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Your ten year old still requires adult supervision when you are away. Watching TV with your child allows you to discuss any controversial topics that may come up, but limit screen time to 2 hours per day. Family mealtime is important to keeping communication open and fostering healthy lives.

• MCV4#2
• Flu vaccine (during flu season)

We do a lot at this visit, including:

We do a lot at this visit, including:

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

Your child will be in middle school at this age. Continue your conversations about healthy living practices to include tobacco, drug and alcohol avoidance. Your child should be able to assume more responsibility for personal hygiene and chores. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

• Measure your child’s weight, height, and body mass index and record on a growth curve.
• Screen your child's vision.
• 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.
  

Four year olds often like to sing, dance and act. They like to tell "tall tales" and make up stories.  Enjoy these fun moments with your little one!  Parents should continue to help with brushing teeth even though your child will want to do it all by themselves.

Helpful Info:

Immunizations:

Immunizations:

Tests/Screens/Assessments:

Tests/Screens/Assessments:

• MMR#2
• VAR#2
• Quadracel (DTaP, IPV)
• Flu vaccine (during flu season)

• Flu vaccine (during flu season)

• Measure your child’s weight, height and body mass index and record on a growth curve.
• Provide your child's immunizations.
• Discuss dental health and apply fluoride varnish to your child's teeth.
  

We do a lot at this visit, including:

• A Message to Parents of Teen Drivers

We do a lot at this visit, including:

• 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
• Screen your child's vision and hearing
• 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
  

• Encourage Your Child to Be Physically Active

Your child is now transitioning to adult life! They will still look to you for support and guidance, but will be more on their own when it comes to decision making. 

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.

• Hearing Surveillance
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Vision Testing

• Vision Testing
• Hearing Testing

Congratulations! You are solidly in the teen years! It is exciting to see the wonderful person your child is becoming. Possible conflict can arise at this time as your teen assesses your family values versus those of culture and peers. Keep the lines of communication open and give them additional responsibility while being present for them when they inevitably make mistakes. Be supportive and allow them to develop resilience and self-pride. 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.

• Pentacel#3 (DTaP, HIB, IPV)
• Prevnar#3
• Rotavirus#3
• Influenza vaccine (during flu season)

Tests/Screens/Assessments:

Helpful Info: 

• Vision Testing
• Hearing Testing
• Lipid Profile (completed once between 9-11 years)

We do a lot at this visit, including:

Immunizations:

Helpful Info:

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

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

Immunizations:

• Teething

• Measure your child’s weight, height and body mass index and record on a growth curve.
• Provide immunizations.
• Screen your child's 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 your child to an adult care provider.
  

Immunizations:

Immunizations:

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.

Helpful Info: 

Tests/Screens/Assessments:

• Teens
• Behavior

We do a lot at this visit, including:

• 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)
  

• 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.
  

Tests/Screens/Assessments:

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

• Hearing Surveilllance
• TB Surveillance
• Anemia Surveillance
• Dyslipidemia Surveillance
• Adolescent Depression Screening
• Vision Testing
• Urine Chlamydia Screen (females)
• Hemoglobin Test (females)
• Universal HIV Testing

Tests/Screens/Assessments: