Well Child visits (ages 2-12 years)
What an exciting time, and what a decade of tremendous change. Isn't it amazing that in the span of 10 years, the child develops complicated language development, rule following, higher level problem solving, just in time to reach early adolescence and... lose those skills. Ah well. We hear you, and we are with you.
You have gotten through the toddler shots, and immunizations are few and far between during these ages. Well child visits are still important, as we help monitor your child for healthy growth, chronic medical needs, and talk with you about any school or behavioral concerns.
Well Child Check/ Physical exam schedule
Age ORP Well Visit Forms Immunizations/Procedures
to print and complete before the visit
24 months (2 years) 24 mon Well Visit Questionnaire, M-CHAT Lead screening (finger or toe poke)
30 months (2 1/2 yrs) 30 mon Well Visit Questionnaire, ASQ
3 years 3 Year Well Visit Questionnaire
4 years 4 Year Well Visit Questionnaire DTaP, Polio, MMR, Varicella
5 years 5 Year Well Visit Questionnaire (complete any shots not done at the 4 yr. visit)
6 years 6 Year Well Visit Questionnaire
7 years 7 Year Well Visit Questionnaire
8 years 8 Year Well Visit Questionnaire
9 years 9 Year Well Visit Questionnaire Lipid screening (age 9-11)
10 years 10 Year Well Visit Questionnaire
11 or 12 years 11-12 Year Well Visit Questionnaire Tdap, Meningococcal, HPV series initiation
11-12 Year PreScreen Questionnaire
Developmental forms we use:
Bright Futures: This is a national health promotion and disease prevention toolkit that is supported by the AAP. Each visit has an age-appropriate pre-visit questionnaire, and information handouts that you will receive after your Well Baby visit. You will notice the questions focus on developmental milestones, nutrition, safety, your child and family’s emotional well-being, and recommendations from the AAP. Time to complete: 2 minutes
ASQ (Ages and Stages Questionnaire): This is regarded as the best developmental and social-emotional screening tool for children from one month to 5 ½ years. Since it is parent-completed, it incorporates your expert knowledge of your own children. Printing this and completing it at home gives you time to really observe your child and record his/her abilities accurately. We may use this if there are developmental concerns with your young child. Time to complete: approx. 5 minutes
M-CHAT: Modified Checklist for Autism in Toddlers, completed at 18 and 24 months. Time to complete 1 minute
Helpful forms for these age: (see also Parent Resources for more printable school and camp forms)
Middle School Athletic form
Daycare form
Medication Instructions for Daycare
NC Kindergarten Health Assessment Report