4-Year Visit

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4-Year Visit

Guiding Your Child Through The Early Years
4 Years Features
4-Year Visit
4-Year Visit
Find out what to expect at the 4-year visit.
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4-Year Visit


Date Of Visit:____________________




Things your doctor will do at today's visit:

  • Ask for an update on your child's health
  • Examine your child
  • Check your child's height and weight, calculate body mass index (BMI), and plot the measurements on  growth charts
  • Check your child's blood pressure, hearing and vision
  • Ask about possible exposure of your child to lead and test for lead, if indicated
  • Ask about your family's history of heart disease and test cholesterol levels, if indicated
  • Discuss your child's risk of anemia (iron-poor blood) and test for anemia, if indicated
  • Ask about possible exposure to tuberculosis (TB) and test your child, if indicated
  • Recommend one or more immunizations: MMR (measles, mumps, rubella), DTaP (diphtheria, tetanus, pertussis/whooping cough), polio, varicella (chicken pox)
  • Give you an opportunity to ask questions

Things you may want to discuss at this visit:

Your child's growth and nutrition.


Your child's behavior and development.


Your child's interest in playing with other children and making friends.


Ways to help siblings resolve problems and deal with their anger.


Your child's sleeping habits.


Any concerns about your child's language, hearing or vision.


How things are going at your child's preschool or child-care program.


Any other concerns you have.


Things to keep in mind:

  • Always use a car seat or booster seat, and only place a car seat in the back seat.
  • Set firm rules for safe behavior. All caregivers must consistently enforce these rules.
  • Encourage your child to be active everyday with adult supervision.
  • Make sure that wherever your child plays (for example, the yard or playground) is safe.
  • Supervise your child around water and when playing near streets.
  • Always apply sunscreen of SPF 30 or higher on your child at least 15 minutes before going outside. Reapply every 2 hours.
  • Teach your child about stranger safety.
  • Make sure your child brushes his teeth at least twice each day.
  • Limit high-fat foods, sugary foods, juice and soda.
  • Praise your child for good behavior and for all of his accomplishments.
  • Plan time for your child to play together with other children.
  • Reinforce limits and use time-out or other consistent discipline for unacceptable behavior.
  • Take time to listen to your child. Show respect for her; make her feel that what she says is important.
  • Limit television and other media to no more than 2 hours per day. Watch programs with your child and discuss them.

Schedule an appointment for your child's next visit, usually at 5 years of age.



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 August 1, 2014

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pediatric visit,preschooler,toddler,anemia
Last updated August 01, 2014

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