Well Child Preventative Care

3-5 Day Old Visit
Newborn screening, feeding and nutrition
In this visit, we will:

• 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: HepB#1 (if not given in hospital)
Tests/Screenings/Assessments: Follow-up on Newborn Metabolic Screen done in hospital
Bright Futures Parent Info

2 Week Visit
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. If you are breastfeeding, you will have the opportunity to meet with one of our Lactation Consultants for personalized breastfeeding assistance. Babies usually lose weight right after birth. 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.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve
• Review safe sleep practices

Immunizations: None
Tests/Screenings/Assessments: Post-Partum Depression Assessment
Bright Futures Parent Info

2 Month Visit
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.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve
• 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: DTaP, IPV, HepB, Hib, Rotavirus, Pneumococcal 20
Tests/Screenings/Assessments: None
Bright Futures Parent Info

4 Month Visit
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.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss when to start feeding your baby solid foods
• Screen for post-partum depression

Immunizations: DTaP, IPV, HepB, Hib, Rotavirus, Pneumococcal 20
Tests/Screenings/Assessments: Post-Partum Depression Assessment
Bright Futures Parent Info

6 Month Visit
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.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss when to start feeding your baby solid foods
• Screen for post-partum depression

Immunizations: DTaP, IPV, HepB, Rotavirus, Pneumococcal 20
Tests/Screenings/Assessments: Post-Partum Depression Assessment
Bright Futures Parent Info

9 Month Visit
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.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve

Immunizations: None
Tests/Screenings/Assessments: Post-Partum Depression Assessment
Bright Futures Parent Info

12 Month Visit
It is time to wean your child from the bottle and offer all liquids in 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 until age 2.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve
• Provide your baby’s immunizations
• Discuss transition of breastmilk or formula to cow's milk and feeding guidance

Immunizations: Pneumococcal 20, MMR, Varicella
Tests/Screenings/Assessments: Lead screening
Bright Futures Parent Info

15 Month Visit
Your child may be able to climb and run, so be sure to safety proof your home.
In this visit, we will:

• Measure your baby’s weight, length and head size and record on a growth curve.
• Provide your baby’s immunizations.

Immunizations: DTaP, Hib, Hep A
Tests/Screenings/Assessments:
Bright Futures Parent Info

18 Month Visit
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.
In this visit, we will:

• Measure your child’s weight, length and head size and record on a growth curve
• Review your child’s development with you using the MCHAT (Autism screening tool) questionnaire

Immunizations: None
Tests/Screenings/Assessments: Ages and Stages Questionnaire, MCHAT Questionnaire
Bright Futures Parent Info

2 Year Visit
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.
In this visit, we will:

• Measure your child’s weight, length, head size and body mass index and record on a growth curve
• Review your child’s development with you using the MCHAT (Autism screening tool) questionnaire.
• Discuss dental health
• Discuss toilet training and time out

Immunizations: Hep A
Tests/Screenings/Assessments: MCHAT Questionnaire
Bright Futures Parent Info

2 1/2 Year Visit
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."
In this visit, we will:

• Measure your child’s weight, length, head size and record on a growth curve
• 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

Immunizations: None
Tests/Screenings/Assessments:
Bright Futures Parent Info

3 Year Visit
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.
In this visit, we will:

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

Immunizations: None
Tests/Screenings/Assessments:
Bright Futures Parent Info

4 Year Visit
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.
In this visit, we will:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Provide your child's immunizations

Immunizations: None
Tests/Screenings/Assessments:
Bright Futures Parent Info

5 Year Visit
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.
In this visit, we will:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Review your child’s speech and development
• Discuss exercise and nutrition
• Discuss kindergarten readiness
• Screen your child's hearing and vision

Immunizations: DTaP, IPV, MMR, Varicella
Tests/Screenings/Assessments: Vision and hearing screenings
Bright Futures Parent Info

6 Year Visit
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. 
In this visit, we will:

• Measure your child’s weight, height and body mass index  and record on a growth curve.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Review safety issues.

Immunizations: There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.
Tests/Screenings/Assessments: Vision and hearing screenings
Bright Futures Parent Info

7 Year Visit
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!
In this visit, we will:

• Measure your child’s weight, height and body mass index  and record on a growth curve.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Review safety issues.

Immunizations: There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.
Tests/Screenings/Assessments: Vision and hearing screenings
Bright Futures Parent Info
Bright Futures PATIENT Info

8 Year Visit
Positive self-image is important as your child begins to enter the changes that come with puberty. Empower them to feel good about themselves, their interaction with others and praise their effort more than the outcome.
In 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
• Review your child’s school performance and development
• Discuss involvement in activities
• Discuss sleep
• Discuss anticipating pubertal changes
• Discuss exercise and nutrition
• Review safety issues

Immunizations: There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.
Tests/Screenings/Assessments: Vision and hearing screenings
Bright Futures Parent Info
Bright Futures PATIENT Info

9 Year Visit
Your child 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.
In this visit, we will:

• Measure your child’s weight, height and body mass index and record on a growth curve
• Review your child’s school performance and development
• Discuss exercise and nutrition
• Review safety issues

Immunizations: There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.
Tests/Screenings/Assessments: Vision Testing, Hearing Testing, Lipid Profile (completed once between 9-11 years)
Bright Futures Parent Info
Bright Futures PATIENT Info

10 Year Visit
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.
Immunizations: None
Tests/Screenings/Assessments: Vision Testing, Hearing Testing, Lipid Profile (completed once between 9-11 years)
Bright Futures Parent Info
Bright Futures PATIENT Info

11 Year Visit
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.
Immunizations: Tdap, HPV #1 (series of 2; 11-14 years), Menveo #1
Tests/Screenings/Assessments: Vision Testing, Hearing Testing, Lipid Profile (completed once between 9-11 years)
Bright Futures Parent Info
Bright Futures PATIENT Info

12 Year Visit
Social and academic competence, emotional well-being, risk reduction, violence and injury prevention, physical growth and development
Immunizations: HPV #2 (series of 2; 11-14 years)
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures Parent Info
Bright Futures PATIENT Info

13 Year Visit
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.
Immunizations: There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures Parent Info
Bright Futures PATIENT Info

14 Year Visit
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.
Immunizations: There are no scheduled immunizations at this visit unless your child is behind and needs to catch up on immunizations.
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures Parent Info
Bright Futures PATIENT Info

15 Year Visit
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. 
Immunizations: HPV (if not previously completed; series of 3; 15 years and older)
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures Parent Info
Bright Futures PATIENT Info

16 Year Visit
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.
Immunizations: Menveo #2, MenB (may be recommended)
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures Parent Info
Bright Futures PATIENT Info

17-18 Year Visit
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. 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.
Immunizations: MenB (may be recommended)
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures Parent Info
Bright Futures PATIENT Info

19-20 Year Visit
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.
Immunizations: MenB (optional)
Tests/Screenings/Assessments: Adolescent Depression Screening
Bright Futures PATIENT Info

21 Year Visit

Bright Futures PATIENT Info