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Name:____________________
Date Of Visit:____________________
Weight:____________________
Length:____________________
Head Circumference:____________________
Things the doctor will do at today's visit:
Things you may want to discuss at this visit:
Your baby's growth and nutrition.
_______________________________________________________
Your baby's behavior and development.
_______________________________________________________
Your baby's sleeping habits.
_______________________________________________________
Your plans for returning to work or school, and child-care arrangements.
_______________________________________________________
Any other concerns you have.
_______________________________________________________
Things to keep in mind:
Schedule an appointment for your baby's next visit, usually at 6 months of age.
Date:____________________
Time:____________________
Based on health-supervision guidelines from the American Academy of Pediatrics and from Bright Futures, which is funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau.
Last updated December 2, 2011