<p><span>Babies need to see the doctor or nurse for a “well-baby visit” 6 times before their first birthday.</span></p><p><span>A well-baby visit (also called a checkup) is when you take your baby to the doctor to make sure they’re healthy and developing normally. This is different from visits for sickness or injury.</span></p><p><span>At a well-baby visit, the doctor or nurse can help catch any problems early, when they may be easier to treat. You’ll also have a chance to ask any questions you have about caring for your baby.</span></p><p><span>Learn what to expect so you can make the most of each well-baby visit.</span></p>

The Basics: Overview

<h4>How often do I need to take my baby for well-baby visits?</h4><p><span>Babies need to see the doctor or nurse at least 6 times before their first birthday. Your baby is growing and changing quickly, so regular visits are&nbsp;important.</span></p><p><span>For most babies, the first well-baby visit is 2 to 3 days after coming home from the hospital. After that first visit, babies need to see the doctor or nurse when they’re:</span></p><ul><li><span>1 month old</span></li><li><span>2 months old</span></li><li><span>4 months old</span></li><li><span>6 months old</span></li><li><span>9 months old</span></li></ul><p><span>If you’re worried about your baby’s health, don’t wait until the next scheduled visit — call the doctor or nurse right away.</span></p>

The Basics: Well-Baby Visits

<h4><span>How do I know if my baby is growing and developing on&nbsp;schedule?</span></h4><p><span>Your baby’s doctor or nurse can help you understand how your baby is developing and learning to do new things — like smile or turn their head to hear your voice. These are sometimes called “developmental milestones.”</span></p><p><span>At each visit, the doctor or nurse will ask you how you’re doing as a parent and what new things your baby is learning to do. They may also ask how you’re feeling and if you need any support.</span></p>

The Basics: Child Development

<h4>By age 1 month, most babies:</h4><ul><li>Hold their hands in tight fists</li><li>Move their arms in jerky motions</li><li>Focus their eyes on something 8 to 12 inches away</li><li>Like sweet smells</li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/ages-stages/baby/Pages/Developmental-Milestones-1-Month.aspx?_label_=See+a+complete+list+of+milestones+for+babies+age+1+month">See a complete list of milestones for babies age 1 month</a>.</p>

The Basics: 1 Month

<h4><span>By age 2 months, most babies:</span></h4><ul><li><span>Lift their head when lying on their stomach</span></li><li><span>Look at your face</span></li><li><span>Smile when you talk to them</span></li><li><span>React to loud sounds</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.cdc.gov/ncbddd/actearly/milestones/milestones-2mo.html?_label_=See+a+complete+list+of+milestones+for+kids+age+2+months">See a complete list of milestones for kids age 2 months</a>.</p>

The Basics: 2 Months

<h4><span>By age 4 months, most babies:</span></h4><ul><li><span>Bring their hands to their mouth</span></li><li><span>Make cooing sounds</span></li><li><span>Hold toys that you put in their hand</span></li><li><span>Turn their head to the sound of your voice</span></li><li><span>Make sounds when you talk to them</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-4mo.html?_label_=%3Cspan%3ESee+a+complete+list+of+milestones+for+kids+age+4+months%3C%2Fspan%3E"><span>See a complete list of milestones for kids age 4 months</span></a><span>.</span></p>

The Basics: 4 Months

<h4><span>By age 6 months, most babies:</span></h4><ul><li>Lean on their hands for support when sitting</li><li>Roll over from their stomach to their back</li><li>Show interest in and reach for objects</li><li>Recognize familiar people</li><li>Like to look at themselves in a mirror</li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-6mo.html?_label_=%3Cspan%3ESee+a+complete+list+of%26nbsp%3Bmilestones+for+kids+age+6+months%3C%2Fspan%3E"><span>See a complete list of&nbsp;milestones for kids age 6 months</span></a><span>.&nbsp;</span></p>

The Basics: 6 Months

<h4><span>By age 9 months, most babies:</span></h4><ul><li><span>Make different sounds like “mamamama” and “bababababa”</span></li><li><span>Smile or laugh when you play peek-a-boo</span></li><li>Look at you when you say their name</li><li><span>Sit without support</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html?_label_=%3Cspan%3ESee+a+complete+list+of%26nbsp%3Bmilestones+for+kids+age+9+months%3C%2Fspan%3E"><span>See a complete list of&nbsp;milestones for kids age 9 months</span></a><span>.&nbsp;</span></p><h4><span>What if I'm worried about my baby's development?&nbsp;</span></h4><p><span>Every baby develops a little differently. But if you’re worried about your child’s growth and development, talk to your baby’s doctor or nurse.&nbsp;</span></p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.nlm.nih.gov/medlineplus/infantandnewborndevelopment.html?_label_=%3Cspan%3ELearn+more+about+newborn+and+infant+development%3C%2Fspan%3E"><span>Learn more about newborn and infant development</span></a><span>.</span></p>

The Basics: 9 Months

<p><span>Take these steps to help you and your baby get the most out of well-baby visits.</span></p><h4><span>Gather important information.</span></h4><p><span>Take any medical records you have to the appointment, including a record of vaccines (shots) your baby has received and results from&nbsp;newborn screenings. </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/pregnancy/doctor-and-midwife-visits/talk-your-doctor-about-newborn-screening?_label_=%3Cspan%3ERead+about+newborn+screenings%3C%2Fspan%3E"><span>Read about newborn screenings</span></a><span>.</span></p><p><span>Make a list of any important changes in your baby’s life since the last doctor’s visit, like:</span></p><ul><li><span>Being sick</span></li><li><span>Falling or getting injured</span></li><li><span>Starting daycare or getting a new caregiver</span></li></ul><p><span>Use this tool to&nbsp;</span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/cbiit.github.io/FHH/html/index.html?_label_=%3Cspan%3Ekeep+track+of+your+baby%E2%80%99s+family+health+history%3C%2Fspan%3E"><span>keep track of your baby’s family health history</span></a><span>. This information will help your doctor or nurse know if your baby is at risk for certain health problems.</span></p><h4>Ask other caregivers about your child.</h4><p>Before you visit the doctor, talk with others who care for your child, like a grandparent, daycare provider, or babysitter. They may be able to help you think of questions to ask the doctor or nurse.</p><h4><span>What about cost?</span></h4><p><span>Under the Affordable Care Act, insurance plans must cover well-baby visits. Depending on your insurance plan, you may be able to get well-baby visits at no cost to you. Check with your insurance company to find out more.</span></p><p><span>Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=%3Cspan%3ELearn+about+coverage+options%3C%2Fspan%3E"><span>Learn about coverage options</span></a><span> for your family.</span></p><p><span>If you don’t have insurance, you may still be able to get free or low-cost well-baby visits. </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=%3Cspan%3EFind+a+health+center+near+you%3C%2Fspan%3E"><span>Find a health center near you</span></a><span> and ask about well-baby visits.</span></p><p><span>To learn more, check out these resources:</span></p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act">Free preventive care for children covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=%3Cspan%3EHow+the+Affordable+Care+Act+protects+you+and+your+family%3C%2Fspan%3E"><span>How the Affordable Care Act protects you and your family</span></a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=%3Cspan%3EUnderstanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D%3C%2Fspan%3E"><span>Understanding your health insurance and how to use it [PDF - 698 KB]</span></a></li></ul>

Take Action: Get Ready

<h4><span>Make a list of questions to ask the doctor.</span></h4><p><span>Before the&nbsp;well-baby visit, write down a few questions you have. Each well-baby visit is a great time to ask the doctor or nurse any questions about:</span></p><ul><li><span>How your baby is growing and developing</span></li><li><span>How your baby is sleeping</span></li><li><span>Feeding your baby breastmilk or formula&nbsp;</span></li><li><span>When and how to start giving your baby solid foods</span></li><li><span>What changes and behaviors to expect in the coming months</span></li><li><span>How to&nbsp;make sure your home is safe&nbsp;for a growing baby</span></li></ul><h5><span>Here are some questions you may want to ask:</span></h5><ul><li><span>Is my baby up to date on vaccines?</span></li><li><span>Is my baby at a healthy weight? How can I make sure they’re getting enough to eat?</span></li><li><span>How can I make sure my baby is sleeping safely — and getting enough sleep?</span></li><li><span>How can I help my baby develop speech and language skills? What kind of books can I read to my baby?</span></li><li><span>Is it okay for my baby to have screen time? How much?</span></li><li><span>How do I clean my baby's teeth?</span></li></ul><p><span>Take notes so you can remember the answers later.</span></p><h5><span>Ask what to do if your baby gets sick.</span></h5><ul><li><span>Make sure you know how to get in touch with a doctor or nurse when the office is closed</span></li><li><span>Ask how to reach the doctor on call —&nbsp;or if there's a nurse information service you can call at night or on the weekend</span></li></ul>

