Routine Checkups & Immunizations
Our practice recommends annual checkups and yearly vaccines for patients and caregivers.
Newborn Visit
Immunizations:
- Hep B #1 (if not given in hospital)
- RSV Immunization (if not given in hospital or if mom did not receive RSV vaccine during pregnancy or if born during RSV season.)
Insurance does not consider these visits as Checkups.
Checkup
Checkup
Immunizations
- Hep B #2
Screenings
- Development
- Maternal Depression
Checkup
Immunizations
- Pentacel #1
- Pneumococcal #1
- Rotavirus #1
Pentacel is a combination vaccine including DTaP, HIB and Polio; Rotavirus is given orally.
Screenings
- Development
- Maternal Depression
Checkup
Checkup
Immunizations
- Pentacel #2
- Pneumococcal #2
- Rotavirus #2
Screenings
- Development
Checkup
Immunizations
- Pentacel #3
- Pneumococcal #3
- Rotavirus #3
Screenings
- Development
- Vision
- Maternal Depression
Checkup
Immunizations
- Hep B #3
Screenings
- Development
Checkup
Immunizations
- Pneumococcal #4
- Hep A #1
- Varicella #1
- MMR #1
Screenings
- Development
- Hematocrit
- Lead
- Maternal Depression
Checkup
Immunizations
- DTaP #4
- HIB #4
Screenings
- Development
Checkup
Immunizations
- Hep A #2
Screenings
- Development
- Autism
- Vision
Checkup
Screenings
- Development
- Autism
- Hematocrit
- Lead
Checkup
Screenings
- Development
- Autism
Checkup
Screenings
- Development
- Vision
- Hematocrit
- Lead
Checkup
Immunizations
- DTaP #5
- IPV #4
- Varicella #2
- MMR #2
Screenings
- Development
- Hearing
- Vision
- Hematocrit
- Lead
Checkup
Screenings
- Development
- Hearing
- Vision
- Hematocrit
- Lead (if not completed or abnormal at 4 years)
Checkups – recommended every year
Screenings
- Development
- Hearing
- Vision
Checkup
Immunizations
- Tdap
- HPV #1
- Meningitis ACWY #1
Screenings
- Development
- Hearing
- Vision
- Nutritional labs as needed
Females
- Hematocrit (if menstruating)
Checkup – recommended every year
Immunizations At 12-Year-Old Visit
- HPV #2
Mental Health Screening
- Anxiety
- Depression
Screenings
- Development
- Hearing
- Vision (if indicated)
- Nutrition labs as needed
Males
- Hematocrit (once)
Females
- Hematocrit (if menstruating)
Checkup
Immunizations
- Meningitis ACWY #2
- Meningitis B #1
Mental Health Screening
- Anxiety
- Depression
Screenings
- Development
- Hearing
- Vision
- Nutritional and Adolescent labs as needed
Females
- Hematocrit (if menstruating)
Checkups- recommended every year
Immunizations
- Meningitis B #2
- Tdap Booster (as indicated)
Mental Health Screening
- Anxiety
- Depression
Screenings
- Development
- Hearing
- Vision
- Nutritional and Adolescent labs as needed
Females
- Hematocrit (if menstruating)
*Visits must be scheduled on or after the child’s 1st, 4th, and 16th birthday to receive these vaccines.
Our Practice Recommends Influenza and COVID-19 Vaccines for all patients and care givers.
Risk-based tuberculosis screening is a part of every checkup. Recommended follow-up will vary.
Please ask for any forms at the start of each visit.
Kindergarten Entry: Must be completed within 1 year of entry
Sports Physicals: Must be completed after May 1 of the previous academic year
Our Routine Checkup and Immunization Schedule helps ensure children receive excellent preventative care. These visits should be scheduled at least 3 weeks in advance, especially if you would like to see a particular Nurse Practitioner or Doctor.
