Well Child Visits

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 16-20 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 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.

At 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 dental health and apply fluoride varnish to your baby’s teeth.
• Screen your baby for amblyopia (lazy eye) with our ocular photoscreen device.

Immunizations: HepA#1, PCV#4, HIB#4
Tests/Screens/Assessments: TB Surveillance, Lead Surveillance, Oral Health Surveillance, Fluoride Varnish, Vision Photoscreen
Helpful Info: Playing Is How Toddlers Learn Bright Futures Parent Info

Your child may be able to climb and run, so be sure to safety proof your home. Poison control is available 24 hours a day: 1-800-222-1222 - keep this number handy in your cell phone and on your refrigerator.

At 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: MMR#1, Var#1
Tests/Screens/Assessments: Anemia Surveillance, Fluoride Varnish
Helpful Info: Choking Prevention and First Aid for Infants and Children Bright Futures Parent Info

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.
• Provide your baby’s immunizations.
• Review your child’s development with you using the M-CHAT developmental questionnaire (autism screening tool) and the Ages and Stages Questionairre.
• Discuss dental health and apply fluoride varnish to your baby’s teeth.
• Discuss temper tantrums.

Immunizations: DTaP#4, IPV#3, HepA#2
Tests/Screens/Assessments: Ages and Stages Questionnaire, MCHAT Questionnaire, TB Surveillance, Anemia Surveillance, Lead Surveillance, Oral Health Surveillance, Fluoride Varnish
Helpful Info: Is Your Toddler Communicating With You? Bright Futures Parent Info

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.

At this visit we will:

• Measure your child’s weight, length, head size 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.
• Review your child’s development with you using the MCHAT (Autism screening tool) questionnaire.
• Test for lead exposure with a finger prick in the office.
• Screen your baby for amblyopia (lazy eye) with our ocular photoscreen device.
• Discuss dental health and apply fluoride varnish to your child's teeth.
• Discuss toilet training and time out.

Immunizations: Flu vaccine (during flu season)
Tests/Screens/Assessments: MCHAT Questionnaire, TB Surveillance, Anemia Surveillance, Lead Surveillance, Dyslipidemia Surveillance, Oral Health Surveillance, Lead Test, Fluoride Varnish, Vision Photoscreen
Helpful Info: Playground Safety Bright Futures Parent Info

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."

Immunizations: Flu vaccine (during flu season)
Tests/Screens/Assessments: Ages & Stages Developmental Screening, Anemia Surveillance, Oral Health Surveillance, Fluoride Varnish
Helpful Info: Temper Tantrums: A Normal Part of Growing Up Bright Futures Parent Info

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.
• 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 duirng flu season.
• Discuss dental health and apply fluoride varnish to your child's teeth.

Immunizations:  Flu vaccine (during flu season)
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Anemia Surveillance, Lead Surveillance, Oral Health Surveillance, Vision Testing, Fluoride Varnish
Helpful Info: Toilet Training Bright Futures Parent Info

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 and 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.

Immunizations: MMR#2, Var#2, DTaP#5, IPV#4
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Lead Surveillance, Dyslipidemia Surveillance, Oral Health Surveillance, Vision Testing, Hearing Testing, Fluoride Varnish
Helpful Info: Encourage Your Child to Be Physically Active Bright Futures Parent Info

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.

At this visit we will:

• Measure your child’s weight and 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.
• Discuss dental health and apply fluoride varnish to your child's teeth.

Immunizations: DTaP#5, IPV#4 (if not received at 4 years)
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Lead Surveillance, Oral Health Surveillance, Vision Testing, Hearing Testing, Fluoride Varnish
Helpful Info: Bedtime - The Four B's Bright Futures Parent Info

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. 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 and height and body mass index  and record on a growth curve.
• Screen your child's hearing and vision.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Review safety issues.

Immunizations: None
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Lead Surveillance, Dyslipidemia Surveillance, Oral Health Surveillance, Vision Testing, Hearing Testing
Helpful Info: Helping Children Help Themselves Bright Futures Parent Info

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.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Review safety issues.

Immunizations: None
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveillance, TB Surveillance, Anemia Surveillance
Helpful Info: Growing Up Healthy: Fat, Cholesterol, and More Bright Futures Parent Info Bright Futures Patient Info

Ensure that your child ALWAYS wears a helmet when bicycling, skateboarding, scooter riding and skating. 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.
• Test your child's vision and hearing.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Review safety issues.

