Recommended Health Maintenance Schedule
At each visit, a developmental appraisal, interval history, and complete physical examination (including height and weight) are done. In addition, the following special procedures, laboratory tests, or immunizations are performed.
Evidence-based care means that your care team keeps up to date with the latest medical research and clinical practice guidelines and will work with you to personalize your care to fit your preferences and your goals.
Note: Problems encountered during the routine screening exam are evaluated in-depth, usually at a separate visit.
Vaccination Information
Routine Vaccine and Lab Test Schedule
| 10 days** | ||
| 1 month | ||
| 2 month | Pediarix (DTaP-IPV-Hep B), Hib, Prevnar (PCV-20), Rotavirus | |
| 4 month | Pediarix (DTaP-IPV-Hep B), Hib, Prevnar (PCV-20), Rotavirus, | |
| 6 month | Pediarix (DTaP-IPV-Hep B), Prevnar (PCV-20) | |
| 9 month | ||
| 12 month | Spot Vision | Hgb, Lead (Pb), Varivax, Hep A, MMR |
| 15 month | Hib, Prevnar (PCV-20) | |
| 18 month | DTaP, Hep A, | |
| 24 month | Spot Vision | Hgb, Lead (Pb) |
| 30 month | ||
| 3 years | Spot Vision | MMR |
| 4 years | Hearing/Vision Screen | Kinrix (DTaP & IPV), Varivax, Hgb |
| 5 years | Hearing/Vision Screen | Hgb* |
| 6 years | Hearing/Vision Screen | Hgb* |
| 7 years | Hearing/Vision Screen | Hgb* |
| 8 years | Hearing/Vision Screen | Hgb* |
| 9 years | Hearing/Vision Screen | Hgb* |
| 10 years | Hearing/Vision Screen | Boostrix (Tdap), Hgb* |
| 11 years | Hearing/Vision Screen | Menveo (MCV4), Hgb*, HPV |
| 12 years | Hearing/Vision Screen | Hgb*, HPV |
| 13 years | Hearing/Vision Screen | Hgb*, HPV |
| 14 years | Hearing/Vision Screen | Hgb* |
| 15 years | Hearing/Vision Screen | Hgb* |
| 16 years | Hearing/Vision Screen | Menveo (MCV4) Tdap, Hgb*, GC/Chl |
| 17 years | Hearing/Vision Screen | Hgb*, GC/Chl, Bexsero (Men B) |
| 18 years | Hearing/Vision Screen | Hgb*, GC/Chl |
| 19 years | Hearing/Vision Screen | Hgb*, GC/Chl |
| 20 years | Hearing/Vision Screen | Hgb*, GC/Chl |
| 21 years | Hearing/Vision Screen | Td/Tdap, Hgb*, GC/Chl, PAP*** |
| 22 years | Hearing/Vision Screen | Hgb*, GC/Chl |
Key
| Td | Diphtheria, Tetanus Toxoid (adult) [vaccine] |
| DTaP (Kinrix) | Diphtheria, Tetanus, acellular Pertussis [vaccine] |
| Tdap | Diphtheria, Tetanus, acellular Pertussis (adult) [vaccine] |
| Hep A | Hepatitis A [vaccine] |
| GC/Chl | Urethritis/STD screen for GC & Chlamydia |
| Hgb | Hemoglobin (Blood Count) |
| Hep B (HBV) | Hepatitis B [vaccine] |
| Hib | Vaccine against Hemophilus Meningitis, a cause of meningitis [vaccine] |
| HPV | Human Papillomavirus [vaccine] |
| IPV (Kinrix) | (Injectable Salk) Polio [vaccine] |
| MMR | Measles, Mumps, Rubella [vaccine] |
| Menveo | Vaccine against Meningococcus, a cause of meningitis [vaccine] |
| Pap*** | Papanicolou smear – gynecologic screening for cervical disease (young women only) |
| Pb | Lead screening blood test |
| PCV-20 (Prevnar) | Vaccine against Pneumococcus, a cause of Meningitis [vaccine] |
| PPD | Mantoux tuberculosis test |
| Rotavirus | Rotavirus [vaccine] |
| Men B (Bexsero) | Meningitis B vaccine (Bexsero, a series of two, 6 months apart) if clinically indicated |
| Varicella | Chicken Pox [vaccine] |
Reminder: Vaccine combinations and names change periodically. These were accurate on the date of publication.
*Hgb (hemoglobin/blood count) are performed if clincially indicated after the 4 year old check-up. Performed yearly in menstruating females.
**Pleae note the "10 days" visit is not considered a "Well Child Care" appointment in regards to insurance billing, it is billed as an office visit. This is due to how insurance companies view the health care maintenance schedule.
