Well Child Care & Immunizations

Well Visit and Vaccination Schedule

The following is the schedule of well visits and immunizations that we follow in the office:

3-5 days: Well Visit (HBV #1 if not already given)

2 weeks: Well Visit

2 months: Well Visit and DTaP #1, Hib Conj #1, IPV #1, Pneumo Conj #1, HBV #2 and Rotavirus #1

4 months: Well Visit and DTaP #2, Hib Conj #2, IPV #2, Pneumo Conj #2 and Rotavirus #2

6 months: Well Visit and DTaP #3, Hib Conj #3, IPV #3, Pneumo Conj #3, HBV #3 and Rotavirus #3

9 months: Well Visit (and HBV #3 if not already given)

12 months: Well Visit and MMR #1, Varivax #1, HAV #1, Hemoglobin and Blood Lead

15 months: Well Visit and DTaP #4, Hib Conj #4, Pneumo Conj #4

18 months: Well Visit and HAV #2

24 months: Well Visit and Blood Lead

30 months: Well Visit

36 months: Well Visit, Vision and Hearing

48 months: Well Visit, Vision and Hearing, DTaP #5, IPV #4, MMR #2, Varivax #2 and Urinalysis

60 months: Well Visit, Vision and Hearing

7yr to 18 yr: Yearly Well Visit and Vision and Hearing

11yr: Tdap, MCV4 #1, HPV #1 (HPV#2 and #3 will follow at varying times)

16 yr: MCV4 #2

For further information on vaccinations, see our Caring For Your Baby Book or

www.aap.org or www.cdc.gov or www.healthychildren.org

First Year of Life Well Visit Questions

To provide your child with the best care, we will be asking you the following questions at your child’s well visits at age 2 weeks, 2 months, 4 months, 6 months, 9 months and 12 months.

BIRTH to <1 YEAR
Nutrition detail

If breast fed:
• How often per day
• How many minutes total per feeding

If bottle fed:
• Type of formula
• How often per day
• How many ounces taken per bottle

If solids have been introduced:
• What age were solids introduced
• 6 months-12 months of age – what solids have been introduced
(fruit, veggies, bread/cereal, protein, and dairy)

Elimination: Bladder
• Number of wet diapers over a 24 hour period

Elimination: Bowel
• Number of bowel movements over a 24 hour period
• Color and consistency (hard, formed, soft, mushy, pasty, seedy)

Sleep pattern
• Quality (sleeping through the night or awakening)
• Location (in own room, room w/ sibling or in room w/ parent)
• Position (on back, stomach or side)
• Method (falling asleep on own, when rocked, w/ pacifier or w/ parent present)
• Number of naps if any
• Hours of sleep (including nap time) over a 24 hour period

Fifteen Month to 9 Year Well Visit Questions

Nutrition detail
Drinking from a cup, bottle or both:
• Milk – what type (whole, 1%, 1/2%, soy…)
• Juice (1/2 water 1/2 juice or 100% juice)
• Water source (city, filtered spring…)
1. Ounces taken  per cup or bottle
2. Number of cups or bottles per day

• Adequate varied diet or picky eater
• How many servings of fruit, bread/cereal, veggies, protein and dairy per day
NOTE: Serving size = 1/4 cup for ages 1-3
1/2 cup for ages 3-5

Elimination: Bladder
• How often is he/she urinating over a 24 hour period
• Potty trained?
• If potty trained, at what age

Elimination: Bowel
• Frequency of bowel movements (1 daily, 1 every other day…)
• Color and consistency (hard, formed, soft, loose, watery…)
• Potty trained?
• If potty trained, at what age?

Sleep pattern
• Quality (sleeping through the night or awakening)
• Location (in own room, room w/ sibling or in room w/ parent)
• Method (falling asleep on own, when rocked, with pacifier or with parent present)
• Number of naps if any
• Total hours of sleep (including nap time) over a 24 hour period