| Health Care Services |
When |
| Physical exam |
Routine visit at 30 months
One visit every 12 months for ages 3 to 6.
|
| Clinical Screenings |
When |
Blood pressure (beginning at age 3), height, weight and physical assessment
|
During physical exam |
Developmental screening What is this?
|
At 30 months |
| Autism screening |
At 24 months
|
| BMI percentile |
To begin at age 2. Include counseling for nutrition and physical activity. |
| Vision screening |
Once between ages 2 and 4
|
| Hearing screening |
Once between ages 2 and 6 |
| Lead poisoning screening |
Risk assessment for lead exposure
Blood test for those identified as high risk |
| Tuberculin skin test (PPD) |
For those identified as high risk |
| Dyslipidemia screening (risk assessment
based on family history and physical exam) |
Assessment at 2, 4 and 6 years. (Routine lab testing not recommended,
but may be done for children identified as high risk.) |
| Prevention of dental cavities |
Prescribe oral fluoride supplementation if primary water source is deficient.
Dental referral at 3 and 6 years. |
| Immunizations |
When |
DTap
Diphtheria and tetanus toxoids and acellular pertussis
|
Once between 4 and 6 years
|
IPV
Inactivated poliovirus
|
Once between 4 and 6 years
|
MMR
Measles, mumps, and rubella |
Second vaccine given between ages 4 and 6. (See previous page for first
vaccine.) MMR vaccines should never be given less than one month apart. |
HepB
Hepatitis B |
May begin three-dose series if not given in infancy |
Var
Varicella (chickenpox) |
Second dose at 4 to 6 years |
Flu
Influenza |
Annually. Two doses separated by four weeks if receiving influenza for the
first time. |
Pneumonia
Pneumococcal |
Ages 2 to 6: a single dose, if not immunized previously for healthy children.
One additional dose for children with underlying medical conditions
who have already received three doses.
|
HepA
Hepatitis A
|
At physician discretion: two doses at least 6 months apart if not vaccinated previously and at high risk. |
| Meningococcal |
One dose for ages 2 to 10 if high risk |
