Keep your children healthy with regular check-ups!

Well-child exams are an important part of keeping your baby healthy and monitoring their growth and development.

The American Academy of Pediatrics recommends a schedule of well-child exams spanning the first 30 months of life. After that, your child will need a routine well-child examination each year.

Whenever possible, it’s best to set up your child’s appointment several weeks in advance. This makes it easier to select a date and time that best fits your schedule.

Here is a link for the official CDC vaccine schedule.

The Pediatric Group is happy to complete necessary sports/school/camp or work forms, and provide you with immunization records when needed.

Our schedule for well-child appointments looks like this:

  • Weight check 2 days after leaving the hospital, and as often as needed

  • 1-month check-up, including one vaccine

  • 2-month check-up, including vaccinations

  • 4-month check-up, including vaccinations

  • 6-month check-up, including vaccinations

  • 9-month check-up, including vaccinations, hemoglobin and lead testing, and formal developmental screens

  • 12-month check-up, including vaccinations

  • 15-month check-up, including vaccinations

  • 18-month check-up, including vaccinations and an autism screening

  • 24-month check-up, including second screenings for autism and lead

  • 30-month developmental screening

Age Specific Details For Well Child Exams

Childhood Well Child Exams continue yearly and include discussions and assessments of behavior, school and social development and performance, growth, diet and concerns that parents have. Flu vaccines continue to be given in season yearly.

Early Adolescence And Teenage Well Child Exams

By around 12 years old it’s natural for children to start showing the early signs of puberty.

For girls, puberty tends to start between 8 to 13 years old. The earliest signs include breast development and the appearance of pubic hair. Typically, menstruation usually starts around 2 years after the start of breast development.

With boys, the earliest stages of puberty start with testicular enlargement, followed by penile lengthening and the appearance of pubic and facial hair. On average, this starts to happen around the age of 11. Though for some it can be as early as 9 or as late as 15 years old.

This can be a difficult time for children and parents, and we begin to screen regularly for depression. Media use and social concerns are discussed as well. Alone time with the physician is highly recommended to allow the child to discuss more sensitive topics. Although confidentiality between the adolescent and physician is required, we certainly encourage parental involvement whenever possible.

Important vaccinations that are given during adolescence include:

  • tDaP
  • Menactra (first at 11 y.o., than between 16 and 18 y.o.)
  • Gardasil
  • Meningitis B
  • Flu (in season)

Early Adulthood/ Young Adults

The Pediatric Group is proud to provide family health services from birth to age 22. This includes physical examinations and screening for common health problems in young adults. In some cases, screening tests for mental health issues like depression, or substance abuse can be performed to help your child get the professional care and treatment they need to enter fully into independent adulthood.

At this stage, it is important to make sure meningitis and tDaP are up to date. The Flu shot continues to be recommended.