Infant and Child Preventive Health

Infant and Child Checklist

Frequent well child checks are recommended during the infant and toddler years to watch growth and speech development as well as motor skills. Visits during the later childhood years look at academic achievements and positive social relationships, and begin to focus on healthy diet and lifestyle choices that will last a lifetime.

What is a Well Child Check?

Well child checks are visits separate from any visit dealing with illness or any specific problems your child is having. Well child checks include a thorough history, an age appropriate physical exam, and age appropriate vision, hearing, and mental health screening to ensure that no significant health problems have developed, growth continues to be normal, and development is progressing as expected. Immunizations will be updated at each visit. Parents should bring the child’s immunization records to every visit and a list of any questions regarding the child’s development and health.

Recommendations

Infancy (Birth to 12 months)

• 1 month
• 2 months
• 4 months
• 6 months
• 9 months
• 12 months

Early Childhood (15 months to 4 years)

• 15 months
• 18 months
• 24 months
• 30 months
• 3 years
• 4 years

Late Childhood (5 years to 12 years)

• Physical-Every year
• Vision screening
• Immunizations update

Developmental screenings

Screening tests are used to check for problems before symptoms appear. These recommended screening guidelines are for the healthy child. Recommendations may change for those of high risk or with established diagnoses.
• Anemia Screening-12 months of age
• Obestity Screening-after 10 months of age
• m-Chat Autism Screening-recommended between 16 and 30 months of age

Lead screening

The State of Ohio recommends that children between the ages of 6 to 72 months living in high risk zip codes be tested for lead. Some of these zip codes (www.odh.ohio.gov) are in our treatment area. If you can answer yes to any of these questions, ask about lead screening.

• Lives in or regularly visits a house or building built before 1950? This includes a day care center, preschool, or home of a baby sitter or relative.
• Lives in or visits a house that has peeling, chipping, dusting or chalking paint?
• Lives in or visits a house built before 1978 with recent, ongoing, or planned renovation/remodeling?
• Has a sibling or playmate who has or did have lead poisoning?
• Frequently comes in contact with an adult who has a hobby or works with lead. Examples are construction, welding, pottery, painting, and casting ammunition?

Immunizations

The state of Ohio requires that all children be immunized before starting school. Rotavirus, Hepatitis A, and influenza are optional but all other immunizations are required.

As with any medical procedure, vaccinations have some risks as well as substantial, proven benefits. Individuals react differently to vaccines and there is no way to absolutely predict the reaction of a specific individual to a particular vaccine. Anyone who getting a vaccine should be fully informed about both the benefits and the risks of vaccination. Any questions or concerns should be discussed with a physician or other healthcare provider.
For immunization information, information sheets, recommended immunizations based on age and reporting of side effects to vaccines see the following web sites: