Well Child Visits

Congratulations! Your baby is finally here. Newborns are wonderful, but exhausting! Having friends or family around to provide extra help and support can be very helpful. Make sure all visitors wash their hands well. Your baby’s first visit to our office takes place during his or her first week of life, usually 1-2 days after you are discharged from the hospital.

We do a lot at this visit, including:

• Check your baby’s weight.
• Monitor for signs of jaundice.
• Check to see how your baby is feeding.
• Answer questions about your new baby.

Immunizations: 

• RSV, if indicated

Tests/Screens/Assessments: 

• None

Helpful Info: 

• Caring for Your Newborn
• Welcome to the World of Parenting!
• Newborn Characteristics

The 2 Week Visit (sooner if you have concerns!) is a time to talk about how your family is acclimating to the newest addition. Feeding, bowel habits and sleeping are common topics.  

By 2 weeks of age, your baby will likely have regained his or her birth weight. Please remember that it is important to always put your baby to sleep on his or her back in a flat, firm and separate sleep space to reduce the risk of SIDS. As always, we are here to answer questions and offer anticipatory guidance.

We do a lot at this visit, including:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Remind you to give your baby a daily supplement of 400 IU of vitamin D drops if you are breastfeeding.
• Discuss starting to have your baby do tummy time a few times a day.

Immunizations:  

• RSV, if indicated

Tests/Screens/Assessments: 

• None

Helpful Info: 

• Back to Sleep, Tummy to Play

Families are usually settling in some by this visit. Feeding, sleeping and bowel habits are sometimes a concern. At this visit we will track your baby's growth and development and answer any questions. Your baby may occasionally smile spontaneously and that helps a lot!

Immunizations: 

• RSV, if indicated

Tests/Screens/Assessments: 

• Post Partum Depression Assessment

Helpful Info: 

• Crying and Your Baby: How to Calm a Fussy or Colicky Baby
• Sleeping

Many babies seem more fussy or colicky at this age. Be patient. Colicky babies eventually outgrow their crying phase. Keeping your baby safe is the most important thing you can do. Even if you feel frustrated, handle your baby gently and reach out for help to friends, relatives or your pediatrician if the crying is getting to be too much. If you need a break and no one is available to help you, place your baby on his/her back gently in a safe space, such as a crib or bassinet and take a few minutes to calm down.

By 2 months, babies are smiling a lot more including in response to you (the social smile) and are starting to coo (ie, make simple vowel sounds).  Enjoy these moments!

We do a lot at this visit, including:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Monitor your baby's development
• Provide your baby’s first set of immunizations. Immunizations are safe, effective and keep your child and our community healthy. During this visit, you will be able to discuss any questions you may have about immunizations.
• Screen for post-partum depression.

Immunizations: 

• Pentacel #1 (DTaP, HIB, Polio)
• Pneumococcus #1
• Rotavirus #1
• Hepatitis B #1 or #2
• RSV, if indicated

Tests/Screens/Assessments: 

• Post Partum Depression Assessment

Helpful Info: 

• Parenting Your Infant
• Tylenol Dosing
• Safety

Encourage your baby to self-soothe and fall asleep on their own in their bassinet or crib. A consistent, calming bedtime routine can help your baby get ready for sleep. This may include bathing, singing, reading or relaxing together.  Feeding can be a part of the routine but should be at the beginning of the routine so that your baby doesn't fall asleep feeding.  Place your baby in the crib or bassient on their back while sleepy but not asleep.  If your baby starts to break out of the swaddle or starts to roll over, especially from back to front then it is time to stop swaddling them.  Your baby should be sleeping longer stretches at night now but still will need to feed 1-2 times overnight.   

At this visit we will:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Monitor your baby's development.
• Screen for post-partum depression.
• There are no regularly scheduled immunizations at this visit.

Immunizations: 

• None

Tests/Screens/Assessments: 

• Post Partum Depression Assessment

Helpful Info:

• Crying and Your Baby: How to Calm a Fussy or Colicky Baby
• Fever
• How Do Infants Learn?

Your baby is becoming more active and verbal. Be careful not to leave your baby unattended, especially on a bed, couch or counter. They move faster than you think!

Babies need only breast milk or iron fortified formula for the first 4-6 months of life. We will talk at this appointment about the appropriate time to introduce solid foods and what foods to introduce first.  If your baby is solely fed breastmilk (and no formula) we will discuss starting to supplement with iron because starting at 4 months, breastmilk doesn't fully meet a babies' iron requirements.

At this visit we will:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Monitor your baby's development.
• Provide your baby’s immunizations.
• Discuss when to start feeding your baby solid foods.
• Discuss if an iron supplement is needed.
• Screen for post-partum depression.

Immunizations: 

• Pentacel #2 (DTaP, HIB, Polio)
• Pneumococcus #2
• Rotavirus #2
• Hepatitis B #2, if indicated
• RSV, if indicated

Tests/Screens/Assessments: 

• Post Partum Depression Assessment

Helpful Info: 

• Starting Solid Foods
• Sleeping Well: Tips for Parents of Babies and Young Children
• Baby Walkers: Important Safety Information

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.

At this visit we will:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Monitor your baby's development through a validated questionnaire, Ages and Stages Questionnaire.
• Provide your baby’s immunizations.

Immunizations: 

• Pentacel #3 (DTaP, HIB, Polio)
• Pneumococcus #3
• Rotavirus #3
• Hepatitis B #3
• Influenza vaccine (during flu season)
• Covid vaccine(as per the AAP immunization schedule, we recommend the primary series for all children but don't feel that booster doses are important in low risk children 2y and older).
• RSV vaccine, if indicated

Tests/Screens/Assessments: 

• Ages and Stages Developmental Questionnaire to monitor your child's development

Helpful Info: 

• Home Safety
• Toy Safety
• Fever - Myths Versus Facts
• Ibuprofen Dosing

Your baby may be starting to crawl, pulling to a stand and cruising on furniture. Babies will want to touch everything - this is how they learn. This is a messy time! Have fun and be patient.

Poison control is available 24 hours a day: 1-800-222-1222- keep this number handy in your cell phone and on your refrigerator.

To prevent burn injuries, set your water heater's maximum temperature to 120 F. We know this isn't always possible but it is worth looking into.

At this visit we will:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Monitor your baby's development.
• Screen for anemia with a finger prick hemoglobin level.
• Test for lead exposure with a finger prick in the office.
• Provide your baby’s immunizations if any are indicated.
• Discuss your baby's dental care if they have teeth. You should be brushing your child's teeth with an infant toothbrush and a tiny smear of fluoride toothpaste or a pea-size of non-fluoride toothpaste. 

Immunizations: 

• Influenza vaccine (during flu season)
• Covid vaccine, if indicated

Tests/Screens/Assessments: 

• Ages and Stages Developmental Questionnaire
• Hemoglobin Test
• Lead Test

Helpful Info: 

• Childproofing Your Home

At this age, your baby can transition from breast milk or formula to cow’s milk. However, it is healthy to continue breast milk, if that is what you prefer, for your baby. Most babies need 3 meals, 2-3 snacks per day, and no more than 16 ounces of whole cow's milk per day. Your baby will be able to eat many of the foods you eat, but be careful to avoid small, hard foods that can cause choking.

It is time to wean your child from the bottle and offer all liquids in a straw cup or a sippy cup. It is much easier to wean your child now than if you wait until they are older. Avoid cavities and additional tears and make the change now!

Your baby will be outgrowing the infant carrier car seat. Continue to have your baby in a rear facing car seat at least until 2 years (longer is better).

At this visit we will:

• Measure your baby’s weight, length, and head size and record on a growth curve.
• Monitor your baby's development.
• Provide your baby’s immunizations.
• Discuss dental health and refer your baby to a pediatric dentist if they have teeth.
• Screen your baby for vision abnormalities with our ocular photoscreen device (iScreen).

Immunizations: 

• Hepatitis A #1
• MMR #1
• Varicella (Chickenpox) #1
• Influenza vaccine(during flu season)
• Covid vaccine, if indicated

Tests/Screens/Assessments: 

• Ages and Stages Developmental Questionnaire
• TB Surveillance
• Vision Photoscreen (iScreen)

Helpful Info: 

• Playing Is How Toddlers Learn
• Safety
• ABCs of Good Nutrition

Your child may be able to climb and run, so be sure to safety proof your home.

At this visit we will:

• Measure your child’s weight, length and head size and record on a growth curve.
• Monitor your child's development.
• Provide your child’s immunizations.

Immunizations: 

• DTaP #4
• HIB #4
• Pneumococcus #4
• Influenza vaccine (during flu season)
• Covid vaccine, if indicated

Tests/Screens/Assessments: 

• Ages and Stages Developmental Questionnaire

Helpful Info: 

• Water Safety
• Temper Tantrums

At 18 months, your child understands much more than he or she can say in words. Use words to describe your child’s feelings and gestures. Read and sing to your child often. When reading, use simple words to talk about the pictures.

At this visit we will:

• Measure your child’s weight, length and head size and record on a growth curve.
• Monitor your child's development.
• Provide your child’s immunizations.
• Test for lead exposure with a finger prick in the office.

Immunizations: 

• Influenza vaccine (during flu season)
• Covid vaccine, if indicated
• Hepatitis A #2, if timing is correct

Tests/Screens/Assessments: 

• Ages and Stages Developmental Questionnaire
• MCHAT Questionnaire to screen for autism
• Lead Level

Helpful Info: 

• Is Your Toddler Communicating With You?
• Discipline and Your Child

At this age, your 2 year old may go from trying to be independent to clinging to you; this is normal. It is better for toddlers to play than to watch TV. Even having television playing in the background interrupts healthy toddler play - background music is a better choice.

Legally, you are able to switch your child's car seat to forward facing but we feel it is safest to keep it backwards as long as your car seat says your child can be rear facing.

At this visit we will:

• Measure your child’s weight, length, head size and body mass index and record on a growth curve.
• Monitor your child's development.
• Provide your child any immunzations that they are due for.
• Screen for anemia with a fingerstick hemoglobin level.
• Screen your child for vision abnormalities with our ocular photoscreen device (iScreen).
• Discuss toilet training.

Immunizations: 

• Hepatitis A #2,if not given at 18 mos
• Flu vaccine(during flu season)

Tests/Screens/Assessments: 

• MCHAT Questionnaire
• Ages and Stages Developmental Questionnaire
• TB Surveillance
• Hemoglobin Test
• Vision Photoscreen (iScreen)

Helpful Info: 

• Playground Safety
• Picky Eaters
• Car Seat Safety
• Disciplining Your Child
• General Safety

Your baby is not really a baby anymore. They are firmly in the toddler years. One moment they seem so big and the next still very small. This is the "do-it-myself time."

At this visit we will:

• Measure your child’s weight, length, head size and record on a growth curve
• Monitor your child's development.
• Most of our patients do not have immunizations due at this visit.
• Discuss dental health  (if they have not yet seen a dentist, they should!)
• Discuss healthy meals/snacks, avoid food pouches and no or little juice
• Check in on toilet training.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Ages & Stages Developmental Questionnaire

Helpful Info: 

• Snacks for Toddlers
• Learning with Play
• Toilet Training

Your child will likely be moving into a world of make believe that they create with their imagination. Toys for dress up and make believe are important at this age. Read books, sing songs and play rhyming games with your child each day.

At this visit we will:

• 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.
• Monitor your child's development
• Most of our patients do not have immunizations due at this visit.  Your child may need immunizations if they are behind on their shots or during flu season.
• Screen your child for vision abnormalities with our ocular photoscreen device (iScreen).
• Discuss dental health.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Ages and Stages Development Questionnaire
• TB Surveillance
• Vision Photoscreen (iScreen)

Helpful Info: 

• Teaching Good Behavior
• Building Strong Bones: Why Calcium Counts

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.

At this visit we will:

• 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.
• Monitor your child's development.
• Provide your child's immunizations.
• Screen your child's hearing and vision.
• Discuss swimming lessons.

Immunizations: 

• Proquad (MMR, Varicella (Chickenpox))
• Quadracel (DTaP, Polio)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Ages and Stages Development Questionnaire
• TB Surveillance
• Vision Testing
• Hearing Testing

Helpful Info: 

• Encourage Your Child to Be Physically Active
• Kindergarten Readiness

At this age, your child needs more independence. However, you need to set clear limits. A regular bedtime and consistent bedtime routine are important. Be a great role model. Show an interest in what they are learning. Teach your child their address and parents' phone numbers.

At this visit we will:

• 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.
• Monitor your child's development.
• Screen for anemia with a fingerstick hemoglobin level
• Screen your child's hearing and vision.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• Ages and Stages Questionnaire
• TB Surveillance
• Hemoglobin Level
• Vision Testing
• Hearing Testing

Helpful Info: 

• Managing Screen Time
• Growing Independence
• Safety

Encourage good learning by helping your child organize a distraction-free time to do homework and ensuring eleven hours of sleep each night. Teach your child what to do if there is a fire and have practice fire drills.

We start monitoring your child's mental health at 6 years with the Pediatric Symptom Checklist-17 screening questionnaire.  We will use this questionnaire annually at each check up going forward.  There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

At this visit we will:

• 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 hearing and vision.
• Monitor your child's mental health with the Pediatric Symptom Checklist-17 (PSC-17).
• Review your child’s school performance and development.
• Review safety issues.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17 Questionnaire
• TB Surveillance
• Vision Testing
• Hearing Testing

Helpful Info:

• Helping Children Help Themselves
• Encouraging Physical Activity
• Ten Tips for School Success
• Safety

Continue to encourage good nutrition and exercise for your child. This is the time he or she is building good health habits for a lifetime! There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

At this visit we will:

• 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.
• Monitor your child's mental health.
• Review your child’s school performance and development.
• Discuss exercise and nutrition
• Check for anemia, if indicated.
• Review safety issues.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hemoglobin, if indicated

Helpful Info: 

• Growing Up Healthy: Fat, Cholesterol, and More
• TV Violence
• Family Media Plan
• Keeping Your Cool

Positive self-image is important as your child begins to enter the changes that come with puberty. A great book for your daughter to read is The Care and Keeping of You.  A great book for your son to read is Guy Stuff.   The book and podcast This Is So Awkward are great resources for parents (the target audience for these are parents and not children but they have great ideas on how to talk to your child).  Cherry pick through the podcast for episodes that pertain to your family.  

Empower them to feel good about themselves, their interaction with others and praise their effort more than the outcome. 

At this visit we will:

• 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
• Monitor your child's mental health.
• Review your child’s school performance and development
• Discuss involvement in activities
• Discuss sleep
• Discuss anticipating pubertal changes
• Discuss exercise and nutrition
• Check for anemia, if indicated.
• Review safety issues

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hearing Testing
• Hemoglobin, if indicated

Helpful Info: 

• Developing Your Child’s Self-Esteem
• Bullying is Not OK
• Healthy Choices
• Safety

Your child be is becoming more responsible and will be able to take on more tasks such as taking care of his/her own room. He or she may also start reading independently for pleasure.

At this visit we will:

• 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.
• Monitor your child's mental health.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Screen for anemia, if indicated.
• Review safety issues.

Immunizations: 

• Flu vaccine (during flu season)
• HPV #1(Series of 2; 9-14 years)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hemoglobin, if indicated

Helpful Info: 

• The Importance of Family Routines
• Puberty Changes
• Family Media Plan
• Everyone Gets Mad: Helping Your Child Cope

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.

At this visit we will:

• 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
• Screen your child for anemia
• Provide your child’s immunizations
• Monitor your child's mental health
• 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

Immunizations: 

• HPV #1  or #2(if not previously completed; series of 2; 9-14y)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hearing Testing
• Hemoglobin

Helpful Info:

• Developing Good Homework Habits
• Video Games
• Safety

Your child may be transitioning to middle school at this age. He or she may be participating in more group activities. Expand your conversations about healthy living practices to include tobacco, drug and alcohol avoidance.  The This Is So Awkward podcast has lots of great ideas on how to have these conversations.  

At this visit we will:

• 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
• Provide your child’s immunizations.
• Screen your child's vision
• Screen your child for anemia, if indicated
• Monitor your child's mental health
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Discuss puberty changes to expect or that may occurring.

Immunizations: 

• Tdap #1
• Meningococcus ACWY #1
• HPV #1 or #2(if not previously completed; series of 2; 9-14 years)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hemoglobin, if indicated

Helpful Info: 

• Substance Abuse Prevention
• Friends are Important
• Helping Children Handle Stress

Your child will be in middle school at this age. Continue your conversations about healthy living practices to include tobacco, drug and alcohol avoidance.   The This Is So Awkward podcast has lots of great ideas on how to have these awkward conversations.   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.

At this visit we will:

• Measure your child’s weight, height, and body mass index and record on a growth curve.   Because weight and BMI numbers can cause distress to your child we will not discuss the actual numbers during the visit
• Measure your child’s blood pressure and heart rate
• Screen your child's vision.
• Review your child’s school performance and development.
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
• Discuss puberty changes to expect or that may be occurring.

Immunizations:  

• HPV #1 or #2 (if not previously completed; series of 2; 9-14 years)
• Flu vaccine(during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hemoglobin, if indicated

Helpful Info:

• Ten Ways to Improve Your Mood Naturally
• Family Media Plan
• E-cigarettes and Vaping

Even though friends are becoming more important at this age, having a caring adult to provide a listening ear and from which to obtain accurate health information is equally important. Foster open communication with your child.  The This Is So Awkward podcast has lots of great ideas on how to have awkward conversations with your teen.  There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

At 13y, we provide the opportunity for your teen to have at least a portion of this visit with the parent out of the room if they desire it.

At this visit we will:

• Measure your teen’s weight, height, and body mass index and record on a growth curve. Because weight and BMI numbers can cause distress to your child we will not discuss the actual numbers during the visit
• Measure your teen’s blood pressure and heart rate
• Screen your teen's vision and hearing
• Screen your teen for anemia
• Monitor your teen's mental health
• Review your teen’s school performance and development.
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.
• Discuss puberty changes to expect or that are occurring.

Immunizations: 

• HPV #1 or #2(if not previously completed; series of 2; 9-14 years)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hearing Testing
• Hemoglobin

Helpful Info:  

• Teens
• Parenting Teens
• A Message for Teens from Your Pediatrician

Your teen may be showing an increasing interest in extracurricular activities. Have conversations about risk taking behaviors, driving, alcohol, drug use, family rules and expectations. Discuss media and internet safety. Make certain that they have an adult they can confide in if they are unable to communicate with you.   The This Is So Awkward podcast has lots of great ideas on how to have these more awkward conversations.There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

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:

• Measure your teen’s weight, height, and body mass index and record on a growth curve.  Because weight and BMI numbers can cause distress to your teen we will not discuss the actual numbers during the visit
• Measure your teen’s blood pressure and heart rate
• Screen your teen's vision
• Screen your teen for anemia, if indicated
• Monitor your teen's mental health
• Review your teen’s school performance and development.
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.

