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Well Child Visit 4-8 Years Old


Children should see their provider each year. A yearly exam helps keep your child healthy. It is different from seeing your provider when they are sick. This exam is for vaccinations and to check for early signs of disease. Use this annual visit to ask any questions you have about your child’s ongoing health.

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Exam Schedule     |    Recommended Screenings     |    Immunizations     |    Health Education   |    Resources

Exam Schedule

  • 4 Years Old
  • 5 Years Old
  • 6 Years Old
  • 7 Years Old
  • 8 Years Old

Each exam should consist of:

  • Full Physical Exam (length, height, weight, blood pressure and BMI %)
  • Health History (initial and interval)
  • Recommended Screens (catch up on missed or late recommended screens)
  • Immunization/shots (catch up on missed of late immunizations/shots)
  • Referrals as needed

Recommended Screenings

Each visit should include the following recommended screenings. For a detailed list of recommended screenings please see the linked AAP Periodicity Table (PDF).

Recommended ScreeningsRecommended Age(s) of Child
Dental Screening

An oral screening must be performed at each EPSDT well-child visit. Children should also visit their dentist every 6 months for a dental checkup.

Vision Screening

A vision screening will take place at age 4 through 6 and again at 8 years old.

Hearing Screening

Hearing screenings will be completed each year for children ages 4 through 6 years, and again at 8 years old. The doctor will also check hearing any other time there’s a concern.

Behavioral Health

Behavioral Assessment to be performed at ages 4, 5, 6, 7, and 8 years old.

 *For more information speak with your provider.

Immunizations / Shots

Immunizations (shots) are an important part of children’s yearly visit. Immunizations can help provide protection from certain diseases and many of them are required before children can go to daycare or school. View the chart below of the recommended immunizations that children should receive between ages 4 and 8. 

VaccineRecommened Age(s) of Child

Diptheria, Tetanus & acellular Pertussis (DTap)

  • 4 - 6 Years

Inactivated poliovirus (IPV) 

  • 4 - 6 Years

Measles, mumps, rubella (MMR) [2nd dose]

  • 4 - 6 Years

Varicella (VAR) 

  • 4 - 6 Years

Influenza (Flu)

  • 4-8 Years

Health Education and Preventive Counseling

Well-Child visits include health education and preventive counseling for both the child and parent/guardian. Here is a list of topics that may be discussed for children between the ages of 4 and 8 years old:

  • Appropriate car restraints
  • Physical activity
  • Smoke/Carbon monoxide detectors
  • Limit TV and screen time
  • Consistent routines
  • And any other questions or concerns the parent/guardian may have.

Pediatricians may make a referral to a specialist for identified problems.