At this age, your baby can transition from breast milk or formula to cow’s milk, however it is

healthy to continue breast milk if that is what you prefer for your baby. Most babies need 3 meals, 2-3 snacks per day, and no more than 16-20 ounces of whole cow's milk per day. Your baby will be able to eat many of the foods you eat, but be careful to avoid small, hard foods that can cause choking. It is time to wean your child from the bottle and offer all liquids in a sippy cup. It is much easier to wean your child now than if you wait until they are older - avoid cavities and additional tears and make the change now!
Your baby will be outgrowing the infant carrier car seat. Continue to have your baby in a
rear facing seat as long as possible up to the maximum height or weight allowed by the care seat manufacturer.
At this visit we will:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Provide your baby’s immunizations.
- Discuss dental health
- Screen your baby for amblyopia (lazy eye) with our ocular photoscreen device.
Immunizations: MMR #1, Varicella #1 (Chicken Pox), PCV 13 #4, HepA#1
Tests/Screens/Assessments: TB Surveillance, Lead Testing, Anemia Testing, Oral Health Surveillance, Vision Photoscreen
Helpful Info: Playing Is How Toddlers Learn,
Your Child's Development,
Suggested Feeding Schedule,
MD Poison Center (888-222-1222)
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info
Your child may be able to climb and run, so be sure to safety proof your home.
Poison control is available 24 hours a day: 1-800-222-1222 - keep this number handy in your cell phone and on your refrigerator.
At this visit we will:
- Measure your baby’s weight, length and head size and record on a growth curve.
- Provide your baby’s immunizations.
Immunizations: Pentacel #4 (DTaP/HiB/IPV)
Tests/Screens/Assessments: Anemia Surveillance
Helpful Info: Choking Prevention and First Aid for Infants and Children,
MD Poison Center (888-222-1222)
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info
At 18 months, your child understands much more than he or she can say in words. Use words to describe your child’s feelings and gestures. Read and sing to your child often. When reading, use simple words to talk about the

pictures.
At this visit we will:
- Measure your child’s weight, length and head size and record on a growth curve.
- Provide your baby’s immunizations.
- Review your child’s development with you using the M-CHAT developmental questionnaire (autism screening tool) and the Ages and Stages Questionairre.
- Discuss dental health.
- Discuss temper tantrums.
Immunizations: Hep A #2
Tests/Screens/Assessments: Ages and Stages Questionnaire, MCHAT Questionnaire, TB Surveillance, Anemia Surveillance, Lead Surveillance, Oral Health Surveillance
Helpful Info: Weaning from the Pacifier,
Is Your Toddler Communicating With You?,
MD Poison Center (888-222-1222)
Please Complete Before Your Visit: Ages and Stages Questionnaire, MCHAT Questionnaire
Bright Futures Parent Info
At this age, your 2 year old may go from trying to be independent to clinging to you; this is normal. It is better for toddlers to play than to watch TV. Even

having television playing in the background interrupts healthy toddler play - background music is a better choice.
At this visit we will:
- Measure your child’s weight, length, head size and Body mass index and record on a growth curve.
- Most of our patients do not have immunizations due at this visit. Your child may need immunizations if they are behind on their shots.
- Review your child’s development with you using the MCHAT (Autism screening tool) questionnaire.
- Screen your baby for amblyopia (lazy eye) with our ocular photoscreen device.
- Discuss dental health
- Discuss toilet training and time out.
Immunizations: Flu vaccine during flu season
Tests/Screens/Assessments: MCHAT Questionnaire, TB Surveillance, Anemia Surveillance, Lead Surveillance, Dyslipidemia Surveillance, Lead Test, Vision Photoscreen
Helpful Info: Playground Safety,
Toilet Training,
Suggested Feeding Schedule
Please Complete Before Your Visit: Ages and Stages Questionnaire, MCHAT Questionnaire
Bright Futures Parent Info
Your baby is not really a baby anymore. They are firmly in the toddler years. One moment they seem so big and the next still very small. This is the "do-it-myself time." But they still need parents to be there when things

don't turn out as expected. Toddlers will look to parents to give them the freedom to try and the room to fail. There are so many activities your toddler will love at this age including reading, coloring, singing, dancing, puzzles, and imaginary play.
At this visit we will:
- Measure your child’s weight, length, head size and Body mass index and record on a growth curve.
- Most of our patients do not have immunizations due at this visit. Your child may need immunizations if they are behind on their shots.
- Assess your child's development and consider repeating an Autism Screen if necessary.
- Screen your baby for amblyopia (lazy eye) with our ocular photoscreen device.
- Discuss dental health
- Help prepare parents for sleeping, eating, and tantruming issues associated with this age.
Immunizations: Flu vaccine during flu season
Tests/Screens/Assessments: Ages & Stages Developmental Screening, Anemia Surveillance, Oral Health Surveillance,
Helpful Info: Temper Tantrums: A Normal Part of Growing Up
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info
Your child will likely be moving into a world of make believe that they create with their imagination. Toys for dress up and make believe are important at

this age. Read books, sing songs and play rhyming games with your child each day.
At this visit we will:
- Measure your child’s weight, height and body mass index and record on a growth curve.
- Most of our patients do not have immunizations due at this visit. Your child may need immunizations if they are behind on their shots or duirng flu season.
- Discuss dental health.
Immunizations: Flu vaccine during flu season
Tests/Screens/Assessments: TB Surveillance, Lead Surveillance, Oral Health Surveillance, Vision Testing,
Helpful Info: Toilet Training,
Temper Tantrums
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info
Four year olds often like to sing, dance and act. They like to tell "tall tales" and make up stories. Enjoy these fun moments with your little one! Parents
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should continue to help with brushing teeth even though your child will want to do it all by themselves.
At this visit we will:
- Measure your child’s weight and height and body mass index and record on a growth curve.
- Provide your child's immunizations.
- Discuss dental health.
Immunizations: MMR#2, Var#2 DTaP#5, IPV#4
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Lead Surveillance, Dyslipidemia Surveillance, Oral Health Surveillance, Vision Testing, Hearing Testing
Helpful Info: Encourage Your Child to Be Physically Active,
Suggested Feeding Schedule
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info
At this age, your child needs more independence. However, you need to set clear limits. A regular bedtime and consistent bedtime routine are
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important. Be a great role model. Show an interest in what they are learning.
At this visit we will:
- Measure your child’s weight and height and body mass index and record on a growth curve Review your child’s speech and development
- Discuss exercise and nutrition
- Vision and Hearing Screens
- Discuss kindergarten readiness
- Discuss dental health
Immunizations: Administer any final booster doses not done a the 4 year visit.
Tests/Screens/Assessments: TB Surveillance, Anemia Surveillance, Lead Surveillance, Oral Health Surveillance, Vision Testing, Hearing Testing,
Helpful Info: Bedtime Hassles
Please Complete Before Your Visit: Ages and Stages Questionnaire
Bright Futures Parent Info