Well Child

Check-up and Immunization Schedule

Each check-up includes a growth and weight evaluation, a full developmental assessment and a complete physical examination.
Age at check-up	Immunizations/Screening Tests
Birth (in hospital)	Hearing Screen, Newborn Screen (PKU), Hep B Vaccine
1st Week	Post Hospital Exam/Weight check
4 Weeks*	Growth evaluation, Review of Screening Tests, Hep B Vaccine
2 Months	DTaP, Hib, IPV, Prevnar, Rotateq (oral)
4 Months	DTaP, Hib, IPV, Prevnar, Rotateq (oral)
6 Months	DTaP, Hib (if needed), Prevnar, Rotateq (oral)
9 Months	Hep B Vaccine
12 Months*	Lead Screen, Hgb, MMR, Varivax, Prevnar
15 Months	DTaP, Hib, IPV
18 Months	Hgb (for patients at risk), Hep A Vaccine
2 Years	Cholesterol, Lead Screen, Hep A Vaccine
3 Years	Vision Screen (Cholesterol, Hgb, Tb screen for patients at risk)
4 Years*	Vision Screen, DTaP, IPV, MMR, Varivax, Hep A Vaccine (if needed)
5 Years	Hgb, U/A, Hearing & Vision Screens
* The 4 weeks, 12 months, and 4 years exams should NOT be done before these ages. After 5 years, check-ups are recommended every 2 years. However, Hills & Dales recommends yearly physicals for patients taking medications for chronic problems.
11-12 Years	Tdap, Hep A, Menactra, Varivax (if needed), HPV (girls)
Abbreviations used:
DTaP	Diphtheria, Tetanus, acellular Pertussis (Whooping Cough)
Hep A	Hepatitis A Vaccine
Hep B	Hepatitis B Vaccine
Hgb	Hemoglobin (test for Anemia)
Hib	Hemophilus influenzae, type b Vaccine
HPV	Human Papillomavirus Vaccine
IPV	Inactivated Polio Vaccine
Menactra	Meningococcal Vaccine
MMR	Measles, Mumps, Rubella Vaccine
Prevnar	Pneumococcal Vaccine
Rotateq	Oral Rotavirus Vaccine
Tb	Tuberculosis
Tdap	Tetanus, diphtheria, acellular pertussis (whooping cough)
U/A	Urinalysis
Varivax	Varicella (Chickenpox) Vaccine