Date Of Visit:____________________
Things your doctor will do at today’s visit:
- Ask for an update on your health
- Do a physical exam, including checking for scoliosis and signs of puberty
- Check your blood pressure, and possibly your hearing and/or vision
- Ask about your family’s history of heart disease and test cholesterol levels if indicated
- Ask about possible exposure to tuberculosis (TB) and test you if indicated
- Discuss your risk of anemia (iron-poor blood) and test for it if indicated
- Recommend one or more immunizations: Tdap (tetanus, diphtheria, and acellular pertussis), HPV (human papillomavirus), meningococcus and influenza
- Give you and your parent(s) an opportunity to ask questions
Things you may want to discuss at this visit:
- Questions about dating and social activities
- How to handle pressure from friends to do things you don’t want to do
- Questions about growing up, body changes and sex
- Issues about getting along with parents, brothers or sisters
- Any other concerns you have
Things your parent(s) may want to discuss at this visit:
- How you are doing in school
- Your interests, talents and after-school activities
- Your growth
- Your diet (nutrition)
- Questions about development, puberty or sex
- Your sleeping habits
- Questions about behavior, discipline, tobacco, alcohol or drug use
Things for you to keep in mind:
- Participate in school and community activities.
- Spend time with your family doing things you all enjoy.
- Always use a seat belt, bike helmet and other protective sports gear.
- Do not use tobacco, alcohol or drugs.
- Do not use guns or other weapons.
- Learn how to respond to pressure from friends to do things you do not want to do.
- Brush your teeth at least two times each day, including just before bed. Be sure to floss and see a dentist regularly.
- Manage your weight by making healthy choices for meals and snacks, and exercising regularly (at least three times per week).
- Talk with someone when you feel anxious, stressed, sad or lonely, or if things just don’t seem to be going right.
- Know that it is normal to have sexual feelings, but wait to have sex until you are older.
- Learn how to say no to sex.
- Limit television, video watching and video games to one to two hours per day.
Schedule an appointment for your next visit, usually in one year.
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 4, 2014