Well Child Exams and Immunizations
Our practice philosophy on immunizations
Chisholm Trail Pediatrics follows the Well Child Exam and Immunization schedule below.
Schedule for Childhood Screening Recommendations
Texas State Immunization Requirements - Grades K-12
Texas Daycare/Preschool Immunization Requirements
Texas College Immunization Requirements
Thimerosol Content Information
9 Things to Make Shots Less Stressful... For You and Your Baby
If you are following your own immunization schedule, we recommend you adhere to the well child exam schedule to follow growth and development of your child.
The Parent's Guide to Childhood Immunizations is available here. You will find helpful information about each immunization recommended for your child, why they are recommended, and what diseases they were developed to prevent. You may also request a booklet at the time of your visit.
Basic benchmarks and developmental guidelines
3-5 Days:
Newborn exam to check your baby's weight and check for jaundice.
Newborn Metabolic Screen #1, Hearing Screen and Hepatitis B #1 done at the hospital.
2 Weeks:
Well check exam and Newborn Metabolic Screen #2 (heel stick)
2 Months:
Well check exam and Immunizations, Ages & Stages, TB Screen
HIB #1, Prevnar #1, Rotavirus #1, Pediarix #1 (Hep B #2, IPV #1, DTaP #1)
4 Months:
Well check exam and Immunizations, Ages & Stages
HIB #2, Prevnar #2, Rotovirus #2, Pediarix #2 (Hep B #3, IPV #2, DTap #2)
** 7 page Ages & Stages questionnaire
6 Months:
Well check exam and Immunizations, Ages & Stages, TB & Lead Screens
HIB #3, Rotovirus #3, Prevnar #3, Pentacel #3 (Hep B #4, IPV #3, DTaP #3)
** 7 page Ages & Stages questionnaire
9 Months:
Well check exam and any catch-up Immunzations (if necessary)
Ages and Stages , TB and Lead Screenings
Possibility of labs (heel stick) ordered to check hemoglobin, hematocrit & lead (if indicated)
** 7 page Ages & Stages questionnaire
12 Months:
Well check exam and Immunizations, Ages & Stages
Prevnar #4, MMR #1, Varicella #1
** 7 page Ages & Stages questionnaire
15 Months:
Well check exam and Immunzations, Ages & Stages
Infarix (DTAP #4), HIB #4
** 7 page Ages & Stages questionnaire
18 Months:
Well check exam and Immunizations, Ages & Stages, MCHAT, Lead Screen
Hep A #1
** 7 page Ages & Stages questionnaire
2 Years:
Well check exam and Immunizations, Ages & Stages, MCHAT, TB & Lead Screen
Hep A #2
** 8 page Ages & Stages questionnaire
3 Years:
Well check exam and Immunizations, Ages & Stages, TB & Lead Screen
** 8 page Ages & Stages questionnaire
4 Years:
Well check exam with vision screening and Immunizations, Ages & Stages
Kinrix (DTap #5, IPV#4), MMR #2, Varicella #2
** 8 page Ages & Stages questionnaire
5 Years:
Well check exam with vision screening and urinalysis. Ages & Stages form filled out, immunizations if not given at 4 years.
** 9 page Ages & Stages questionnaire
6-10 Years:
Well check exam every year, on or around the child's birthday.
11 + Years:
Annual Well check exam, immunzations as required.
Yearly Depression Screen, TB Screen
H/H females after starting period
GHP, TSH, Lipid panel at 11 years
Boostrix (TDAP), Menveo #1(meningococcal), Gardasil (HPV)
7th-12th Grades:
If your child is participating in athletics in 7-12th grades, or any athletic, marching band or dance program in high school, a preparticipation physical is required. UIL regulations state the exam must be performed each schoolyear on or after May 1st and before the student participates in the activity. Many parents choose to schedule these exams during the summer months. 16+ years will require a meningococcal booster 5 years after the first dose. An immunization for meningococcal B is also recommended for this age group.
Flu Vaccine:
Recommended for ages 6 months and up. First vaccination requires two doses administered 30 days apart.
* - MCHAT = Modified Checklist for Autism in Toddlers
** - Ages & Stages Questionnaires available prior to appointment via email upon request