These are rough guidelines for these types of periodic health maintenance (preventative care) exams
  -Some lab, tests, immunizations, checks, may be omitted, because:
    already done, insufficient intervals, uncooperative patient, etc.
  See additional references below regarding immunizations, etc. 

Elementary school (including pre-sport participation) Well Check-up
  --the best times for this visit is actually late-spring or summer.
  History & physical examination and questions answered.
  Immunizations: catch up those that are needed (if any):
    If 11 years of older, possibly Menactra (meningitis vaccine),
    If 11 years of older, possibly Tdap, tetanus/pertussis/dyphtheria vaccine,
    If 11 years of older and female, possibly HPV (a series of three)
        (human papillomavirus vaccine that prevents most cervical cancer),
  - If October-April, & no prior flu vaccine this season, Influenza,
  Discussion about school, sports participation, and others, .
  Vision, Hearing, Blood test for anemia, Urinalysis,
  - (if these are needed)
  Pre-participation form filled out for school or camp or sports.
  Handouts provided with health information and anticipatory guidance.
  See additional references below regarding immunizations, etc. 


Middle school (incl. pre-sport participation) Well Youth Check-up
  --the best times for this visit is actually late-spring or summer.
  History & physical examination and questions answered.
  Immunizations: catch up those that are needed (if any):
    Probably have already had earlier, Varicella, Hepatitis A,
    If need catch-up, possibly Menactra (meningitis vaccine),
    If need catch-up, possibly Tdap, tetanus/pertussis/dyphtheria vaccine,
    If need catch-up and female, possibly HPV (a series of three)
        (human papillomavirus vaccine that prevents most cervical cancer),
  - If October-April, & no prior flu vaccine this season, Influenza,
  Discussion about middle school, high school and future plans, .
  Vision, Hearing, Blood test for anemia, Urinalysis,
  - (if these are needed)
  Pre-participation form filled out for school, sport or camp.
  Handouts provided with health information and anticipatory guidance.
  See additional references below regarding immunizations, etc. 


High school (including pre-sport participation) Well Youth Check-up
  --the best times for this visit is actually late-spring or summer.
  History & physical examination and questions answered.
  Immunizations: catch up those that are needed (if any):
    Probably have already had earlier, Varicella, Hepatitis A,
    If need catch-up, possibly Menactra (meningitis vaccine),
    If need catch-up, possibly Tdap, tetanus/pertussis/dyphtheria vaccine,
    If need catch-up and female, possibly HPV (a series of three)
        (human papillomavirus vaccine that prevents most cervical cancer),
  - If October-April, & no prior flu vaccine this season, Influenza,
  Discussion about high school and future plans, .
  Vision, Hearing, Blood test for anemia, Urinalysis,
  - (if these are needed)
  Pre-participation form filled out for school, sport or camp.
  Handouts provided with health information and anticipatory guidance.
  See additional references below regarding immunizations, etc. 


College-age (including pre-college attendance) Well Youth Check-up
  --the best times for this visit is actually late-spring or summer.
  History & physical examination and questions answered.
  Immunizations: catch up those that are needed (if any):
    Probably have already had earlier, Varicella, Hepatitis A,
    If need catch-up, possibly Menactra (meningitis vaccine),
    If need catch-up, possibly Tdap, tetanus/pertussis/dyphtheria vaccine,
    If need catch-up and female, possibly HPV (a series of three)
        (human papillomavirus vaccine that prevents most cervical cancer),
  - If October-April, & no prior flu vaccine this season, Influenza,
  Discussion about college (or work) readiness, .
  Vision, Hearing, Blood test for anemia, Urinalysis,
  - (if these are needed)
  Pre-participation form filled out for sports, travel, college or work.
  Handouts provided with health information and anticipatory guidance.
  See additional references below regarding immunizations, etc. 


Sports (pre-participation) Well Youth Check-up
  --the best times for this visit is actually late-spring or summer.
  History & physical examination and questions answered.
  Immunizations: catch up those that are needed (if any):
    If 11 years of older, possibly Menactra (meningitis vaccine),
    If 11 years of older, possibly Tdap, tetanus/pertussis/dyphtheria vaccine,
    If 11 years of older and female, possibly HPV (a series of three)
        (human papillomavirus vaccine that prevents most cervical cancer),
  - If October-April, & no prior flu vaccine this season, Influenza,
  Discussion about sports readiness, .
  Vision, Hearing, Blood test for anemia, Urinalysis,
  - (if these are needed)
  Pre-participation form filled out for sports.
  Handouts provided with health information and anticipatory guidance.
  See additional references below regarding immunizations, etc. 