Immunizations: 

• HPV #1 or #2(if not previously completed; series of 2; 9-14 years)
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hemoglobin, if indicated

Helpful Info: 

• Acne
• Healthy Teen Relationships
• Teens and Alcohol: What Parents Need to Know
• Tips for Parents of Adolescents: Common Concerns

Your teen may be adjusting to the transition to high school. Development of family relationships continues to be important, but it is also normal for teens to place more and more emphasis on their peer relationships. There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

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:

• Measure your teen’s weight and length and record on a growth curve.  Because weight and BMI numbers can cause distress to your child we will not discuss the actual numbers during the visit.
• Measure your teen’s blood pressure and heart rate
• Screen your teen's vision and hearing
• Screen your teen for anemia
• Monitor your teen's mental health
• Review your teen’s school performance.
• 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.

Immunizations: 

• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hearing Testing
• Hemoglobin

Helpful Info: 

• Teens
• Teen Parties
• Talking with Your Teen
• Marijuana Use: What Parents Need to Know
• Talking with Your Teen About Sex

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.   The This Is So Awkward podcast has lots of great ideas on how to best communicate with your teen.

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.

At this visit we will:

• Measure your teen’s weight, height and body mass index and record on a growth curve.  Because weight and BMI numbers can cause distress to your child we will not discuss the actual numbers during the visit.
• Measure your teen’s blood pressure and heart rate
• Screen your teen's vision and hearing
• Screen your teen for anemia, if indicated
• Monitor your teen's mental health
• 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.)

Immunizations: 

• Meningococcus ACWY #2
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hearing Testing
• Hemoglobin, if indicated

Helpful Info: 

• Teens
• A Message to Parents of Teen Drivers
• Eating Disorders
• Drug Abuse Prevention Starts with Parents
• Steroid Use: What Teens Need to Know
• Making Healthy Decisions About Sex

Your child is getting closer to finishing high school and entering the adult world. Making mistakes are a normal part of growing up. Continue to provide emotional support and guidance for them during this time.  The This Is So Awkward podcast has lots of great ideas on how to best communicate with your teen and be present to them.   There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.

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:

• Measure your teen’s weight, height, and body mass index and record on a growth curve.  Because weight and BMI numbers can cause distress to your child we will not discuss the actual numbers during the visit.
• Measure your teen’s blood pressure and heart rate
• Screen your teen's vision
• Screen your teen for anemia, if indicated
• Monitor your teen's mental health
• Review your teen’s school performance.
• Perform any recommended yearly screening tests (depending on family history, sexual activity etc.).
• Reinforce healthy choices and risk behavior avoidance.
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.

Immunizations: 

• Meningococcus B
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• Hemoglobin, if indicated

Helpful Info: 

• Teens
• Health Care for College Students
• Next Stop Adulthood: Tips for Parents
• Teen Dating Violence

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 and as a young adult, we provide the opportunity for your  "child"  to have at least a portion of this visit with the parent out of the room.

At this visit we will:

• Measure your young adult’s weight, height and body mass index and record on a growth curve.  Because weight and BMI numbers can cause distress to your young adult we will not discuss the actual numbers during the visit.
• Measure your young adult's blood pressure and heart rate
• Screen your young adult's vision
• Screen your young adult for anemia, if indicated
• Monitor your young adult's mental health
• Provide 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.
• 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 once they are 22 years old!

Immunizations: 

• Meningococcal B 
• Flu vaccine (during flu season)

Tests/Screens/Assessments: 

• PSC-17
• TB Surveillance
• Vision Testing
• TB Surveillance
• Hemoglobin, if indicated

Helpful Info: 

• Teens
• Health Care for College Students
• Next Stop Adulthood: Tips for Parents