Growth, Development, and Nutrition are evaluated at every visit.
Click on the age of your child to see what to expect at that visit.
The first visit after hospital discharge is a time for the pediatrician to meet the baby and ensure both the parents and baby are adjusting to their new routines. We review the hospital records for any concerns that came up during pregnancy and delivery as well as look out for common problems, like jaundice. A full history is completed including pregnancy, delivery, family and social history. A physical exam is done and the baby is weighed and measured. Most babies lose weight in the first days but will gain it back by the second week of life. Depending on the provider’s and parent's concerns we may see your baby back in a few days or one week. Please bring hospital discharge paperwork with you to this appointment.
This may be the first or second visit after discharge from the hospital. At this visit, we continue to check in with the families on how everyone is adjusting to the new baby. We perform a full assessment of the baby, checking for feeding, growth and answer any questions. A routine blood test called newborn metabolic screen or NMS is completed. Some refer to this test as the “PKU”. This is a simple heel stick that collects a small sample of blood that is sent to the state for testing.
Maryland requires 2 newborn metabolic screening tests. Multiple blood tests are run from this small sample of blood to look for metabolic problems that when caught early can set the baby up for a healthy future. This test is completed around 24 hours of age in the newborn nursery and the second, can be anytime after the first week and up to 2 weeks of age. Results usually come back in 4 weeks sometimes sooner. If the baby is born premature or had a blood transfusion, there may be an alternate schedule for testing.
Growth, nutrition, and developmental milestones are assessed. Results are reviewed from the Newborn Metabolic Screen done at birth and the 1-2 week visit. Discuss parental and family adjustment to the new baby.
Only one vaccine may be given at this age, the HepB.
At this visit, growth and developmental milestones are assessed. If not already done, review results of the Newborn Metabolic Screen done at birth as well as at the 1-2 week visit. Discuss parental and family adjustment to new routines.
The following vaccines are recommended at this age- DTaP, IPV, Hib, Prevnar, Rotateq. These vaccines may be given individually or in combination.
At this visit we will discuss growth, development and introduction of solid foods. Spot vision screen will be performed to screen for early signs of vision problems.
Vaccines are recommended and include DTaP, IPV, Hib, Prevnar, Rotateq and Hepatitis B. Some vaccines may be given in combination. An Influenza vaccine is recommended beginning at this age and may be offered depending on availability.
At this visit, growth, development and nutrition will be reviewed. Routine vaccinations should be up to date. An Influenza vaccine may be offered depending on availability. Screening for anemia and lead exposure will be performed with a finger stick in the office. The hemoglobin results are immediate, however the lead results take a week. You will be notified of any abnormalities and results are published to your portal. However if you have questions or don’t see results after the test is performed, please call our office. A spot vision test will be performed at this visit to screen for early signs of vision problems. Oral health is important in maintaining strong teeth. Fluoride varnish is available for application in the office.
At this visit, growth, nutrition, and development are assessed.Vaccines are recommended and include the MMR, Varicella and Hepatitis A. An Influenza vaccine is recommended and may be offered depending on availability. Spot vision screen will be performed to screen for early signs of vision problems. If not done at the nine month visit, screening for anemia and lead exposure will be performed with a finger stick in the office. The hemoglobin results are immediate, however the lead results take a week. You will be notified of any abnormalities and results are published to your portal. If you have questions or don’t see results after the test is performed, please call our office.Oral health is important in maintaining strong teeth. Fluoride varnish is available for application in the office.
At this visit growth, development and nutrition will be reviewed. Your child will be due to receive DTaP, Hib and Prevnar today. An Influenza vaccine may be offered depending on availability.
Screening for anemia and lead exposure will be performed with a finger stick in the office. The hemoglobin results are immediate, however the lead results take a week. You will be notified of any abnormalities and results are published to your portal. If you have questions or don’t see results after the test is performed, please call our office.
A spot vision test will be performed at this visit to screen for early signs of vision problems. Oral health is important in maintaining strong teeth. Fluoride varnish is available for application in the office.
At this visit, growth, nutrition, and development will be assessed. Screening for Autism is done through a series of questions called the MCHAT. Vaccines might include Hepatitis A and any catch up vaccines. An Influenza vaccine will be offered depending on availability.
If necessary, screening for anemia and lead exposure will be performed with a finger stick in the office. The hemoglobin results are immediate, however the lead results take a week. You will be notified of any abnormalities and results are published to your portal. If you have questions or don’t see results after the test is performed, please call our office.
A spot vision test will be performed at this visit to screen for early signs of vision concerns.
Oral health is important in maintaining strong teeth. Fluoride varnish is available for application in the office.
There are 3 visits during this time period. Your toddler will come in at 24 and 30 months and 3 years. At these visits, growth, nutrition, and development will be assessed. Screening for Autism is done through a series of questions called the MCHAT. Vaccines might include Hepatitis A and any catch up vaccines. An Influenza vaccine will be offered depending on availability.
A spot vision test will be performed at this visit to screen for early signs of vision problems.
Oral health is important in maintaining strong teeth. Fluoride varnish is available for application in the office.
At this visit, growth is assessed by measuring weight, height, and BMI (body mass index). In addition, nutrition counseling is offered. Development and school readiness is monitored. Vaccines are given at this visit, including MMR (measles, mumps, rubella), varivax (chickenpox), DtaP, and Polio. These are offered in combination so as to limit the number of needle sticks. Catch up immunizations are given and an Influenza vaccine may be offered depending on availability.
A spot vision check and hearing tests are completed.
Oral health is important in maintaining strong teeth. Fluoride varnish is available for application in the office.
At this visit, growth is assessed by measuring weight, height, and BMI (body mass index). In addition, nutrition and exercise counseling is offered. Development and behavior are evaluated through their adjustment to school and performance academically.
Vaccines are not required but catch up shots are offered. An Influenza vaccine may be offered depending on availability.
Vision and hearing tests are completed.
At this visit, growth is assessed by measuring weight, height, and BMI (body mass index). In addition, nutrition and exercise counseling is offered. Questionnaires include screenings for cardiac, cholesterol, tuberculosis. HPV vaccine is offered. An Influenza vaccine may be offered depending on availability.
Vision and hearing tests are completed.
Fasting labs may be ordered at this visit to check for anemia, cholesterol, and diabetes.
At this visit, nutrition and exercise counseling is offered. Questionnaires include screenings for cardiac, cholesterol, tuberculosis.
Vaccines include Tdap, HPV, and Meningitis. An Influenza vaccine may be offered depending on availability.
Vision and hearing tests are completed. Fasting labs may be ordered at this visit to check for anemia, cholesterol and diabetes.
At this visit, growth is assessed by measuring weight, height, and BMI (body mass index). In addition, nutrition and exercise counseling is offered. Mental health is assessed using the Patient Health Questionnaire for Depression (PHQ-9). Other questionnaires include screenings for cardiac, cholesterol, tuberculosis, STI, anemia and tobacco/ substance use.
No vaccines are required but catch up immunizations are discussed. An Influenza vaccine may be offered depending on availability.
Vision and hearing tests are completed. Fasting labs may be ordered at this visit to check for anemia, cholesterol and diabetes.
At this visit, growth is evaluated by measuring weight, height, and BMI (body mass index). In addition, nutrition and exercise counseling is offered. Mental health is assessed using the Patient Health Questionnaire for Depression ( PHQ-9). Other questionnaires include screenings for cardiac, cholesterol, tuberculosis, STI, anemia and tobacco/ substance use.
Vaccines are recommended to include the booster for Meningitis ACWY. Meningitis B is offered which is the first of 2 in the series. An Influenza vaccine may be offered depending on availability.
Vision and hearing tests are completed. A urine sample is collected in the office to screen for kidney function and infections. Fasting labs may be ordered at this visit to check for anemia, cholesterol, diabetes and STI.
At this visit, growth is evaluated by measuring weight, height, and BMI (body mass index). In addition, nutrition and exercise counseling is offered. Mental health is assessed using the Patient Health Questionnaire for Depression (PHQ-9). Other questionnaires include screenings for cardiac, cholesterol, tuberculosis, STI, anemia and tobacco/ substance use.
Vaccines are reviewed and catch up shots are offered. An Influenza vaccine may be offered depending on availability.
Vision and hearing tests are completed. A urine sample is collected in the office to screen for kidney function and infections. Fasting labs may be ordered at this visit to check for anemia, cholesterol, diabetes and STI.
Your child is now legally an adult. They will need to sign a release form to allow you, the parent or guardian, access to the chart and their protected health information. If granted, this will allow us to communicate directly with you about your child’s health.
At this visit, growth is evaluated by measuring weight, height, and BMI (body mass index). In addition, nutrition and exercise counseling is offered. Mental health is assessed using the Patient Health Questionnaire for Depression (PHQ-9). Other questionnaires include screenings for cardiac, cholesterol, tuberculosis, STI, anemia and tobacco/ substance use.
Vaccines are reviewed and catch up shots are offered. An Influenza vaccine may be offered depending on availability. Vision and hearing tests are completed. A urine sample is collected in the office to screen for kidney function and infections. Fasting labs may be ordered at this visit to check for anemia, cholesterol, diabetes and STI.
Prenatal/ New Patient Consults are available free of charge for new or expecting families. Call to schedule an in person or virtual consultation with one of our providers.
We know illnesses don’t keep a schedule. If you have a concern or want your child seen, please call the office to discuss with a provider or schedule an appointment.
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Tele-Med visits are available both during and after office hours. Copay and office fees may be applied based on your insurance carrier.
Your child's development is assessed at every well visit, but if you have concerns please schedule an appointment.
Know before you go. Call us for a travel medicine consultation.
Asthma and allergy treatment and medication managment.
Schedule to discuss parental or teacher concerns for attention issues. We can initiate and manage some medications.
Ear piercings are available for children over the age of 2 months.