Camp (pre-participation) Well Youth Check-up
  --the best times for this visit is actually late-spring or summer.
  History & physical examination and questions answered.
  Immunizations: catch up those that are needed (if any):
    If 11 years of older, possibly Menactra (meningitis vaccine),
    If 11 years of older, possibly Tdap, tetanus/pertussis/dyphtheria vaccine,
    If 11 years of older and female, possibly HPV (a series of three)
        (human papillomavirus vaccine that prevents most cervical cancer),
  - If October-April, & no prior flu vaccine this season, Influenza,
  Discussion about camp readiness, .
  Vision, Hearing, Blood test for anemia, Urinalysis,
  - (if these are needed)
  Pre-participation form filled out for camp.
  Handouts provided with health information and anticipatory guidance.
  See additional references below regarding immunizations, etc. 

Click HERE for checkup information for earlier ages.

Future Reference: To display and print a pdf copy of Office Hours and Contacting Us (often placed under a refrigerator magnet or at bedside), click here.

Helpful References and Links for "Well Child" Care:

Immunizations:
Vaccinate Your Baby - EXCELLENT reference about immunization info.
Vaccinate Your Baby - EXPERT INFO about immunizations - MANY sources.
Vaccine Education Center - EXCELLENT - Children's Hospital of Philadelphia.
AAP Immunization Info - American Academy of Pediatrics immuniz info.
AAP Immunization Safety - American Academy of Pediatrics immuniz. safety.
Every Child by Two - Every Child by Two immuniz. safety - Rosalynn Carter.
AAFP Immunization Info - American Academy of Family Practice  imm. info.
AMA Immunization Info - American Medical Association  immunization info.
CDC Immunization Safety - Centers for Disease Control immunization info.
Immunization Myths - Emory University - Info about Immunization Myths.
Immunization Omission/Delay Deaths - Case History of Deaths - no "shots".
Immunization Action Coalition  - Immunization Info for health professionals.
Institute for Vaccine Safety  - EXCELLENT Immunization Info in great detail.
National Network for Immunization Information  - EXCELLENT Information.
Parents of Kids with Infectious Diseases  - Ask experts questions directly.
Voices for Vaccines  - Dedicated and Reliable source of immunization info.
Vaccines & Immunizations - Centers for Disease Control & Prev (CDC).
Immunization Practices - ACIP - Advisory Committee for Immun Practices.
Vaccine Info Statements - Vaccine Information Sheets - many languages.
The Truth about Vaccines and Autism - Pediatric Nurse Practitioner's site.
National Association for Immunization Information - Excellent reference.
NC Immunize - Information on Immunizations for the State Of NC.
Do Vaccines Cause That? - Clearly sets the record straight about safety.
FDA information on Immunization Safety -  FDA studies on vaccine safety.


Separate "Sick" and Well" Areas of the Office:
We have always had separate "Sick" and "Well" waiting rooms and exam rooms in the upper level of Unifour Pediatrics. On this upper level, we have set aside areas for well children which are away from children with infectious diseases. We have now gone one step further by having a completely separate level of the office for well newborns, infants, toddlers, and preschoolers. As of July 1, 2008, we have opened the lower level of Unifour Pediatrics for: (a) well children less than five years age and (b) for those who are immuno-compromised (have problems with their ability to fight infectious disease). In this new office, we have independent "well child" parking, waiting rooms, business office, exam rooms and clinical staff. Other sick siblings with the well child will not be permitted in this office (in this case the family will be directed to be seen on the upper level). Those that are "under-immunized" (those who are behind on the STANDARD immunization schedules published by the American Academy of Pediatrics, CDC, NIH, AAFP, etc.) must also be seen on the upper level and NOT in this "Well Clinic", as these also represent a risk to our well and immuno-compromised children seen in the "Well Clinic". We may, in the future extend this "well office" to five year old children as well. Older "well children" will continue to be seen in the upper office, using that office's well waiting rooms and well exam rooms, separate from the sick areas.