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After Hours (after 5pm) Nurse Line: 804-257-5335
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Routine Checkups & Immunizations

Our practice recommends annual checkups and yearly vaccines for patients and caregivers.

First Newborn Visit

Immunizations:

  • Hep B #1 (if not given in hospital)

Insurance does not consider these visits as Checkups.

Checkup

Screenings

  • Jaundice and weight loss
Checkup

Immunizations

  • Hep B #2 (if Hep B #1 given in hospital)

Screenings

  • Development
Checkup

Immunizations

  • Pentacel #1
  • Prevnar #1
  • Rotavirus #1

Pentacel is a combination vaccine including DTaP, HIB and Polio; Rotavirus is given orally.

Screenings

  • Development
Checkup

Immunizations

  • Hep B #2 (if not previously received )
Checkup

Immunizations

  • Pentacel #2
  • Prevnar #2
  • Rotavirus #2

Screenings

  • Development
Checkup

Immunizations

  • Pentacel #3
  • Prevnar #3
  • Rotavirus #3

Screenings

  • Development
  • Vision
Checkup

Immunizations

  • Hep B #3

Screenings

  • Development
  • Dental
Checkup

Immunizations

  • Prevnar #4
  • Hep A #1
  • Varicella #1
  • MMR #1

Screenings

  • Development
  • Hematocrit
  • Lead
Checkup

Immunizations

  • DTaP #4
  • HIB #4

Screenings

  • Development
  • Dental
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
  • PPD (if indicated)
Checkup

Screenings

  • Development
  • Hearing
  • Vision
  • Hematocrit
  • Lead
Checkups – recommended every year

Screenings

  • Development
  • Hearing
  • Vision
Checkup

Immunizations

  • Tdap
  • HPV #1
  • Meningococcal ACWY #1

Screenings

  • Development
  • Hearing
  • Vision
  • Nutritional Labs

Menstruating Females

  • Hematocrit
Checkup – recommended every year

Immunizations

  • HPV #2

Mental Health Screening

  • Anxiety
  • Depression

Screenings

  • Development
  • Hearing
  • Vision
  • Urinalysis (if indicated)

Additional Screenings for Males

  • Hematocrit (once)

Additional Screenings for Females

  • Hematocrit (menstruating females)
Checkup

Immunizations

  • Meningococcal ACWY #2
  • Meningococcal B #1

Mental Health Screening

  • Anxiety
  • Depression

Screenings

  • Development
  • Hearing
  • Vision
  • Nutritional Labs
  • Adolescent Labs

Additional Screenings for Females

  • Hematocrit (menstruating females)
Checkup

Immunizations

  • Meningococcal B #2
  • Tdap Booster (as indicated)

Mental Health Screening

  • Anxiety
  • Depression

Screenings

  • Development
  • Hearing
  • Vision
  • Nutritional Labs
  • Adolescent Labs

Additional Screenings for Females

  • Hematocrit (menstruating females)

*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.

Vaccination Acronyms Cheat-Sheet

DTaP, Tdap = Diphtheria, Tetanus, acellular Pertussis

HepA – Hepatitis A

HepB – Hepatitis B

HIB = Haemophilus Influenza type B

HPV = Human Papilloma Virus

IPV = Inactivated Polio Virus

MMR = Measles, Mumps, Rubella

MCV4 = Meningococcal Quadrivalent

MenB = Serogroup B Meningococcal

PentacelDTaP, HIB and Poli

Prevnar = Pneumococcus

PPD = Tuberculosis Skin Tes

Varicella = Chickenpox

Common Catch-Up Vaccinations for Adolescents

Varicella

  • 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

Hepatitis A 

  • For those children and adolescents who have not yet received 2 doses of Hepatitis A vaccine

Meningococcal 

  • For adolescents 21 or under who are previously unvaccinated against Meningococcal disease

Human Papilloma (HPV)

  • Recommended for both females and males for the prevention of reproductive tract pre-cancers, cancers, and genital warts

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)
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