6-Year Visit

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Harvard Medical School
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6-Year Visit

Guiding Your Child Through The Middle Years
6 Years features
6-Year Visit
6-Year Visit
Find out what to expect at the 6-year visit.
InteliHealth Medical Content

Reviewed by the Faculty of Harvard Medical School

6-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 weight and height, calculate body mass index (BMI), and plot the measurements on growth charts
  • Ask about your child's eating, bathroom habits, sleep, physical activity, and screen time
  • Ask about your child’s behavior and psychosocial development (i.e. tie shoes, know difference between fantasy and reality, write first and last name)
  • 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 child's risk of anemia (iron-poor blood) and screen your child for anemia
  • Ask about your family’s history of heart disease and test cholesterol levels, 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)
  • Ask about your child's oral health
  • 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 physical activity and screen time
  • 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
  • Any other concerns you have
  • Safety concerns inside and outside the home

Things your child may want to discuss at this visit:

  • How school is going for him
  • What he likes most about school and what he likes least
  • Who his friends are and what they like to do when they play together

Things to keep in mind:

  • Praise your child's accomplishments and provide support in areas where your child is struggling.
  • Always use a belt-positioning booster seat until your child is at least 8 years old or over 4-feet, 9-inches tall. It is safest for your child to ride in the back seat.
  • Discuss pedestrian (walking), bicycle and playground safety with your child.
  • Teach your child about stranger safety.
  • Teach your child what to do in case of emergency and how to dial 911.
  • 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.
  • Limit your child’s exposure to secondhand smoke.
  • Reinforce home safety rules. Conduct regular fire drills; lock up poisons, matches and electrical tools.
  • Make sure your child brushes his teeth at least two times each day, including just before bed.
  • Help your child learn healthy eating habits, such as eating five servings of fruits and vegetables daily, and limiting high-fat and sugary foods.
  • Encourage self-discipline and impulse control.
  • Make sure your child gets regular physical activity and enough sleep.
  • Assign age-appropriate chores, including responsibility for personal belongings, and provide some personal space for your child at home.
  • Limit television and video watching to one to two hours per day. Watch programs with your child and discuss them.
  • Encourage reading. Visit your local library regularly.
  • Be involved with your child’s school, perhaps as a volunteer.

Schedule an appointment for your child’s next visit, usually at 8 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 27, 2014

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