The American Academy of Pediatrics developed a set of comprehensive health supervision guidelines for well-child care, called Bright Futures, for pediatricians to follow. Visits can include physical measurements, patient history, sensory screenings, behavioral assessments, and planned procedures (immunizations, screenings and other tests) at the following intervals.
Age | Visit Description | Tests / Labs | Immunizations |
Birth (in hospital) | Physical Examination Circumcision if desired | Newborn Screen Hearing Screen | Hepatitis B #1 |
3-5 days | Brief Evaluation Weight / Feeding Check | ||
1 month | Physical Examination | Hepatitis B #2 | |
2 months | Physical Examination | IPV #1 Hib # DTaP #1 PCV-13 #1 Rotateq #1 | |
4 months | Physical Examination | IPV #2 Hib #2 DTaP #2 PCV-13 #2 Rotateq #2 | |
6 months | Physical Examination | IPV #3 Hib #3 DTaP #3 PCV-13 #3 Rotateq #3 Hepatitis B #3 | |
9 months | Physical Examination | Hemoglobin (Anemia Screen) | |
12 months | Physical Examination | Lead Level Screen | MMR #1 Varicella #1 Hepatitis A #1 PCV-13 #4 |
15 months | Physical Examination | DTaP #4 Hib #4 | |
18 months | Physical Examination Developmental Screening | Hepatitis A #2 | |
24 months | Physical Examination | Lead Level Screen | |
30 months | Physical Examination Developmental Screening | ||
3, 4 years | Physical Examination | ||
4, 5 years | Physical Examination | Hearing Screen Vision Screen | DTap #5 IPV #4 MMR #2 Varicella #2 |
6, 7, 8, 9, 10 years | Physical Examination | Vision Screen | |
11 years | Physical Examination | Vision Screen Cholesterol Screening | Menactra TdaP HPV #1* |
12 years and older | Physical Examination | Vision Screen | |
DTaP | Diphtheria, Tetanus, Pertussis |
TdaP | Tetanus, reduced Diphtheria, Pertussis |
IPV | Polio virus |
MMR | Measles, Mumps, Rubella |
Hib | Haemophilus influenza B |
PCV-13 | Pneumococcus bacteria |
Menactra | Meningitis |
Rotateq | Rota-virus |
HPV | Human Papilloma Virus *Series of 2 vaccinations: #2 due six months after #1 |
Pentacel | DTaP, IPV, Hib combination |
Varicella | Chickenpox vaccine |