, most babies are rolling over, and many are starting to sit unassisted for short periods of time. If you haven’t yet, now is the time to babyproof your house and move your infant’s mattress to the lowest level in their crib.

At this visit, we will:

• Check your baby’s growth (weight, length, head size)
• Immunizations
• Screen for developmental milestones
• 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.)
• Answer any questions you may have

Immunizations:

• DTaP, HIB, IPV, Hep B
• Prevnar (3rd dose)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Postpartum Depression Assessment
• ASQ-3 (6mo) developmental questionnaire
• Lead Surveillance
• Oral Health Surveillance

Developmental Milestones

• CDC 6-Month Developmental Milestones

Congratulations on making it through the infant stage! Your child is now officially a toddler. At this point, your baby no longer needs breastmilk or iron-fortified formula (though you may continue breastfeeding if it’s working for you and your child). You can transition to cow milk or a plant-based alternative, though you should limit your child to 16oz of cow milk per day. You can also begin feeding your child on a more set schedule of three meals and 2-3 snacks per day. It’s important to provide your child with a variety of tastes and textures, though you should avoid small, round, and/or hard foods, as they pose a choking hazard. This is also the time to wean your child off of a bottle and begin offering liquids in a sippy cup or an open cup to avoid dental issues later.

Your child will also outgrow their infant car seat around this time. You can purchase a convertible car seat that will last them for a few years, though it is important to remain rear-facing until at least two years old.

At this visit, we will:

• Check your toddler’s growth (weight, length, head size)
• Immunizations
• Discuss dental health and apply fluoride varnish if they have not yet been to the dentist
• Screen for developmental milestones
• Check your baby’s hemoglobin and lead levels
• Answer any questions you may have

Immunizations:

• HepA (1st dose)
• MMR (1st dose)
• Varicella (1st dose)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (12mo) Developmental Questionnaire
• Oral Health Surveillance
• Fluoride Varnish
• Hemoglobin Test
• Lead Test

Developmental Milestones

• CDC 12-Month Developmental Milestones

At this point, your toddler is likely walking, and maybe even running. 15 month-olds are very curious; they might try to climb up on high surfaces, and many non-food objects may end up in their mouths. Be sure that your hope is properly childproofed at this time, including the use of wall-mounted baby gates at the top and bottom of stairs, locks on cabinets and drawers, and bumpers on hard furniture corners.

At this visit, we will:

• Check your toddler’s growth (weight, length, head size)
• Immunizations
• Answer any questions you may have

Immunizations:

• HIB
• Prevnar (4th dose)
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (15mo) developmental questionnaire

Developmental Milestones

• CDC 15-Month Developmental Milestones

At 18 months, your child’s language skills are probably developing. While they may be able to speak 10 or more workds, they understand much more than that. To foster their language development, you should read books to your child and talk about what you are doing with them in their daily lives.

At this visit, we will:

• Check your toddler’s growth (weight, length, head size)
• Immunizations
• Discuss dental health and apply fluoride varnish if they have not yet been to the dentist
• Screen for developmental milestones
• Discuss behavioral issues, including tantrums
• Answer any questions you may have

Immunizations:

• HepA (2nd dose)
• DTaP
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (18mo) developmental questionnaire
• MCHAT (Autism screenning) questionnaire
• TB Surveillance
• Anemia Surveillance
• Lead Surveillance
• Oral Health Surveillance
• Fluoride Varnish (annually)

Developmental Milestones

• CDC 18-Month Developmental Milestones

At two years of age, some children may start becoming clingier with their caregivers and might be more wary of strangers. This is completely normal! They may also be more interested in watching TV; do your best to limit screen time. There are no scheduled vaccines at this visit, but if you are on a delayed vaccine schedule, there may be immunzations at this time.

At this visit, we will:

• Check your toddler’s growth (weight, length, head size)
• Screen for developmental milestones
• Test for lead exposure and hemoglobin level with a finger prick in the office
• Discuss dental health and apply fluoride varnish to your child’s teeth
• Discuss toilet training and age-appropriate discipline
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (24mo) developmental questionnaire
• MCHAT (Autism screenning) questionnaire
• TB Surveillance
• Anemia Surveillance
• Lead Surveillance
• Oral Health Surveillance
• Hemoglobin and Lead Test
• Fluoride Varnish (annually)

Developmental Milestones

• CDC 2-Year Developmental Milestones

2.5 year olds are generally very independent and full-on “toddlers”. Toddlers can be very stubborn, with a “do it myself” mentality. Try your best to let them make decisions for themselves when it’s safe and reasonable (such as picking their own outfits, choosing what cup to use at dinnertime, etc.). Picky eating may also arise at this point; please bring up any concerns about feeding with your pediatrician.

