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Congratulations! This is an exciting time. The next few months and years, our providers will follow the recommended vaccination schedule from the American Academy of Pediatrics.
HepB (Hepatitis B)- to learn more about Hepatitis B click here
Hearing
For more Trusted Pediatric Information- Baby Basics click here.
At this visit, there will be no vaccines administered. We will check on the well being of you and your child as well as run vitals.
none
none
Height
Weight
Head circumference
Check hearing results
Start vitamin D if not breastfeeding
At this visit, you will be asked to complete a maternal depression screen and tuberculosis risk assessment, your doctor will discuss your child’s growth and development and complete a full physical exam. Your doctor will order tests and vaccines as indicated.
HepB (Hepatitis B)- to learn more about Hepatitis B click here
none
Height
Weight
Head circumference
Check hearing results
Start vitamin D if not breastfeeding
At these visits, you will be asked to complete a maternal depression screen, developmental screen, lead screen and/or tuberculosis risk assessment, your doctor will discuss your child’s growth and development and complete a full physical exam. Your doctor will order tests and vaccines as indicated.
Dtap (Diphtheria, tetanus, & acellular pertussis)- to learn more about Diphtheria, tetanus, & acellular pertussis Click Here
HiB (Haemophilus influenza type B)- to learn more about Haemophilus influenza type B Click Here
IPV (Polio)- to learn more about Polio Click Here
PCV (Pneumococcal conjugate)- to learn more about Pneumococcal conjugate Click Here
RV (Rotavirus)- to learn more about Rotavirus Click Here
Flu (Influenza) * 6-month visit- to learn more about Influenza Click Here
Maternal depression screen (for mother)
Developmental screen
Lead Screen
Tuberculosis risk assessment
Height
Weight
Head circumference
Consider starting fluoride
HepB (Hepatitis B)- to learn more about Hepatitis B Click Here
Developmental screen
Lead Screen
Height
Weight
Head circumference
Consider fluoride
For more Trusted Pediatric Information- Baby Basics click here.
Can hold head up and begins to push up when lying on tummy
Makes smoother movements with arms and legs
Pays attention to faces
Begins to follow things with eyes and recognize people at a distance
Begins to act bored (cries, fussy) if activity doesn’t change
Begins to smile at people
Can briefly calm himself (may bring hands to mouth and suck on hand)
Tries to look at parent
Coos, makes gurgling sounds
Turns head toward sounds
You can help your baby learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 2-month-old baby today.
Cuddle, talk, and play with your baby during feeding, dressing, and bathing.
Help your baby learn to calm herself. It’s okay for her to suck on her fingers.
Begin to help your baby get into a routine, such as sleeping at night more than in the day, and have regular schedules.
Getting in tune with your baby’s likes and dislikes can help you feel more comfortable and confident.
Act excited and smile when your baby makes sounds.
Copy your baby’s sounds sometimes, but also use clear language.
Pay attention to your baby’s different cries so that you learn to know what he wants.
Talk, read, and sing to your baby.
Play peek-a-boo. Help your baby play peek-a-boo, too.
Place a baby-safe mirror in your baby’s crib so she can look at herself.
Look at pictures with your baby and talk about them.
Lay your baby on his tummy when he is awake and put toys near him.
Encourage your baby to lift his head by holding toys at eye level in front of him.
Hold a toy or rattle above your baby’s head and encourage her to reach for it.
Hold your baby upright with his feet on the floor. Sing or talk to your baby as he is upright.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
For more Trusted Pediatric Information- Baby Basics click here.
Holds head steady, unsupported
Pushes down on legs when feet are on a hard surface
May be able to roll over from tummy to back
Can hold a toy and shake it and swing at dangling toys
Brings hands to mouths
When lying on stomach, pushes up to elbows
Let’s you know if he is happy or sad
Responds to affection
Reaches for a toy with one hand
Uses hands and eyes together, such as seeing you and reaching for it
Follows moving things with eyes from side to side
Watches faces closely
Recognizes familiar people and things at a distance
Smiles spontaneously, especially at people
Likes to play with people and might cry when playing stops
Copies some movements and facial expressions, like smiling or frowning
Begins to babble
Babbles with expression and copies sounds he hears
Cries in different ways to show hunger, pain, or being tired
Hold and talk to your baby; smile and be cheerful while you do.
Set steady routines for sleeping and feeding.
Pay close attention to what your baby likes and doesn’t like; you will know how best to meet his needs and what you can do to make your baby happy.
Copy your baby’s sounds.
Act excited and smile when your baby makes sounds.
Have quiet play times when you read or sing to your baby.
Give age-appropriate toys to play with, such as rattles or colorful pictures.
Play games such as peek-a-boo.
Talk, read, and sing to your baby.
Play peek-a-boo. Help your baby play peek-a-boo, too.
Provide safe opportunities for your baby to reach for toys and explore his surroundings.
Put toys near your baby so that she can reach for them or kick her feet.
Put toys or rattles in your baby’s hand and help him to hold them.
Hold your baby upright with feet on the floor and sing or talk to your baby as she “stands” with support.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
For more Trusted Pediatric Information- Baby Basics click here.
Rolls over in both directions (front to back, back to front)
Begins to sit without support
When standing, supports weight on legs and might bounce
Rocks back and forth, sometimes crawling backward before moving forward
Looks around at things nearby
Brings things to mouth
Shows curiosity about things and tries to get things that are out of reach
Begins to pass things from one hand to the other
Knows familiar faces and begins to know if someone is a stranger
Likes to play with others, especially parents
Responds to other people’s emotions and often seems happy
Likes to look at self in a mirror
Responds to sounds by making sounds
Strings vowels together when babbling (“ah,” “eh,” “oh”) and likes taking turns with parent while making sounds
Responds to own name
Makes sounds to show joy and displeasure
Begins to say consonant sounds (jabbering with “m,” “b”)
You can help your baby learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 6-month-old baby today.
Play on the floor with your baby every day.
Learn to read your baby’s moods. If he’s happy, keep doing what you are doing. If he’s upset, take a break and comfort your baby.
Show your baby how to comfort herself when she’s upset. She may suck on her fingers to self soothe.
Use “reciprocal” play—when he smiles, you smile; when he makes sounds, you copy them.
Repeat your child’s sounds and say simple words with those sounds. For example, if your child says “bah,” say “bottle” or “book.”
Read books to your child every day. Praise her when she babbles and “reads” too.
When your baby looks at something, point to it and talk about it.
When he drops a toy on the floor, pick it up and give it back. This game helps him learn cause and effect.
Read colorful picture books to your baby.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
For more Trusted Pediatric Information- Baby Basics click here.
Stands, holding on
Can get into sitting position
Sits without support
Pulls to stand
Crawls
Watches the path of something as it falls
Looks for things he sees you hide
Plays peek-a-boo
Puts things in her mouth
Moves things smoothly from one hand to the other
Picks up things like cereal o’s between thumb and index finger
May be afraid of strangers
May be clingy with familiar adults
Has favorite toys
Understands “no”
Makes a lot of different sounds like “mamamama” and “bababababa”
Copies sounds and gestures of others
Uses fingers to point at things
You can help your baby learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 9-month-old baby today.
Pay attention to the way he reacts to new situations and people; try to continue to do things that make your baby happy and comfortable.
As she moves around more, stay close so she knows that you are near.
Continue with routines; they are especially important now.
Play games with “my turn, your turn.”
Say what you think your baby is feeling. For example, say, “You are so sad, let’s see if we can make you feel better.”
Describe what your baby is looking at; for example, “red, round ball.”
Talk about what your baby wants when he points at something.
Copy your baby’s sounds and words.
Ask for behaviors that you want. For example, instead of saying “don’t stand,” say “time to sit.”
Teach cause-and-effect by rolling balls back and forth, pushing toy cars and trucks, and putting blocks in and out of a container.
Play peek-a-boo and hide-and-seek.
Read and talk to your baby.
Provide lots of room for your baby to move and explore in a safe area.
Put your baby close to things that she can pull up on safely.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
For more Trusted Pediatric Information- Baby Basics click here.
MMR (Measles, mumps, and rubella)- to learn more about Measles, mumps, and rubella click here
HepA (Hepatitis A)- to learn more about Hepatitis A click here
VZV (Chicken Pox)- to learn more about Chicken Pox click here
Flu (Influenza) **YEARLY- to learn more about Influenza click here
Developmental screen
Hemoglobin
Lead test
Tuberculosis risk assessment
Height
Weight
Head circumference
Consider dentist
Dtap (Diphtheria, tetanus, & acellular pertussis)- to learn more about Diphtheria, tetanus, & acellular pertussis Click Here
HiB (Haemophilus influenza type B)- to learn more about Haemophilus influenza type B Click Here
PCV (Pneumococcal conjugate)- to learn more about Pneumococcal conjugate Click Here
none
Height
Weight
Head circumference
Consider fluoride
HepA (Hepatitis A)- to learn more about Hepatitis A Click Here
Developmental screen
Autism screen
Height
Weight
Head circumference
Flu (Influenza) **YEARLY- to learn more about Influenza <ahref=”https://www.cdc.gov/flu/about/index.html”target=”_blank”class=”sub-page”>Click Here
Autism Screen
Lead Test
Tuberculosis risk assessment
Height
Weight
Head circumference
Consider fluoride
none
Developmental screen
Height
Weight
Head circumference
Consider fluoride
Gets to a sitting position without help
Pulls up to stand, walks holding on to furniture (“cruising”)
May take a few steps without holding on
May stand alone
Explores things in different ways, like shaking, banging, throwing
Finds hidden things easily
Looks at the right picture or thing when it’s named
Copies gestures
Starts to use things correctly; for example, drinks from a cup, brushes hair
Bangs two things together
Puts things in a container, takes things out of a container
Let’s things go without help
Pokes with index (pointer) finger
Follows simple directions like “pick up the toy”
Is shy or nervous with strangers
Cries when mom or dad leaves
Has favorite things and people
Shows fear in some situations
Hands you a book when he wants to hear a story
Repeats sounds or actions to get attention
Puts out arm or leg to help with dressing
Plays games such as “peek-a-boo” and “pat-a-cake”
Responds to simple spoken requests
Uses simple gestures, like shaking head “no” or waving “bye-bye”
Makes sounds with changes in tone (sounds more like speech)
Says “mama” and “dada” and exclamations like “uh-oh!”
Tries to say words you say
You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 1-year-old child today.
Give your child time to get to know a new caregiver. Bring a favorite toy, stuffed animal, or blanket to help comfort your child.
In response to unwanted behaviors, say “no” firmly. Do not yell, spank, or give long explanations. A time out for 30 seconds to 1 minute might help redirect your child.
Give your child lots of hugs, kisses, and praise for good behavior.
Spend a lot more time encouraging wanted behaviors than punishing unwanted behaviors (4 times as much encouragement for wanted behaviors as redirection for unwanted behaviors).
Talk to your child about what you’re doing. For example, “Mommy is washing your hands with a washcloth.”
Read with your child every day. Have your child turn the pages. Take turns labeling pictures with your child.
Build on what your child says or tries to say, or what he points to. If he or she points to a truck and says “t” or “truck,” say, “Yes, that’s a big, blue truck.” Give your child crayons and paper, and let your child draw freely. Show your child how to draw lines up and down and across the page. Praise your child when he or she tries to copy them
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
Walks alone
May walk up steps and run
Pulls toys while walking
Can help undress herself
Drinks from a cup
Eats with a spoon
Knows what ordinary things are for; for example, telephone, brush, spoon
Points to get the attention of others
Shows interest in a doll or stuffed animal by pretending to feed
Points to one body part
Scribbles on his own
Can follow 1-step verbal commands without any gestures; for example, sits when you say “sit down”
Likes to hand things to others as play
May have temper tantrums
May be afraid of strangers
Shows affection to familiar people
Plays simple pretend, such as feeding a doll
May cling to caregivers in new situations
Points to show others something interesting
Explores alone but with parent close by
Says several single words
Says and shakes head “no”
Points to show someone what he wants
You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 18-month-old child today.
Provide a safe, loving environment. It’s important to be consistent and predictable.
Praise good behaviors more than you punish bad behaviors (use only very brief time outs).
Describe her emotions. For example, say, “You are happy when we read this book.”
Encourage pretend play.
Encourage empathy. For example, when he sees a child who is sad, encourage him to hug or pat the other child.
Read books and talk about the pictures using simple words.
Copy your child’s words.
Use words that describe feelings and emotions.
Use simple, clear phrases and ask simple questions.
Hide things under blankets and pillows and encourage him to find them.
Play with blocks, balls, puzzles, books, and toys that teach cause and effect and problem-solving.
Name pictures in books and body parts.
Provide toys that encourage pretend play; for example, dolls, play telephones.
Provide safe areas for your child to walk and move around in.
Provide toys that she can push or pull safely.
Provide balls for her to kick, roll, and throw.
Encourage him to drink from his cup and use a spoon, no matter how messy.
Blow bubbles and let your child pop them.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
Stands on tiptoe
Kicks a ball
Begins to run
Climbs onto and down from furniture without help
Walks up and down stairs holding on
Throws ball overhand
Makes or copies straight lines and circles
Finds things even when hidden under two or three covers
Begins to sort shapes and colors
Completes sentences and rhymes in familiar books
Plays simple make-believe games
Builds towers of 4 or more blocks
Might use one hand more than the other
Follows two-step instructions such as “Pick up your shoes and put them in the closet.”
Names items in a picture book such as a cat, bird, or dog
Copies others, especially adults and older children
Gets excited when with other children
Shows more and more independence
Shows defiant behavior (doing what he has been told not to)
Plays mainly beside other children, but is beginning
to include other children, such as in chase games
Points to things or pictures when they are named
Knows names of familiar people and body parts
Says sentences with 2 to 4 words
Follows simple instructions
Repeats words overheard in conversation
Points to things in a book
You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 2-year-old child today.
Encourage your child to help with simple chores at home, like sweeping and making dinner. Praise your child for being a good helper.
At this age, children still play next to (not with) each other and don’t share well. For play dates, give the children lots of toys to play with. Watch the children closely and step in if they fight or argue.
Give your child attention and praise when he follows instructions. Limit attention for defiant behavior. Spend a lot more time praising good behaviors than punishing bad ones.
Teach your child to identify and say body parts, animals, and other common things.
Do not correct your child when he says words incorrectly. Rather, say it correctly. For example, “That is a ball.”
Encourage your child to say a word instead of pointing. If your child can’t say the whole word (“milk”), give her the first sound (“m”) to help. Over time, you can prompt your child to say the whole sentence — “I want milk.”
Hide your child’s toys around the room and let him find them.
Help your child do puzzles with shapes, colors, or farm animals. Name each piece when your child puts it in place.
Encourage your child to play with blocks. Take turns building towers and knocking them down.
Do art projects with your child using crayons, paint, and paper. Describe what your child makes and hang it on the wall or refrigerator.
Ask your child to help you open doors and drawers and turn pages in a book or magazine.
Once your child walks well, ask her to carry small things for you.
Kick a ball back and forth with your child. When your child is good at that, encourage him to run and kick.
Take your child to the park to run and climb on equipment or walk on nature trails. Watch your child closely.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
Flu (Influenza) **YEARLY- to learn more about Influenza click here
Developmental screen
Lead Screen
Vision
Tuberculosis risk assessment
Height
Weight
Blood Pressure
Pulse
Consider fluoride
Dtap (Diphtheria, tetanus, & acellular pertussis)- to learn more about Diphtheria, tetanus, & acellular pertussis Click Here
IPV (Polio)- to learn more about Polio Click Here
MMR (Measles, mumps, and rubella)- to learn more about Measles, mumps, and rubella Click Here
VZV (Chicken Pox)- to learn more about Chicken Pox Click Here
Flu (Influenza) **YEARLY- to learn more about Influenza Click Here
Autism Screen
Lead Test
Tuberculosis risk assessment
Height
Weight
Head circumference
Consider fluoride
Flu (Influenza) **YEARLY- to learn more about Influenza Click Here
Lead screen
Vision
Hearing
Hemoglobin
Cholesterol
Tuberculosis risk assessment
Height
Weight
Blood pressure
Pulse
Tdap (Tetanus, diphtheria, and pertussis)- to learn more about Tetanus, diphtheria, and pertussis Click Here
HPV9 (Human papilloma-virus)- to learn more about Human papilloma-virus Click Here
MCV4 (Meningitis)- to learn more about Meningitis Click Here
Flu (Influenza) **YEARLY- to learn more about Influenza Click Here
Tuberculosis risk assessment
Height
Weight
Blood pressure
Pulse
Climbs well
Runs easily
Pedals a tricycle (3-wheel bike)
Walks up and down stairs, one foot on each step
Can work toys with buttons, levers, and moving parts
Plays make-believe with dolls, animals, and people
Does puzzles with 3 or 4 pieces
Understands what “two” means
Copies a circle with a pencil or crayon
Turns book pages one at a time
Builds towers of more than 6 blocks
Screws and unscrews jar lids or turns a door handle
Copies adults and friends
Shows affection for friends without prompting
Takes turns in games
Shows concern for a crying friend
Understands the idea of “mine” and “his” or “hers”
Shows a wide range of emotions
Separates easily from mom and dad
May get upset with major changes in routine
Dresses and undresses self
Follows instructions with 2 or 3 steps
Can name most familiar things
Understands words like “in,” “on,” and “under”
Says first name, age, and sex
Names a friend
Says words like “I,” “me,” “we,” and “you” and some plurals (cars, dogs, cats)
Talks well enough for strangers to understand most of the time
Carries on a conversation using 2 to 3 sentences
You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 3-year-old child today.
Go to playgroups with your child or other places where there are other children, to encourage getting along with others.
Work with your child to solve the problem when he is upset.
Talk about your child’s emotions. For example, say, “I can tell you feel mad because you threw the puzzle piece.” Encourage your child to identify feelings in books.
Set rules and limits for your child, and stick to them. If your child breaks a rule, give him a time out for 30 seconds to 1 minute in a chair or in his room. Praise your child for following the rules.
Give your child instructions with 2 or 3 steps.
For example, “Go to your room and get your shoes and coat.”
Read to your child every day. Ask your child to point to things in the pictures and repeat words after you.
Give your child an “activity box” with paper, crayons, and coloring books. Color and draw lines and shapes with your child.
Play matching games. Ask your child to find objects in books or around the house that are the same.
Play counting games. Count body parts, stairs, and other things you use or see every day.
Hold your child’s hand going up and down stairs. When she can go up and down easily, encourage her to use the railing.
Play outside with your child. Go to the park or hiking trail. Allow your child to play freely and without structured activities.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
Hops and stands on one foot up to 2 seconds
Catches a bounced ball most of the time
Pours, cuts with supervision and mashes own food
Names some colors and some numbers
Understands the idea of counting
Starts to understand time
Remembers parts of a story
Understands the idea of “same” and “different”
Draws a person with 2 to 4 body parts
Uses scissors
Starts to copy some capital letters
Plays board or card games
Tells you what he thinks is going to happen next in a book
Enjoys doing new things
Plays “Mom” and “Dad”
Is more and more creative with make-believe play
Would rather play with other children than by himself
Cooperates with other children
Often can’t tell what’s real and what’s make-believe
Talks about what she likes and what she is interested in
Knows some basic rules of grammar, such as correctly using “he” and “she
Sings a song from memory like the “Itsy Bitsy Spider” or the “Wheels on the Bus”
Tells stories
Can say first and last name
You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 4-year-old child today.
Play make-believe with your child. Let her be the leader and copy what she is doing.
Suggest your child pretend to play an upcoming event that might make him nervous, like going to preschool or staying overnight at a grandparent’s house.
Give your child simple choices whenever you can. Let your child choose what to wear, play, or eat for a snack. Limit choices to 2 or 3.
During play dates, let your child solve her own problems with friends, but be nearby to help out if needed.
Encourage your child to use words, share toys, and take turns playing games of one another’s choice.
Give your child toys to build imagination, like dress-up clothes, kitchen sets, and blocks.
Use good grammar when speaking to your child. Instead of “Mommy wants you to come here,” say, “I want you to come here.”
Use words like “first,” “second,” and “finally” when talking about everyday activities. This will help your child learn about sequence of events.
Take time to answer your child’s “why” questions. If you don’t know the answer, say “I don’t know,” or help your child find the answer in a book, on the Internet, or from another adult.
When you read with your child, ask him to tell you what happened in the story as you go.
When you read with your child, ask him to tell you what happened in the story as you go.
Teach your child to play outdoor games like tag, follow the leader, and duck, duck, goose.
Play your child’s favorite music and dance with your child. Take turns copying each other’s moves.
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
Stands on one foot for 10 seconds or longer
Hops; may be able to skip
Can do a somersault
Uses a fork and spoon and sometimes a table knife
Can use the toilet on her own
Swings and climbs
Counts 10 or more things
Can draw a person with at least 6 body parts
Can print some letters or numbers
Copies a triangle and other geometric shapes
Knows about things used every day, like money and food
Wants to please friends
Wants to be like friends
More likely to agree with rules
Likes to sing, dance, and act
Is aware of gender
Can tell what’s real and what’s make-believe
Shows more independence (for example, may visit a next-door neighbor by himself [adult supervision is still needed])
Is sometimes demanding and sometimes very cooperative
Speaks very clearly
Tells a simple story using full sentences
Uses future tense; for example, “Grandma will be here.”
Says name and address
You can help your child learn and grow. Talk, read, sing, and play together every day. Below are some activities to enjoy with your 5-year-old child today.
Continue to arrange play dates, trips to the park, or play groups. Give your child more freedom to choose activities to play with friends, and let your child work out problems on her own.
Your child might start to talk back or use profanity (swear words) as a way to feel independent.
Do not give a lot of attention to this talk, other than a brief time out. Instead, praise your child when he asks for things nicely and calmly takes “no” for an answer.
This is a good time to talk to your child about safe touch. No one should touch “private parts” except doctors or nurses during an exam or parents when they are trying to keep the child clean.
Teach your child her address and phone number.
When reading to your child, ask him to predict what will happen next in the story.
Encourage your child to “read” by looking at the pictures and telling the story.
Teach your child time concepts like morning, afternoon, evening, today, tomorrow, and yesterday. Start teaching the days of the week.
Explore your child’s interests in your community. For example, if your child loves animals, visit the zoo or petting farm. Go to the library or look on the Internet to learn about these topics.
Keep a handy box of crayons, paper, paint, child scissors, and paste. Encourage your child to draw and make art projects with different supplies.
Play with toys that encourage your child to put things together.
Teach your child how to pump her legs back and forth on a swing.
Help your child climb on the monkey bars.
Go on walks with your child, do a scavenger hunt in your neighborhood or park, help him ride a bike with training wheels (wearing a helmet).
This information was obtained from the CDC’s Developmental Milestones Checklist. To find the original version, please visit www.cdc.gov
MCV4 (Meningitis)**At the 16 year-old visit- to learn more about Meningitis click here
MenB (Meningitis B)**As indicated at the 18-year-old visit- to learn more about Meningitis B click here
Flu (Influenza) **YEARLY- to learn more about Influenza click here
Developmental screen
Vision
Hearing
Cholesterol
Sexually transmitted infection risk assessment and testing as indicated
Offer HIV test
Tuberculosis risk assessment
Height
Weight
Blood Pressure
Pulse
Consider fluoride