Pravan Kids Well child visits
Maintenance

2-4 weeks
  • Milestone Check BSE screening
  • Neonatal Metabolic screening (discuss results)
  • History and Physical Exam
  • Measure weight, height, head circumference (growth chart)
  • Bilirubin Check (Transcutaneous)
  • Anticipatory Guidance (send key points via Spruce)
1 month
  • Send through Spruce
  • Edinburg Questionnaire (for mom)
2 months
  • Milestone Check BSE screening
  • Neonatal Metabolic screening (discuss results if not done previously)
  • History and Physical Exam
  • Measure weight, height, head circumference (growth chart)
  • Edinburg Questionnaire (for mom)
  • Anticipatory Guidance (send key points via Spruce)
  • Immunization revision
  • TB risk assessment (questionnaire via Spruce)
4 months
  • Milestone Check BSE screening
  • Neonatal Metabolic screening (if not done previously)
  • History and Physical Exam
  • Measure weight, height, head circumference (growth chart)
  • Edinburg Questionnaire (for mom)
  • Anticipatory Guidance (send key points via Spruce)
  • Immunization revision
  • Labs for HGB/HCT (if preemie)
6 months
  • Similar to 4 months with added:
  • Lead Exposure Assessment
  • Oral health risk assessment
  • Optional ASQ-3
9 months
  • Similar to 6 months with mandatory ASQ-3
12 months/1 year
  • Similar to 9 months with added:
  • Labs for Lead levels (if not done before) & CBC
  • TB risk assessment (PPD optional)
15 months
  • Similar to 12 months with added:
  • Oral health risk assessment (check if 1st dental visit is done)
18 months
  • Similar to 15 months with added:
  • Mandatory MCHAT
  • Mandatory ASQ-3
24 months/2 years
  • Similar to 18 months with added:
  • Calculate BMI
  • Labs for Lead levels (if not done at 18 months) & CBC
  • Dyslipidemia Assessment
30 months
  • Similar to 24 months with added:
  • Mandatory ASQ-3
36 months/3 years
  • Similar to 30 months with added:
  • Measure Blood Pressure
  • Refer to 1st vision exam
4, 5, 6 years
  • Similar to 3 years with added:
  • Vision & hearing exams referral (4 years)
  • Dyslipidemia Assessment
  • ASQ-3 optional until 5 years
7, 8, 9, 10 years
  • Similar to 6 years with added:
  • Lipid Panel (9-10 years)
  • Mandatory vision & hearing exams at 8 and 10 years (optional annually)
11-14 years
  • Similar to 10 years with added:
  • CRAFFT Questionnaire (annually from 12 years)
  • PHQ-9 (annually from 12 years)
  • Cardiac Risk Assessment (once in range)
  • Labs for NAAT (12-13 years for GC & Chlamydia)
  • Refer hearing exam (once in range)
15-18 years
  • Similar to 14 years with added:
  • Labs for NAAT (GC, Chlamydia, HIV, VDRL once in range)
  • Lipid Panel (17 years)
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