At this visit, we will:

• Check your toddler’s growth (weight, length, head size)
• Screen for developmental milestones
• Discuss dental health
• Discuss eating habits and balanced meals/snacks
• Discuss toilet training and age-appropriate discipline
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (30mo) developmental questionnaire

Developmental Milestones

• CDC 30-mo Developmental Milestones

3 year olds often love imaginary play (dress up, play kitchens, playing superheroes, etc.) Continue to foster independent play, read books, and sing songs with your child.

At this visit, we will:

• Check your toddler’s growth (weight, length, head size)
• Screen for developmental milestones
• Discuss dental health
• Discuss toilet training and age-appropriate discipline
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (3yr) developmental questionnaire
• Oral Health Surveillance

Developmental Milestones

• CDC 3-yr Developmental Milestones

Four year olds often enjoy imaginative play – acting, singing, and dancinf. They like to make up, and act out, stories. Enjoy these moments with your little one! Continue to help with brushing teeth even though your child will want to do it all by themselves.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Immunizations
• Screen for developmental milestones
• Discuss dental health
• Answer any questions you may have

Immunizations:

• MMR+Varicella (2nd dose)
• DTaP, IPV
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (4yr) developmental questionnaire
• Oral Health Surveillance
• Hearing Screen
• Vision Screen

Developmental Milestones

• CDC 4-yr Developmental Milestones

At this age, most children value their independence. However, it is necessary to provide clear boundaries, as they will try to push your limits to see what happens. Continue to stick to a solid bedtime routine and limit screentime as much as possible. If your child has started kindergartem, they may be beginning to learn to read; let them read to you, if they can, and continue to read to them daily.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Review and discuss speech development
• Discuss exercise and nutrition
• Discuss kindergarten readiness
• Discuss dental health
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• ASQ-3 (5yr) developmental questionnaire
• Oral Health Surveillance
• Hearing Screen
• Vision Screen

Developmental Milestones

• CDC 5-yr Developmental Milestones

Your child is likely in school by this point. Encourage good learning by providing a distraction-free environment for homework (they they have any). Continue reading with your child and have them read with you. Teach them about fire safety – practice fire drills, how to call 911 in an emergency, and what to do if they get lost in public.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Review school performance
• Discuss safety preparedness
• Discuss exercise, nutrition, and sleep
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Anemia Surveillance
• Lead Surveillance
• Oral Health Surveillance
• Hearing Screen
• Vision Screen

At this point, annual check ups are a chance to discuss any concerns you may have, and for your pediatrician to monitor your child’s growth. Continue to encourage healthy eating and exercise habits, as well as proper sleep hygiene. Kids at this age need about 11 hours of sleep per night.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Review school performance
• Discuss safety preparedness
• Discuss exercise, nutrition, and sleep
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance

Many kids are entering the early phase of puberty around age 8. Positive self-image is crucial to a child’s mental health. Empower them to feel good about themselves and praise their effort more than the outcome.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Review school performance
• Discuss participation in extracurruicular activities
• Discuss safety preparedness
• Discuss exercise, nutrition, and sleep
• Discuss puberty
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen

Your child is continuing to become more independent and responsible, and they may be reading for pleasure. You may notice changes in mood as they progress through the early stages of puberty.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Review school performance
• Discuss safety preparedness
• Discuss exercise, nutrition, and sleep
• Discuss puberty
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Lipid Profile testing (completed once between 9-11 years)

Your ten year old might seem like a “big kid” now, but they still require adult supervision. You may watch TV shows or read books with your child as a way to begin discussing controversial topics, but continue to limit screen time to no more than two hours per day. Try to eat as a family (without the TV on) and use it as a time to talk abotu their day, their feelings, and anything else they might want to share.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Review school performance
• Discuss safety preparedness
• Discuss exercise, nutrition, and sleep
• Discuss peer relationships
• Discuss puberty
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• Lipid Profile testing (completed once between 9-11 years)

