McLaren Health

Recommended Child Preventive Guideline

Screening Tests

0 – 18 Months

2 – 5 years

6 – 11 years

12 –17 years

Routine physical examination and Development Assessment

By 4 weeks and at 2, 4, 6, 12, 15 and 18 months

Every year

Every year

Every year

Growth Chart (Head Circumference)

Same as above

Circumference up to and including age 2

Every two years

Every two years

Pediatric History Form

Annually

Annually

Every two years

Every two years

Lead Screening

12 and 24 months

Age 3 and 5 mandatory if not previously tested

   

BP

 

Every year after age 3

Every 2 years

Every 2 years

Vision screening/hearing test with whisper test or Welch Allen Screen

 

Yearly between ages 3 and 5

 

Once between ages 12 and 17

Breast exam and self-exam

     

Instruction for self-examination

Pelvic exam/pap smear

     

If indicated

Testicular exam and self-exam instruction

Newborn

   

Instruction for self-examination

Scoliosis Screening

 

At school physical

 

Starting at age 13

Vaccines

0 – 18 Months

2 – 5 years

6 – 11 years

12 –17 years

DtaP (5)

2, 4, 6, and 15-18 months

Once between ages 4 & 6

   

Td (1)

   

Booster between ages 11 – 15

Booster before age 16 if not received earlier

IPV (4)

2, 4, 6 – 18 months

Once between ages 4 & 6

    

MMR (2)

12 – 15 months

Once between ages 4 & 6

Ages 11 – 12 if not previously administered

 

Hib-conjugate (4)

2, 4, 6, and 12 – 15 months

        

Pneumococcal Conjugate (4)

2, 4, 6 and 12 – 15 months

Also recommended for certain children at high risk for 24 – 59 months

   

Hepatitis B (3)

(this schedule may vary depending on mother’s history)

Birth – 2 months; if mother HbsAG(-);

1 – 4 months

6 – 18 months

 

Ages 11 – 12 if not previously administered

 

Varicella (1)

12 – 18 months

 

Ages 11 –12 if not previously administered

 

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