Take Action: Ask Questions

<h4><span>Know what to expect.</span></h4><p><span>During each well-baby visit, the doctor or nurse will ask you about your baby and do a physical exam. The doctor or nurse will then update your baby’s medical history with any new information.</span></p><h5><span>The doctor or nurse will ask questions about your baby.</span></h5><p><span>The doctor or nurse may ask about:</span></p><ul><li><span><strong>Behavior:</strong> Does your baby copy your movements and sounds?</span></li><li><span><strong>Health:</strong> How many diapers does your baby wet each day? Does your baby spend time around people who are smoking or using e-cigarettes (vaping)?</span></li><li><span><strong>Safety:</strong>&nbsp;If you live in an older home, has it been inspected for lead? Do you have a safe car seat for your baby?</span></li><li><span><strong>Activities:</strong> Does your baby try to roll over? How often do you read to your baby?</span></li><li><span><strong>Eating habits:</strong> How often does your baby eat each day? How are you feeding your baby?</span></li><li><span><strong>Family:</strong> Do you have any worries about being a parent? Who can you count on to help you take care of your baby?</span></li></ul><p><span>Your answers to questions like these will help the doctor or nurse make sure your baby is healthy, safe, and developing normally. Be honest, even if you’re worried you’re doing something wrong — the doctor or nurse is there to help you.</span></p>

Take Action: What to Expect

<h4>The doctor or nurse will also check your baby’s body.</h4><p><span>To check your baby’s body, the doctor or nurse will:</span></p><ul><li><span>Measure height, weight, and the size of your baby’s head</span></li><li><span>Take your baby’s temperature</span></li><li><span>Check your baby’s eyes and hearing</span></li><li><span>Check your baby’s body parts (this is called a physical exam)</span></li><li><span>Give your baby any vaccines they need</span></li></ul><p><span>Learn more about your baby’s health care:</span></p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/ages-stages/Your-Childs-Checkups/Pages/default.aspx?_label_=%3Cspan%3ERead+about+what+to+expect+at+your+baby%E2%80%99s+first+checkups%3C%2Fspan%3E"><span>Read about what to expect at your baby’s first checkups</span></a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/doctor-visits/shots-vaccines/get-your-childs-shots-schedule?_label_=Find+out+how+to+get+your+baby%E2%80%99s+shots+on+schedule">Find out how to get your baby’s shots on schedule</a></li></ul>

Take Action: Physical Exam

Make the Most of Your Baby’s Visit to the Doctor (Ages 0 to 11 Months) 

<p><span>Young children need to see the doctor or nurse for a “well-child visit” 7&nbsp;times between ages 1 and 4 years.</span></p><p><span>A well-child visit (also called a checkup) is when you take your child to the doctor to make sure they’re healthy and developing normally. This is different from visits for sickness or injury.</span></p><p><span>At a well-child visit, the doctor or nurse can help catch any problems early, when they may be easier to treat. You’ll also have a chance to ask questions about things like your child’s behavior, eating habits, and sleeping habits.</span></p><p><span>Learn what to expect so you can make the most of each visit.</span></p>

<h4><span>How often do I need to take my child for well-child visits?</span></h4><p><span>Young children grow quickly, so they need to visit the doctor or nurse regularly to make sure they’re healthy and developing normally.</span></p><p><span>Children ages 1 to 4 years need to see the doctor or nurse when they’re:</span></p><ul><li><span>12 months old (1 year)</span></li><li><span>15 months old (1 year and 3 months)</span></li><li><span>18 months old (1 year and 6 months)</span></li><li><span>24 months old (2 years)</span></li><li><span>30 months old (2 years and 6 months)</span></li><li><span>3 years old</span></li><li><span>4 years old</span></li></ul><p><span>If you’re worried about your child’s health, don’t wait until the next scheduled&nbsp;visit&nbsp;— call the doctor or nurse right away.</span></p>

The Basics: Well-Child Visits

<h4>How do I know if my child is growing and developing on schedule?</h4><p><span>Your child’s doctor or nurse can help you understand how your child is developing and learning to do new things — like walk and talk. These are sometimes called “developmental milestones.”</span></p><p><span>Every child grows and develops differently. For example, some children will take longer to start talking than others. </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.nlm.nih.gov/medlineplus/childdevelopment.html?_label_=%3Cspan%3ELearn+more+about+child+development%3C%2Fspan%3E"><span>Learn more about child development</span></a><span>.</span></p><p><span>At each visit, the doctor or nurse will what new things your child is learning to do. They may also ask how you’re feeling and if you need any support.</span></p>