Children are usually transitioning to middle school at this age. This transition can be stresful for kids; encourage them to come to you with any concerns or issues they encounter at school, including trouble with friends, bullying, or struggling in class. Start having conversations with them about peer pressure, drugs, alcohol, and violence.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Immunizations
• Review school performance
• Discuss safety preparedness
• Discuss exercise, nutrition, and sleep
• Discuss peer relationships
• Discuss puberty
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)I
• TDAP (1st dose)
• MCV (1st dose)
• HPV (1st dose, between 11-13 years old)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Lipid Profile (completed once between 9-11 years)

Your child is in middle school. Your child should assume primary responsibility for personal hygiene and chores. Encourage them to come to you with any concerns or issues they encounter at school, including trouble with friends, bullying, or struggling in class. Continue having conversations with them about peer pressure, drugs, alcohol, and violence.

At this visit, we will:

• Check your child’s growth (weight, length, head size)
• Measure your child’s blood pressure and heart rate
• Immunizations
• Review school performance
• Discuss safety
• 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 peer relationships and peer pressure
• Discuss puberty
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)I
• HPV (1st or 2nd dose, between 11-13 years old)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Your child is officially a teenager. Friendships are usually very important at this age; continue to encourage your child to come to you with any issues regarding peers and school. They may be getting inaccurate health and safety information from friends, so continue having conversations with them around these issues.

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:

• Check your teen’s growth (weight, length, head size)
• Measure your teen’s blood pressure and heart rate
• Immunizations
• Review school performance
• Discuss safety
• 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
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)
• HPV (2nd dose, if not previously completed)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Your teen may be taking a greater interest in extracurricular activities. Continue to have conversations about peer pressure, drugs, alcohol, violence, and family rules and expectations. Make sure they have a trusted adult they can confide in.

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:

• Check your teen’s growth (weight, length, head size)
• Review school performance
• 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
• Measure your child’s blood pressure and heart rate
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Your teen is transitioning to high school. This transition can be stresful as more expectations and responsibilities are placed on them. Continue to have conversations about peer pressure, vehicle safety, drugs, alcohol, violence, and family rules and expectations. Make sure they have a trusted adult they can confide in.

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:

• Check your teen’s growth (weight, length, head size)
• Measure your teen’s blood pressure and heart rate
• Review school performance
• Complete sports physical forms and discuss sport safety (if your child is participating in sports).
• 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
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Congratulations on getting through the early teen years! Your teenager may be starting to act more like an adult, but remember that they are still developing impulse control, risk assessment, and other life skills. Continue to have conversations about peer pressure, vehicle safety, drugs, alcohol, violence, and family rules and expectations. Make sure they have a trusted adult they can confide in.

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:

• Check your teen’s growth (weight, length, head size)
• Measure your teen’s blood pressure and heart rate
• Review school performance
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Discuss involvement in activities and peer relationships/dating
• 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
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)
• MCV (2nd dose)

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Your child will be graduating from high school and start transitioning into the adult world. They will likely make mistakes, but they should be treated as learning experiences. Continue to have conversations about peer pressure, vehicle safety, drugs, alcohol, violence, and family rules and expectations. Make sure they have a trusted adult they can confide in.

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:

• Check your teen’s growth (weight, length, head size)
• Measure your teen’s blood pressure and heart rate
• Immunizations
• Review school performance
• Complete sports physical forms and discuss sport safety (if your child is participating in sports)
• Discuss involvement in activities and peer relationships/dating
• 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
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)
• MenB

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening

Your child is officially an adult. They are now legally able to make decisions for themselves, but they will still look to you for guidance as they navigate life as an independent adult. This will be their last visit with a pediatrician. Encourage them to start looking for an adult primary care doctor.

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:

• Check your teen’s growth (weight, length, head size)
• Measure your teen’s blood pressure and heart rate
• Immunizations
• 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
• Answer any questions you may have

Immunizations:

• Influenza vaccine (during flu season)
• MenB

Tests/Screens/Assessments:

• Behavioral/Social/Emotional Screening
• Hearing Screen
• Vision Screen
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening