Routine Checkup and Immunization Schedule

NEWBORN WEIGHT AND JAUNDICE CHECK*

*Not considered a checkup by many insurance companies. 

Immunizations:

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

Screenings

  • Jaundice and weight loss
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)
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 and jaundice check not considered a checkup by many insurance companies. 

 

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

 

  • DTaP, Tdap = Diphtheria, Tetanus, acellular Pertussis
  • HIB = Haemophilus Influenza type B
  • IPV = Inactivated Polio Virus
  • Prevnar = Pneumococcus
  • Varicella = Chickenpox
  • PPD = Tuberculosis Skin Test
  • MMR = Measles, Mumps, Rubella
  • HPV = Human Papilloma Virus
  • MCV4 = Meningococcal Quadrivalent
  • Men B = Serogroup B Meningococcal
  • HIV = Human Immunodeficiency Virus
  • HPV = Human Papilloma Virus