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Well Child Visit & Immunization Schedule

From birth to age 2, well child exams are quite frequent since kids grow and develop so rapidly and this is such a critically important phase of their lives. From age 2 – 6, we like to see kids on a yearly basis; then from 6 on, every other year.

There are many reasons for doing well child exams; perhaps the most important reason is to establish and maintain an ongoing relationship and rapport with your family. Trust and confidence between us is always important but especially if an emergency or serious problem ever occurred.

For your convenience, the questionnaire forms for these well child visits may be downloaded from our website and filled out ahead of time.If you need us to fill out forms for school, camp or sports physicals, our policy is that the information we provide on the form must be based on a recent or current office visit. Therefore, if there hasn’t been a complete well child exam during the previous year, we will schedule one for you.

Age Vaccines Exam
2 weeks No shots Well baby exam
2 months HiB
Strep Pneumonia
DaPT-IPV-HBV*
Rotavirus (oral)
Well baby exam
4 months HiB
Strep Pneumonia
DaPT-IPV-HBV
Rotavirus
Well baby exam
6 months Strep Pneumonia
DaPT-IPV-HBV
Rotavirus
Well baby exam
9 months No shots Well baby exam
12 months HiB
Strep pneumonia
Well child exam
15 months MMR
DaPT
Well child exam
18 months Varivax
HAV
No exam
24 months HAV Well child exam
3 years No shots Well child exam
4 years No shots Well child exam
5 years DaPT
IPV
MMR / Varivax
Well child exam
6-18 years Well child exam every 2 years with Tdap, meningococcal, Varivax, & HPV vaccines @ 11 –15 years age

Vaccines

DaPT diphtheria/acellular pertussis(whooping cough)/tetanus
Tdap diphtheria/pertussis/tetanus (adult strength)
IPV polio
Str pneumonia streptococcus pneumoniae (PCV7, Prevnar)
HiB hemophilus influenza type B
HBV hepatitis B
HAV hepatitis A
MMR measles/mumps/rubella (german measles)
Varivax chicken pox (Varicella)
meningococcocal neisseria meningitides (MCV4, Menactra)
HPV human papilloma virus

*Notes on Vaccines

DaPT / IPV / HBV (Pediarix) is a combination vaccine (1 shot).

Note: this schedule will change with the development of new vaccines, new combinations of existing vaccines, and new recommendations by the American Academy of Pediatric

What's New

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We’re well into the school year and late fall weather. That means kids in confined spaces, close contact, sharing lots of germs, and breathing indoor air. We don’t want parents or kids to become germaphobes, but we would encourage kids to wash hands after using the bathroom, and before eating, to cough into the crook of the elbow, and to keep little fingers away from the nose. Separate hand and face towels at home, and not sharing food at lunchtime are good ideas. Older kids – especially in high school – often get stressed from pressure to get good grades, frequent tests, time doing extracurricular activities, social stresses, doing college applications, anxiety over their future, etc. Good time management, good diet and getting enough sleep will help prevent burnout and illnesses.

Influenza may start going around as early as this month. People use the word “flu” to mean all sorts of things. For us doctors, “flu” means influenza, a really nasty – sometimes very serious - infection. The very young and the elderly are at higher risk for serious complications from influenza. Children from 6 months age and up can be immunized. Call us for an appointment.

We recently confirmed a case of Lyme Disease in one of our patients. Remember to do tick checks after your kids have been out hiking. Here’s more info: Removing A Tick

If your child is off to college this fall, and especially if (s)he will be living in a dorm, we recommend getting the meningococcal B (Bexsero) vaccine. This protects against bacteria which has caused a number of meningitis outbreaks on college campuses around the country. It’s a series of 2 injections a month apart. This is a deadly serious bug that can be prevented!

Just a reminder to please try and call us before jumping in the car and going to the ER or urgent care with your child. Many such visits can be avoided if you call us for phone advice. “High” fever in toddlers (103-104) is rarely an emergency. Just treat the fever and call us for further guidance. You will probably avoid unnecessary blood tests, x-rays, and other procedures by doing this.

Hyland’s Teething Tablets dangerous? Maybe so: Read the Full Article

Look at this chart comparing child mortality form auto accidents in 1967 to 2014: Then and Now

Hope everyone has a nice Thanksgiving!