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Walk-in hours for acute illnesses and injuries: Arrive between 8:00 and 8:15 am, Mon/Tues/Thurs/Fri, to be seen by 9.
Please call first to make sure walk-in appointments are available that day. Read more...

What to Expect at Your Visit

We have compiled the following information, based on visit type and patient age, to help our patients and their families to better prepare for their office visits. Some of the following visit types include links to print the developmental and screening forms associated with that visit. Feel free to print and complete the form(s) prior to your visit and bring these forms with you to the visit. (There may be additional forms that reception will need to give you at your visit, but this page will give our patients and parents the opportunity to complete most of the paperwork prior to the visit.)

1. General Notes About Office Visits

  • Please present your insurance card and copay at the time of service, and notify us at check-in of any changes in your coverage since your child's last visit to our office. Patients who carry health insurance must familiarize themselves with the type and scope of coverage to which they are subscribing. If you are required by your insurance to name a Primary Care Provider, we must be listed as your child's Primary Care provider at the time of service. We recommend reviewing your copay and deductible information annually or at the time of any changes in your insurance coverage.

  • Minor patients (under the age of 18 years) should be accompanied by their parent or guardian at all visits. We know that it is sometimes difficult to make arrangements for a parent or guardian to be present at an appointment, but it is important to have a parent or guardian present when making treatment decisions in order to provide the best care for your child.

  • Please bring your child's current medications (even those medications prescribed by other providers and over the counter medications) to all office visits. It is very important that our providers are aware of all of your child's medications when making treatment decisions.

2. Visits When Your Child Is Sick, Or Visits To Recheck The Patient After An Illness

The medical assistant will measure the patient's vital signs (height, weight, temperature, and blood pressure and pulse if necessary), will perform any necessary testing (urine sample, bloodwork, strep test, etc.), and will review the patient's medical history and medication/allergy history prior to the patient's visit with the provider.

3. Visits For Well Checks (Physical Exams)

The following is a list of what is normally performed in addition to the provider's exam at well child checks, based upon the patient's age. This list is not meant to be all-inclusive: additional tests, screenings, or treatments may be performed as determined by your child's provider. The developmental and screening forms needed are listed after each visit description, please feel free to print and complete these forms prior to your child's exam and bring these forms with you to the visit.

Every Well Child Check:

All well child checks include a complete set of vital signs (weight, height, temperature for all patients; head circumference for all patients up to 18 months old, pulse and blood pressure are measured for patients 3 years and older) and a review of the patient's health, medication, and allergy history. Our providers follow the guidelines set by the American Academy of Pediatrics (AAP) for all well child checks and the testing and screenings performed at these visits. Patients between the ages of 6 months and five years of age will receive a new book at each well child check through our participation in the Reach Out and Read Program.

Note: Additional Information regarding any of the vaccines mentioned below is available at www.cdc.gov/vaccines. You will be given a Vaccine Information Sheet (VIS) for each vaccine that your child is scheduled to receive prior to any vaccines being administered. Our providers follow the childhood and adolescent immunization schedules as recommended by the American Academy of Pediatrics (AAP), per the Centers for Disease Control's Advisory Committee on Immunization Practices (ACIP).

Newborn Exam
(The first visit here in our office)

Forms

The first dose of Hepatitis B vaccine will be given, if not already given to the patient at the hospital of birth. A sample of the patient's blood may be taken from the patient's heel to test the patient's bilirubin level if the patient appears jaundiced (yellow tinge to the patient's skin). If the Newborn metabolic screen, or PKU, was not performed at the hospital, a sample of blood from the patient's heel will be taken to perform that test.

One Month Exam

Forms

The first dose of the Hepatitis B vaccine will be given, if not given previously.

Two Month Exam

Forms

The patient will receive the first doses of the DTaP, Polio, Hib, Pneumococcal, and Rotavirus vaccines, and the second dose of the Hepatitis B vaccine. Thanks to combination vaccines, the number of shots the patient will receive is reduced.

Four Month Exam

Forms

The patient will receive the second doses of the DTaP, Polio, Hib, Pneumococcal, and Rotavirus vaccines, and the third dose of the Hepatitis B vaccine.

Six Month Exam

Forms

The patient will receive the third doses of the DTaP, Polio, Hib, Pneumococcal, and Rotavirus vaccines, and the fourth dose of the Hepatitis B vaccine. The Flu vaccine will be offered to all patients six months of age and older as needed.

