Well-Care & Vaccine Schedule

Newborn Visit

Usually 24-48 hours after hospital discharge (or 24 hours after homebirth).

A visit to check on weight loss after birth, feeding and jaundice (or yellowing of the skin).  We support breast-feeding and help with any difficulties.  We also answer questions at this visit and discuss anticipatory advice.

Vaccines: Your baby likely had their first Hepatitis B vaccine while in the hospital.

Screenings: Following up on Newborn Metabolic Screen done at the hospital

2 Week Visit

(Sometimes sooner if there are concerns)

This is a visit to talk about how the family is acclimating to the newest addition.  Feeding, bowel habits and sleeping are common topics.  We continue to work on breast-feeding if needed.  As always, answer questions and offer anticipatory guidance.

Vaccines: None

Screenings: Newborn Metabolic Screen if not aready reviewed.

1 Month Visit

Families are usually settling in some by this visit.  Feeding, sleeping and bowel habits are sometimes still a concern. At this visit we will track your baby's growth & development and answer any questions.   Your baby may be starting to smile now and that helps a lot!  

Vaccines: None

Screenings: Routine Well-Care.

2 month Visit

There are more smiles and growth happening.  It is neat to see how your baby follows their own growth curve. Guidance is helpful to know what to expect in the coming 2 months until your next visit. 

Vaccines: Pentacel (DTaP, Polio, HIB), Prevnar 13, Rotateq & Hepatitis B dose #2

(dose #1 if no birth dose)

Screenings: Routine Well-Care.

4 Month Visit

Your baby is probably giggling and making lots of noise by now.   Most babies are in a routine and the days are more predictable.  At this visit we discuss starting solids, as well as other anticipatory guidance.

Vaccines: Pentacel (DTaP, Polio, & HIB), Prevnar 13 & Rotateq

Screenings: Routine well-Care

6 Month Visit

Safety becomes more of an issue now as your baby has a better grasp of objects and everything goes right into their mouths.  Your baby may also be moving more.  We continue our discussion of eating and start talking about safety.  

Vaccines: Pentacel (DTaP, Polio, HIB), Prevnar 13, Hepatitis B, Rotateq & Influenza #1

(The first year, your baby gets 2 half doses of Influenza.  They will only need 1 next year)

Screenings: Routine Well-care

9 Month Visit

Your baby has gotten the knack for movement now.  They may even be pulling up on any surface they can get their little hands on.  Watch that they don't ppull anything onto their heads.

Vaccines: Catch up Hepatitis B #3 if needed.  

Screenings:  Blood Lead, Iron (Anemia) & Vision Screenings.  

Dental Screening with Fluoride Varnish if teeth present. 

12 Month Visit

This visit must occur after your baby's first birthday.

Your baby is a year old already.  Can you believe it?  It has been a great time of changing.  This is the beginning of the toddler years.  Your baby is taking in their whole environment.  Even though they can't express themselves in words, they understand everything that you are saying.

Vaccines: Prevnar 13, HIB, Hepatitis A, Varicella & MMR.  

Screenings:  Dental Screening with Fluoride Varnish & Risk for Tuberculosis

15 Month Infant

Your toddler is likely on-the-move now and safety has become your main concern.   Your toddler is also starting to develop more speech.  Their receptive development (understanding) is still much more developed than their expressive development.  This can lead to frustration at times.

Vaccine: DTaP

Screenings: Dental Screening with Fluoride Varnish

18 Month Well-Check

Speech has really taken off.  During their word explosion, toddlers can pick up a word every 2 hours.

Vaccine: Hepatitis A #2.  

Screenings:  Dental Screening with Fluoride Varnish & For Autism 

2 Year Well-Check

Your baby's second birthday truly is a wonderful time.  They are likely well into the toddler mindset.   While they can be sometimes difficult, their brain is growing at exponential rates and they are always learning new things.

Vaccines:  Yearly Influenza

Screenings:  For Dental Screening with Fluoride Varnish

Anemia, Autism, & Dyslipidemia Screenings

30 Month Well-Check

Your baby is not really a baby anymore.  They are firmly in the toddler years.  One moment they seem so big and the next still very small.  This is the "do-it-myself time."

Vaccines: None unless catch-up is needed

Screenings: Dental Screening with Fluoride Varnish, Dylipidemia & Autism Screenings

3 Year Well-Check

You toddler is all about independence. They probably can dress and undress themselves.  They can aso carry on conversation with 2-3 word sentences.  It is neat to hear how toddlers see the world.

Vaccines: Yearly Influenza

Screenings: Hearing, Vision, Anemia & Dyslipidemia Screenings.  

Dental Screening and First Dentist Visit

4 Year Well-Check

This visit must be after their fourth birthday.

Four is a great age.  Your child is better able to play make-believe.  They may also be starting to learn colors and counting.

Vaccines: DTaP, Polio, MMR, Chicken Pox & Yearly Influenza

Screenings: Hearing, Vision, Anemia, & Blood Lead , Dyslipidemia & Tuberculosis Risk 

5 Year Well-Check

This is the age of "Why."  Your child has a million questions as they learn more about their world. Your child is likely starting school and can tell a story with more detail now.  

Vaccines: Yearly Influenza

Screenings:  Vision, Dyslipidemia & Anemia Screenings 

6-9 Year Well-Checks

The School-Age-Years:  Your child is truly becoming more independent.  They have the social and physical skills to better navigate their world.  This is also a time when kids delve further into hobbies and interests.

Vaccines: Yearly Influenza

Screenings: Anemia, Hearing, Vision & Dyslipidemia Screenings

10-12 Year Well-Checks

As your child enters the Pre-Teen world, They may be more concerned about what others think of them.  Peer pressure can be difficult.  Pre-teens are learning about their changing bodies as they start through puberty.  They are also learning more about responsibility as well. 

Vaccine: Yearly Influenza. TdaP, & Meningitis at age 11 years. 

Will discuss and/or start the Human Papilloma Virus Vaccine (HPV).  3 doses are needed 

Screenings: Anemia, Hearing & Vision Screenings

13 Years until early 20's

During the Teen years you can see your child mature into a young adult.  Peer relationships take center stage as teens practice their independence.  Peer pressure is still an issue as are their changing bodies through puberty. 

Vaccines: Meningitis & TdaP Boosters > 15 yrs, Completing HPV Series & Yearly Influenza

Screenings: Depression/Social Risk factors, Dyslipidemia & Anemia Screenings

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10492 Bristow Center Drive, Bristow VA 20136

phone 571-379-4246  *  fax 571-379-4276   

Sunday Closed* Monday - Thursday 8 am-5 pm* Friday 9 am-5 pm * Saturday 9am-noon