5-Year Visit

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Harvard Medical School
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5-Year Visit

Guiding Your Child Through The Middle Years
5 Years Features
5-Year Visit
5-Year Visit
Find out what to expect at the 5-year visit.
InteliHealth Medical Content

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Reviewed by the Faculty of Harvard Medical School

5-Year Visit

Name: ______________________________

Date Of Visit: _______________________

Weight: _________________________

Height: ______________________

Things your doctor will do at today's visit:

  • Ask for an update on your child's health
  • Do a physical exam on your child
  • Check your child's height and weight, calculate body mass index (BMI), and plot the measurements on a growth chart
  • Check your child’s blood pressure, hearing, and vision
  • Ask about your child's eating, toilet and sleep habits; ask about physical activity and screen time
  • Ask about your child’s psychosocial and behavioral development (i.e. telling stories, dressing themselves, drawing people, walking down the stairs, knowing the home address and phone number)
  • Ask about possible exposure of your child to lead and test for lead, if indicated
  • Discuss your child's risk of anemia (iron-poor blood) and test for anemia, if indicated
  • Ask about your family's history of heart disease and test cholesterol levels, if indicated
  • Possibly check a urine sample from your child
  • 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 physical activity and screen time
  • Your child’s behavior and development
  • Any concerns about your child's language, hearing or vision
  • How best to prepare your child for school
  • Your child-care arrangements before and after school
  • Safety concerns inside and outside the home
  • Any other concerns you have

Things your child may want to discuss at this visit:

  • What he thinks about going to school
  • What he likes to do for fun
  • Who his friends are and what they like to do when they play together

Things to keep in mind:

  • Always use a car seat or belt-positioning booster seat, which is safest for your child when it is in the back seat.
  • Make clear rules for safe behavior that all caregivers consistently enforce.
  • Discuss pedestrian (walking), bicycle, playground and stranger safety with your child.
  • Teach your child what to do in case of an emergency and how to dial 911.
  • Supervise your child around water. Discuss water/swimming safety.
  • Limit your child’s exposure to secondhand smoke.
  • Prevent gun injuries by not having a gun at home. If you do have a gun, keep it unloaded and locked away. Ammunition should be locked up separately.
  • Always apply sunscreen of SPF 30 or higher on your child at least 15 minutes before your child goes outside. Reapply every 2 hours.
  • Be sure your child brushes his teeth at least two times each day, including just before bed.
  • Take your child to the dentist regularly (every six months) to check his growing teeth. Talk with your dentist about dental sealants for your child.
  • Limit high-fat foods and sugary foods and drinks, such as candy, juice or soda. Limit juice to 6 ounces a day.
  • Serve your child a well-balanced diet that has protein, whole grains, fruits, vegetables, and low-fat dairy. Your child should get 2 cups of low-fat milk a day.
  • Make time to eat together as a family most nights of the week.
  • Praise your child for good behavior and for all of his accomplishments.
  • Take time to listen to your child. Show respect for him; make him feel that what he says is important.
  • Teach your child family rules, respect for authority, and the difference between right and wrong.
  • Expect your child to start being curious about sex, and answer his questions using simple and correct terms.
  • Make sure your child gets enough sleep.
  • Encourage regular physical activity.
  • Limit television and video watching to one to two hours per day. Watch programs with your child and discuss them.
  • Read books with your child.
  • Prepare your child for school. Meet with his teachers and tour the school with him before school starts.

Schedule an appointment for your child's next visit, usually at 6 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.



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Last updated August 20, 2014

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