You want the best for your child and that’s why we recommend following the American Academy of Pediatrics (AAP) guidelines for well child exams and immunizations.

Vaccines, immunization administrations, ancillary studies involving laboratory, radiology, and other procedures or screening tests (e.g., vision, hearing, developmental) may be billed separately from the exam.

Well child exam

Immunizations and screenings*

Newborn Follow up instructions given prior to hospital discharge
1 month No vaccines scheduled
2 months DTaP/Polio/HBV #1; HIB #1; PCV13 #1; Rotavirus #1
4 months DTaP/Polio/HBV #2; HIB #2; PCV13 #2; Rotavirus #2
6 months DTaP/Polio/HBV #3; PCV13 #3; Rotavirus #3; Influenza #1
9 months Influenza #2 (minimum 1 month after Influenza #1); Hemoglobin and lead levels
12 months MMR #1; Chickenpox #1; HAV #1; Hemoglobin and lead levels (if not completed at 9 months)
15 months DTaP1 #4; HIB #3; PCV13 #4
18 months HAV2 #2
2 years No vaccines scheduled if up to date
2 1/2 years Vaccines scheduled if not up to date
3 years No vaccines scheduled if up to date
4 years DTaP1 #5; Polio #4; MMR #2; Chickenpox #2; Vision and hearing exam
5 years 4 year old vaccines if not completed already (must complete prior to starting Kindergarten); Vision and hearing exam
1-10 years Influenza (once a year during flu season)
11-19+ years Tdap**; MCV #1; MCV #2 (after age 16); Human Papillomavirus (HPV) (3 doses if not previously given); Influenza (once a year during flu season); Chickenpox (2 doses if not previously given and no history of acquired disease); Men B (given at ages 16 and 18)

Learn more about the vaccines, immunization schedules and what to expect at well child exams.

Your child’s actual vaccine schedule may vary slightly from this schedule, depending on vaccine availability and timing of previous vaccinations. If you have any questions, please ask your health care provider.


Beginning at age 3 annual check-ups include:

  • Physical examination
  • Weight and height
  • Blood pressure
  • Body mass index (BMI)
  • Vision
  • Hearing
  • Health questionnaire
  • Developmental/behavioral/mental health assessment


1DTaP: Given at 15 or 18 months.

2HAV: Given at 18 months or 2 years.

**Tdap: Teens 13 through 18 years old who missed the Tdap dose or received Td only at 11 or 12 years old should receive 1 dose of Tdap.

MCV: Teens who received the 1st dose of MCV4 at 11 or 12 years old should receive a booster dose at 16 years old. Teens who received the 1st dose at 13 through 15 years old should receive a booster dose at 16 through 18 years old. If the 1st dose was given at 16 years or older, a booster dose is not needed.

HPV: 2 doses given typically 6 months apart at 11-12 year old adolescent well child visit (may be started as early as 9 years old). If first dose given on or after 15th birthday (and through age 26), 3 doses are given.

As usual, feel free to contact us with any questions or to make an appointment. As a reminder, your child needs a physical exam every two years as recommended by the American Academy of Pediatrics.

Children’s Comfort Promise

Taking the scary out of needles isn’t impossible. That’s why we’ve made a promise to our patients. We call it Children’s Comfort Promise. It means we will do everything possible to help prevent and treat pain.

Evidence supports that if we always use the following 4 steps, children will have less pain with needle procedures (like immunizations, lab draws or IV starts).

  1. Numb the skin
  2. Sugar water or breastfeeding (for babies 12 months or less)
  3. Comfort positioning
  4. Distraction

This is just one of the ways we go above and beyond for the most amazing people on earth.