Newborn Visits
Congratulations, and thank you for choosing our practice as your child's medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. Please click the link below and submit the form at least a day prior to your visit if possible.
Edinburgh Postnatal Depression Scale (EPDS)
2 Month Visit
During two-month checkups, most babies will be immunized against seven or eight different diseases. Typical immunizations given during your child's 2-month checkup include: Pediarix (a combination vaccine containing DTaP, Hep B, IPV), Hib vaccine, Prevnar vaccine, and rotavirus vaccine. Here is the Information sheet on the vaccines that your baby will receive at the 2-, 4- and 6-month visits.
CDC Vaccines Statements (please note that all boxes are checked for the vaccines that your baby will be receiving)
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 2 months and 30 days.
ASQ 2m (1 month 0 days through 2 months 30 days)
Edinburgh Postnatal Depression Scale (EPDS)
ASQ 2m Spanish (1 month 0 days through 2 months 30 days)
INTERVENTION SHEET and ACTIVITY SHEET
Bright futures Parent Handout two-month visit
4 Month Visit
During four-month checkups, most babies will be immunized against seven or eight different diseases. Typical immunizations given during your child's 4-month checkup include: Pediarix (a combination vaccine containing DTaP, Hep B, IPV), Hib vaccine, Prevnar vaccine, and rotavirus vaccine. Here is the Information sheet on the vaccines that your baby will receive at the 4-month visit.
CDC Vaccines Statements (please note that all boxes are checked for the vaccines that your baby will be receiving)
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 5 months old.
ASQ 4m (3 months 0 days through 4 months 30 days)
Edinburgh Postnatal Depression Scale (EPDS)
ASQ 4m Spanish (3 months 0 days through 4 months 30 days)
Bright futures Parent Handout FOUR-month visit
6 Month Visit
During six-month checkups, most babies will be immunized against seven or eight different diseases. Typical immunizations given during your child's 6-month checkup include Pediarix ( a combination vaccine containing DTaP, Hep B, IPV), Hib vaccine, Prevnar vaccine, and rotavirus vaccine. Here is the Information sheet on the vaccines that your baby will receive at the 6-month visit. Your baby may also need the Influenza vaccine.
CDC Vaccines Statements (please note that all boxes are checked for the vaccines that your baby will be receiving)
CDC Flu Vaccine Statements
CDC Flu Vaccine Statements - Spanish (Flu Vaccine information sheet in Spanish)
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 7 months old.
ASQ 6m (5 months 0 days through 6 months 30 days)
Edinburgh Postnatal Depression Scale (EPDS)
ASQ 6m Spanish (5 months 0 days through 6 months 30 days)
Bright futures Parent Handout SIX-month visit ENGLISH
9 Month Visit
During nine-month checkups, babies usually do not need any immunizations, except maybe the Influenza vaccine. If your baby is getting the influenza vaccine for the first time, please make sure to schedule an appointment in one month for the second dose.
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 10 months old.
ASQ 9m (9 months 0 days through 9 months 30 days)
ASQ 9m Spanish (9 months 0 days through 9 months 30 days)
Please note that if your child is between 7 to 9 months, please click the link below for the correct ASQ that matches the child's age.
INTERVENTION SHEET and ACTIVITY SHEET
Bright futures Parent Handout NINE-month visit ENGLISH
12 Month Visit
At the twelve-month visit, the vaccines given include MMR, Varivax or chickenpox vaccine, and the first Hepatitis A vaccine. Your child may be due for a flu vaccine as well. Please note that these vaccines must be given on or after the first birthday
Here is the information sheet on the vaccines that your child will be receiving.
CDC MMR Vaccine Statements - Spanish
CDC Varicella Vaccine Statements
CDC Varicella Vaccine Statements - Spanish
CDC Hepatitis A Vaccine Statements
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 12 months and 30 days.
ASQ 12m (11 months 0 days through 12 months 30 days)
ASQ 12m Spanish (11 months 0 days through 12 months 30 days)
INTERVENTION SHEET and ACTIVITY SHEET
15 Month Visit
At the fifteen-month visit, your child will receive the Hib and Prevnar vaccines. Your child may receive a flu vaccine and if there are any vaccines due from previous visits.
Here is the information sheet on the vaccines that your child will be receiving.
CDC Hepatitis A Vaccine Statements
CDC Hib Vaccine Statements - Spanish
CDC PCV Vaccine Statements - Spanish
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 15 months and 16 months 30 days
ASQ 15m (15 months 0 days through 16 months 30 days)
ASQ 15m (15 months 0 days through 16 months 30 days) - Spanish
If your baby is between 13 months 0 days to 14 months 30 days, use this ASQ questionnaire
ASQ 13 months 0 days to 14 months 30 days
ASQ 13 months 0 days to 14 months 30 days - Spanish
INTERVENTION SHEET FOR 12 TO 16 MONTHS
INTERVENTION SHEET 16 TO 2O MONTHS
18 Month Visit
At the eighteen-month visit, your child will receive a DTaP vaccine and the second Hepatitis A vaccine. The second Hepatitis vaccine is given six months after the first one.
Here is the information sheet on the vaccines below. Your child may also need a flu vaccine.
CDC DTaP Vaccine Statements - Spanish
CDC Flu Vaccine Statements - Spanish
Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)
The American Academy of Pediatrics recommends the Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire to screen for autism. The M-CHAT-R is a revised, updated version that is more user-friendly and provides more accurate results.
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. Please ensure to pick the form that matches the child’s age.
ASQ 18m (17 months 0 days through 18 months 30 days).pdf
ASQ 18m (17 months 0 days through 18 months 30 days) - Spanish
If your child is here for an 18-month visit but is between 19 months to 19 months and 30 days, please fill out this form.
ASQ between 19 m to 19 m and 30 days
ASQ 19 m to 19 m and 30 days - Spanish
If your child is here for an 18-month visit but is between 21 months to 22 months and 30 days, please fill out this form.
ASQ between 21 m to 22 m and 30 days
ASQ 21 m to 22 m and 30 days - Spanish
INTERVENTION SHEET 16 TO 2O MONTHS
INTERVENTION SHEET 20 TO 24 MONTHS
24 Month Visit
By this visit, your child should have completed the primary immunization series and will not need routine vaccines till kindergarten. Please bring any previous immunization records.
Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)
The American Academy of Pediatrics recommends the Modified Checklist for Autism in Toddlers (M-CHAT) questionnaire to screen for autism. The M-CHAT-R is a revised, updated version that is more user-friendly and provides more accurate results.
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. Please ensure to pick the form that matches the child’s age.
If your child is between 23 months to 25-months-15 days, please fill out this form
ASQ 24m (23 months 0 days through 25 months 15 days)
ASQ 24m (23 months 0 days through 25 months 15 days) - Spanish
If your child is between 25 months 16 days to 28 months 15 days, use this form
ASQ (25 months 16 days to 28 months 15 days)
ASQ (25 months 16 days to 28 months 15 days) - Spanish
INTERVENTION SHEET and ACTIVITY SHEET FOR 24 TO 30 MONTHS
30 Month Visit (2 and 1/2 year check-up)
By this visit, your child should have completed the primary immunization series and will not need routine vaccines till kindergarten. Please bring any previous immunization records.
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 28 months 16 days to 31 months 15 days.
ASQ 30m (28 months 16 days through 31 months 15 days)
ASQ 30m (28 months 16 days through 31 months 15 days) - Spanish
INTERVENTION SHEET and ACTIVITY SHEET FOR 30 TO 36 MONTHS
Three Year Check-Up
By this visit, your child should have completed the primary immunization series and will not need routine vaccines till kindergarten. Please bring any previous immunization records.
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 34 months, 16 days to 38 months, 30 days.
ASQ 36m (34 months 16 days through 38 months 30 days)
ASQ 36m (34 months 16 days through 38 months 30 days) - Spanish
ASQ 42m (39 months 0 days to 44 months 30 days)
ASQ 42m (39 months 0 days to 44 months 30 days) - Spanish
INTERVENTION SHEET and ACTIVITY SHEET FOR 36 TO 46 MONTHS
Four Year Check-Up
Your child can receive the kindergarten vaccines any time after the fourth birthday. Please bring any previous immunization records. The kindergarten vaccines include the second MMR, the second Chickenpox or varivax vaccine, and the booster DTaP and IPV vaccines. Please take the time to read the information on the vaccines below.
CDC MMR Vaccine Statements - Spanish
CDC Varicella Vaccine Statements
CDC Varicella Vaccine Statements - Spanish
CDC DTaP Vaccine Statements - Spanish
CDC Polio Vaccine Statements - Spanish
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 48 months to 50 months 30 days.
ASQ 48m (45 months 0 days through 50 months 30 days)
ASQ 48m (45 months 0 days through 50 months 30 days) - Spanish
INTERVENTION SHEET and ACTIVITY SHEET FOR 48 TO 60 MONTHS
Five Year Visit
Your child can receive the kindergarten vaccines any time after the fourth birthday. Please bring any previous immunization records. The kindergarten vaccines include the second MMR,
the second Chickenpox or varivax vaccine, and the booster DTaP and IPV vaccines. Please take the time to read the information on the vaccines below.
CDC MMR Vaccine Statements - Spanish
CDC Varicella Vaccine Statements
CDC Varicella Vaccine Statements - Spanish
CDC DTaP Vaccine Statements - Spanish
CDC Polio Vaccine Statements - Spanish
The link below will take you to the ASQ form that needs to be completed about 5 days before your scheduled visit. This way, we are able to review and be prepared for your child's upcoming visit. The ASQ is valid till your child is 4 years 9 months to 5 years and 6 months.
ASQ 60m (57 months 0 days through 66 months 0 days)
ASQ 60m (57 months 0 days through 66 months 0 days) - Spanish
INTERVENTION SHEET and ACTIVITY SHEET FOR 60 TO 66 MONTHS