Immunizations: None
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Vision Testing, Hearing Testing
Helpful Info: About Bicycle Helmets Bright Futures Parent Info Bright Futures Patient Info

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.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Review safety issues.

Immunizations: HPV#1 (series of 2; 9-10 years)
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveillance, TB Surveillance, Anemia Surveillance, Lipid Profile testing (completed once between 9-11 years)
Helpful Info: Chores, Age-Appropriate Bright Futures Parent Info Bright Futures Patient Info

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.

At this visit we will:

• Measure your child’s weight, height and body mass index and record on a growth curve.
• Screen your child's vision and hearing.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Discuss puberty changes to expect or that may be starting to occur.

Immunizations: Tdap#1, HPV#2
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Vision Testing, Hearing Testing, Lipid Profile (completed once between 9-11 years)
Helpful Info: Puberty: Ready or Not, Expect Some Big Changes Bright Futures Parent Info Bright Futures Patient Info

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.

At 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.
• Screen your child for anemia and dysipidemia per AAP recommendations.
• Review your child’s school performance and development.
• Discuss exercise and nutrition.
• Discuss puberty changes to expect or that may be starting to occur.

Immunizations: MCV#1, HPV#2 ( if not previously completed; series of 2; 9-13 years)
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveillance, TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Lipid Profile (completed once between 9-11 years)
Helpful Info: Substance Abuse Prevention Bright Futures Parent Info Bright Futures Patient Info

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.

At this visit we will:

• 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.

Immunizations: None
Tests/Screens/Assessments: Hearing Surveillance, TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Vision Testing
Helpful Info: Substance Abuse Prevention, Establishing Chores and Routines Bright Futures Parent Info Bright Futures Patient Info

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. 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 the visit with the parent out of the room.

At 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.
• 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.

Immunizations: None
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveillance, TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Adolescent Depression Screening
Helpful Info:  Teens, Behavior Bright Futures Parent Info Bright Futures Patient Info

Your child 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. 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 the visit with the parent out of the room.

At this visit we will:

• Measure your child’s weight, height and body mass index and record on a growth curve.
• Complete sports physical forms and discuss sport safety (if your child is participating in sports).
• Review your child’s school performance and development.
• Discuss exercise and nutrition, particularly in association with increased awareness of body image and diet.

Immunizations: None
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveillance, TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Adolescent Depression Screening
Helpful Info: Teens, Behavior Bright Futures Parent Info Bright Futures Patient Info

Your child 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 the visit with the parent out of the room.

At this visit we will:

• Measure your child’s weight and length and record on a growth curve.
• Complete sports physical forms and discuss sport safety (if your child is participating in sports).
• Review your child’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.
• Complete  PA driver's permit if your child is 15y 6mo old or older.

Immunizations: None
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Adolescent Depression Screening, Urine Chlamydia Screen (females), Vision Testing, Hemoglobin Test (females)
Helpful Info: Teens, Behavior Bright Futures Parent Info Bright Futures Patient Info

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.

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 child’s weight, height and body mass index and record on a growth curve.
• Provide your child's immunizations.
• Complete sports physical forms and discuss sport safety (if your child is participating in sports).
• Review your child’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: MCV#2
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveilllance, TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Adolescent Depression Screening, Urine Chlamydia Screen (females), Hemoglobin Test (females)
Helpful Info: Safe Driving…A Parent's Responsibility, Teens, Behavior Bright Futures Parent Info Bright Futures Patient Info

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. 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 the visit with the parent out of the room.

At this visit we will:

• Measure your child’s weight, height and body mass index and record on a growth curve.
• Complete sports physical forms and discuss sport safety (if your child is participating in sports).
• Review your child’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: Men B (0ptional)
Tests/Screens/Assessments: Vision Surveillance, Hearing Surveilllance, TB Surveillance, Anemia Surveillance, Adolescent Depression Screening, Lipid Profile, Urine Chlamydia Screen (females), Hemoglobin Test (females)
Helpful Info: Teens, Behavior Bright Futures Parent Info Bright Futures Patient Info

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 the visit with the parent out of the room.

At this visit we will:

• 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: Men B (optional)
Tests/Screens/Assessments: Hearing Surveilllance, TB Surveillance, Anemia Surveillance, Dyslipidemia Surveillance, Adolescent Depression Screening, Vision Testing, Urine Chlamydia Screen (females), Hemoglobin Test (females), Universal HIV Testing
Helpful Info: Teens, Behavior Bright Futures Patient Info