Immunization Acronyms Cheat-Sheet
DTaP, Tdap = Diphtheria, Tetanus, acellular Pertussis
Hep A – Hepatitis A
Hep B – Hepatitis B
HIB = Haemophilus Influenza type B
HPV = Human Papilloma Virus
IPV = Inactivated Polio Virus
MMR = Measles, Mumps, Rubella
Meningitis ACWY = Serogroups ACWY Meningococcal
Meningitis B = Serogroup B Meningococcal
Pentacel = DTaP, HIB and Polio
Prevnar 20 = Pneumococcal 20
PPD = Tuberculosis Skin Test
RSV = Respiratory Syncytial Virus
Varicella = Chickenpox
Common Catch-Up Vaccinations for Adolescents
Hepatitis A (Hep A)
- For those children and adolescents who have not yet received 2 doses of Hepatitis A vaccine
Human Papilloma (HPV)
- Recommended for both females and males for the prevention of reproductive tract pre-cancers, cancers, and genital warts
Measles, Mumps, Rubella (MMR)
- For those children and adolescents who have not yet received 2 doses of Measles, Mumps, Rubella vaccine
Meningococcal (Men B and Men ACWY)
- For adolescents 21 or under who are previously unvaccinated against Meningococcal disease
Varicella (Chickenpox)
- For children and adolescents who have not yet received 2 doses of Varicella vaccine and do not have a history of documented Chicken Pox infection
Immunizations:
- Hep B #1 (if not given in hospital)
Screenings
- Jaundice and weight loss
*Not considered a checkup by many insurance companies.
Screenings
- Jaundice and weight loss
Immunizations
- Hep B #2 (if Hep B #1 was given in hospital)
Screenings
- Development
- Maternal Postpartum Depression Screening
Immunizations
- DTaP #1
- HIB #1
- IPV #1
- Prevnar #1
- Rotavirus #1
Screenings
- Development
- Maternal Postpartum Depression Screening
Immunizations
- Hep B #2 (if Hep B #1 not given in hospital or if given at 1 month)
Immunizations
- DTaP #2
- HIB #2
- IPV #2
- Prevnar #2
- Rotavirus #2
Screenings
- Development
Immunizations
- DTaP #3
- HIB #3
- IPV #3
- Prevnar #3
- Rotavirus #3
Screenings
- Development
- Dental
- Maternal Postpartum Depression Screening
Immunizations
- Hep B #3
Screenings
- Development
Immunizations
- Prevnar #4
- Varicella #1
- Hep A #1
- MMR #1
Screenings
- Development
- Hematocrit
- Lead
- PPD (if indicated)
- Maternal Postpartum Depression Screening
* Visit must be scheduled on or after the child’s 1st birthday to receive vaccines
Immunizations
- DTaP #4
- HIB #4
Screenings
- Development
Immunizations
- Hep A #2 (must be given at more than 6 months after Hep A #1)
Screenings
- Development
- Autism
- Dental
Immunizations
- Hep #2 (if not given at the 18 month visit)
Screenings
- Development
- Dental
- Hematocrit
- Lead
Screenings
- Development
- Autism
- Dental
Screenings
- Development
- Dental
- Hematocrit
- Lead
Immunizations
- DTaP #5
- IPV #4
- MMR #2
- Varivax #2
Screenings
- Development
- Hearing
- Vision
- Hematocrit
- Urinalysis
- Lead (between 4&6 years of age, usually at 4)
- PPD (if indicated)
*Visit must be scheduled on or after the child’s 4th birthday to receive vaccines.
- Development
- Hearing
- Vision
- Hematocrit
- Lead
Screenings
- Development
- Hearing
- Vision
Immunizations
- Tdap (1 dose and then ever subsequent 5-10 years) additional doses may be required following skin injuries. In Virginia, this vaccine is required for entry into 6th grade.
- HPV (3 separate doses for both males and females) Series usually initiated at the 11 year visit.
- Quadrivalent Meningococcal #1 (most colleges require this vaccine for entry) *usually given after 11 years of age.
Screenings
- Development
- Hearing
- Vision
- Cholesterol
- Vitamin D (may be ordered at a later visit for catch-up if needed)
Additional Screenings for Females
- Hematocrit (menstruating females)
Screenings
- Development
- Hearing
- Vision
- Urinalysis (one between 13 & 16; may also be ordered by providers to screen for other conditions)
Additional Screenings for Males
- Hematocrit (one between 13 & 16)
Additional Screenings for Females
- Hematocrit (menstruating females)
Immunizations
- Tdap (consider if 5 years or more since previous dose)
- Quadrivalent Meningococcal #2 (most colleges require this vaccine for entry)
- Meningococcal B #1 (discuss this with your provider)
*Visit must be scheduled on or after the child’s 16th birthday to receive vaccine.
Screenings
- Development
- Hearing
- Vision
- Vitamin D
- Cholesterol
- HIV (may be ordered at a later visit for catch-up as needed)
- Others as indicated by patient history, family history, and risk factors
- The United States Preventative Services Task Force recommends HIV screening for all adolescents over 15 years and encourages us to offer other screenings as well. Our policy is to inform adolescent patients directly of these results.