Nine Month Exam

Forms

Vaccines will be given at this visit only if your child is behind schedule. The Flu vaccine will be offered to all patients six months of age and older as needed. A venous blood sample (taken from a vein in your child's arm) will be taken to test your child's lead and hemoglobin levels.

Twelve Month Exam

Forms

The patient will receive the first doses of the MMR (Measles, Mumps, and Rubella), Varicella (Chickenpox), and Hepatitis A vaccines at this visit. The flu vaccine will be offered as needed.

Fifteen Month Exam

Forms

The patient will receive the fourth doses of the Hib and Pneumococcal vaccines; the flu vaccine will be offered as needed.

Eighteen Month Exam

Forms

The patient will receive the fourth dose of the DTaP vaccine and the second dose of the Hepatitis A vaccine; the Flu vaccine will be offered as needed. If your child is on schedule for his or her vaccines, this is the last round of vaccinations (except for a yearly flu shot) until their 5 year exam. Congratulations!

Two, Three, and Four Year Exams

Forms

Vaccines will be administered if the patient is not up to date; Flu vaccine will be offered as needed. A venous blood sample (taken from a vein in your child's arm) will be taken to test your child's lead and hemoglobin levels.

2 yr olds:

3-4 yr olds:

Five Year Exam (The Kindergarten Exam)

Forms

The patient will receive the fifth dose of the DTaP vaccine, the fourth dose of the Polio vaccine, and the second doses of the MMR and Varivax vaccines; the Flu vaccine will be offered as needed. Vision and Hearing screenings will be performed, a urine sample will be collected for urinalysis, and a venous blood sample (taken from a vein in your child's arm) will be taken to test your child's lead and hemoglobin levels; this is the last time that lead testing is routinely performed. A copy of the physical exam and immunizations will be provided to you, to enable you to register your child for kindergarten at his or her school.

Six to Ten Year Exams

Forms

Vaccines will be administered if the patient is not up to date; Flu vaccine will be offered as needed. Vision and hearing screening will be performed if necessary, fingerstick hemoglobin testing is performed every other year unless the patient requires more frequent testing. A urine sample will be collected at the ten year visit for urinalysis.

6-8 yrs:

9-10 yrs:

Eleven to Twelve Year Exams

Forms

The patient will receive the first dose of the TDaP and Meningitis vaccines, and the second dose of the Varivax vaccine if not given previously. The first dose of the Gardasil vaccine will be offered, and the Flu vaccine will be offered as needed. Vision and hearing screening will be performed if necessary, fingerstick hemoglobin testing will be performed if needed. A copy of the physical exam and immunizations will be provided to you, since a physical exam and the TDaP vaccine is required for entry into the 7th grade in Massachusetts.

Thirteen to Fourteen Year Exams

Forms

Vaccines will be administered if the patient is not up to date; the Gardasil and Flu vaccine will be offered as needed. Vision and hearing screening will be performed if necessary, fingerstick hemoglobin testing is performed every other year unless the patient requires more frequent testing. If the patient is participating in high school sports, the MIAA PE form will be completed and a copy will be given to the parent (please remind the medical assistant before the provider's visit if you need the MIAA form completed.)

13-14yrs:

Fifteen Year Exam

Forms

The Hepatitis A vaccine will be offered if the patient has not received it previously; the Gardasil and Flu vaccines will be offered as needed. A screening form for depression will be completed by the patient here in the office.  Vision and hearing screening will be performed if necessary, fingerstick hemoglobin testing will be performed if needed. A urine sample will be collected and sent for testing for two common STD's, gonorrhea and chlamydia. If the patient is participating in high school sports, the MIAA PE form will be completed and a copy will be given to the parent (please remind the medical assistant before the provider's visit if you need the MIAA form completed.)

Sixteen Years and Older Exams

Forms

The patient will receive the second dose of the Meningitis vaccine five years after the initial dose was given (usually at the sixteen year exam); the Gardasil and Flu vaccines will be offered as needed.  Patient will complete a depression screening form in the office.  Vision and hearing screening will be performed if necessary, fingerstick hemoglobin testing will be performed every other year unless the patient requires more frequent testing. A urine sample will be collected and sent for testing for two common STD's, gonorrhea and chlamydia. If the patient is participating in high school sports, the MIAA PE form will be completed and a copy will be given to the parent (please remind the medical assistant before the provider's visit if you need the MIAA form completed).

16-17 yrs:

18+ yrs: