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Periodicity Schedule

Schedule of Screenings & Assessments Recommended at Each Well-child Visit from Infancy through Adolescence

Each child and family is unique; therefore, these Recommendations for Preventive Pediatric Health Care are designed for the care of children who ​are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in satisfactory fashion. Additional visits may become necessary if circumstances suggest variations from normal. Developmental, psychosocial, and chronic disease issues for children and adolescents may require frequent counseling and treatment visits separate from preventive care visits.

These guidelines represent a consensus by the American Academy of Pediatrics (AAP) and Bright Futures. The AAP continues to emphasize the great importance of continuity of care in compr​ehensive health supervision and the need to avoid fragmentation of care. Refer to the specific guidance by age as listed in Bright Futures guidelines (Hagan JF, Shaw JS, Duncan PM, eds. Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics; 2008).

For implementat​ion and coding information for each visit on the Periodicity Schedule, please see the Achieving Bright Futures​ series. 

Summary of Changes Made to the 2015 Recommendations

Changes to Vision Screening (October 2015)

  • The routine screening at age 18 has been changed to a risk assessment.
  • The accompanying footnote (#7) has been updated.

Changes to Oral Health (May 2015)

  • A subheading has been added for fluoride varnish, with a recommendation from 6 months through 5 years.
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