Additional Screenings for Females
- Hematocrit (menstruating females)
Screenings
- Development
- Hearing
- Vision
- HIV
- Others indicated by patient history, family history, and risk factors
Additional Screenings for Females
- Hematocrit (menstruating females)
Newborn Weight & Jaundice Check *
Immunizations:
- Hep B #1 (if not given in hospital)
Screenings
- Jaundice and weight loss
*Not considered a checkup by many insurance companies.
2 Weeks
Screenings
- Jaundice and weight loss
1 Month
Immunizations
- Hep B #2 (if Hep B #1 was given in hospital)
Screenings
- Development
- Maternal Postpartum Depression Screening
2 Months
Immunizations
- DTaP #1
- HIB #1
- IPV #1
- Prevnar #1
- Rotavirus #1
Screenings
- Development
- Maternal Postpartum Depression Screening
3 Months
Immunizations
- Hep B #2 (if Hep B #1 not given in hospital or if given at 1 month)
4 Months
Immunizations
- DTaP #2
- HIB #2
- IPV #2
- Prevnar #2
- Rotavirus #2
Screenings
- Development
6 Months
Immunizations
- DTaP #3
- HIB #3
- IPV #3
- Prevnar #3
- Rotavirus #3
Screenings
- Development
- Dental
- Maternal Postpartum Depression Screening
9 Months
Immunizations
- Hep B #3
Screenings
- Development
12 Months *
Immunizations
- Prevnar #4
- Varicella #1
- Hep A #1
- MMR #1
Screenings
- Development
- Hematocrit
- Lead
- PPD (if indicated)
- Maternal Postpartum Depression Screening
* Visit must be scheduled on or after the child’s 1st birthday to receive vaccines
15 Months
Immunizations
- DTaP #4
- HIB #4
Screenings
- Development
18 Months
Immunizations
- Hep A #2 (must be given at more than 6 months after Hep A #1)
Screenings
- Development
- Autism
- Dental
24 Months
Immunizations
- Hep #2 (if not given at the 18 month visit)
Screenings
- Development
- Dental
- Hematocrit
- Lead
30 Months
Screenings
- Development
- Autism
- Dental
3 Years
Screenings
- Development
- Dental
- Hematocrit
- Lead
4 Years
Immunizations
- DTaP #5
- IPV #4
- MMR #2
- Varivax #2
Screenings
- Development
- Hearing
- Vision
- Hematocrit
- Urinalysis
- Lead (between 4&6 years of age, usually at 4)
- PPD (if indicated)
*Visit must be scheduled on or after the child’s 4th birthday to receive vaccines.
5 Years
Screenings
- Development
- Hearing
- Vision
- Hematocrit
- Lead
6, 7, 8, 9 Years
Screenings
- Development
- Hearing
- Vision
10 & 11 Years *
Immunizations
- Tdap (1 dose and then ever subsequent 5-10 years) additional doses may be required following skin injuries. In Virginia, this vaccine is required for entry into 6th grade.
- HPV (3 separate doses for both males and females) Series usually initiated at the 11 year visit.
- Quadrivalent Meningococcal #1 (most colleges require this vaccine for entry) *usually given after 11 years of age.
Screenings
- Development
- Hearing
- Vision
- Cholesterol
- Vitamin D (may be ordered at a later visit for catch-up if needed)
Additional Screenings for Females
- Hematocrit (menstruating females)
12, 13, 14 Years
Screenings
- Development
- Hearing
- Vision
- Urinalysis (one between 13 & 16; may also be ordered by providers to screen for other conditions)
Additional Screenings for Males
- Hematocrit (one between 13 & 16)
Additional Screenings for Females
- Hematocrit (menstruating females)
15 & 16 Years *
Immunizations
- Tdap (consider if 5 years or more since previous dose)
- Quadrivalent Meningococcal #2 (most colleges require this vaccine for entry)
- Meningococcal B #1 (discuss this with your provider)
*Visit must be scheduled on or after the child’s 16th birthday to receive vaccine.
Screenings
- Development
- Hearing
- Vision
- Vitamin D
- Cholesterol
- HIV (may be ordered at a later visit for catch-up as needed)
- Others as indicated by patient history, family history, and risk factors
- The United States Preventative Services Task Force recommends HIV screening for all adolescents over 15 years and encourages us to offer other screenings as well. Our policy is to inform adolescent patients directly of these results.
Additional Screenings for Females
- Hematocrit (menstruating females)
17 Years & Older
Screenings
- Development
- Hearing
- Vision
- HIV
- Others indicated by patient history, family history, and risk factors
Additional Screenings for Females
- Hematocrit (menstruating females)