<h4>By age 12 months, most kids:</h4><ul><li>Stand by holding on to something</li><li>Walk with help, like by holding on to the furniture</li><li>Call a parent "mama," "dada," or some other special name</li><li>Look for a toy they've seen you hide</li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-1yr.html?_label_=%3Cspan%3ECheck+out+this+complete+list+of+milestones+for+kids+age+12+months%3C%2Fspan%3E"><span>Check out this complete list of milestones for kids age 12 months</span></a><span>.</span></p><h4>By age 15 months, most kids:</h4><ul><li><span>Follow simple directions, like "Pick up the toy"</span></li><li><span>Show you a toy they like</span></li><li><span>Try to use things they see you use, like a cup or a book</span></li><li><span>Take a few steps on their own</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-15mo.html?_label_=Check+out+this+complete+list+of+milestones+for+kids+age+15+months.">Check out this complete list of milestones for kids age 15 months.</a></p><h4>By age 18 months, most kids:</h4><ul><li><span>Make scribbles with crayons</span></li><li><span>Look at a few pages in a book with you</span></li><li><span>Try to say 3 or more words besides “mama” or “dada”</span></li><li><span>Point to show someone what they want</span></li><li><span>Walk on their own</span></li><li><span>Try to use a spoon</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.cdc.gov/ncbddd/actearly/milestones/milestones-18mo.html?_label_=%3Cspan%3ECheck+out+this+complete+list+of+milestones+for+kids+age+18+months%3C%2Fspan%3E"><span>Check out this complete list of milestones for kids age 18 months</span></a><span>.&nbsp;</span></p>

The Basics: Ages 12 to 18 Months

<h4>By age 24 months, most kids:</h4><ul><li><span>Notice when others are hurt or upset</span></li><li><span>Point to at least 2 body parts, like their nose, when asked</span></li><li><span>Try to use knobs or buttons on a toy</span></li><li><span>Kick a ball</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.cdc.gov/ncbddd/actearly/milestones/milestones-2yr.html?_label_=%3Cspan%3ECheck+out+this+complete+list+of+milestones+for+kids+age+24+months%3C%2Fspan%3E"><span>Check out this complete list of milestones for kids age 24 months</span></a><span>.&nbsp;</span></p><h4>By age 30 months, most kids:</h4><ul><li><span>Name items in a picture book, like a cat or dog</span></li><li><span>Play next to or with other kids</span></li><li><span>Jump off the ground with both feet</span></li><li><span>Take some clothes off by themselves, like loose pants or an open jacket</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-30mo.html?_label_=%3Cspan%3ECheck+out+this+complete+list+of+milestones+for+kids+age+30+months%3C%2Fspan%3E"><span>Check out this complete list of milestones for kids age 30 months</span></a><span>.</span></p>

The Basics: Ages 24 to 30 Months

<h4>By age 3 years, most kids:</h4><ul><li><span>Calm down within 10 minutes after you leave them, like at a child care drop-off</span></li><li><span>Draw a circle after you show them how</span></li><li><span>Ask “who,” “what,” “where,” or “why” questions, like “Where is Daddy?”</span></li><li><span>Use a fork</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.cdc.gov/ncbddd/actearly/milestones/milestones-3yr.html?_label_=%3Cspan%3ECheck+out+this+complete+list+of+milestones+for+kids+age+3+years%3C%2Fspan%3E"><span>Check out this complete list of milestones for kids age 3 years</span></a><span>.&nbsp;</span></p><h4>By age 4 years, most kids:</h4><ul><li><span>Avoid danger — for example, they don’t jump from tall heights at the playground</span></li><li><span>Pretend to be something else during play, like a teacher, superhero, or dog</span></li><li><span>Draw a person with 3 or more body parts</span></li><li><span>Catch a large ball most of the time</span></li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.cdc.gov/ncbddd/actearly/milestones/milestones-4yr.html?_label_=%3Cspan%3ECheck+out+this+complete+list+of+milestones+for+kids+age+4+years%3C%2Fspan%3E"><span>Check out this complete list of milestones for kids age 4 years</span></a><span>.&nbsp;</span></p>

The Basics: Ages 3 to 4 Years

<p><span>Take these steps to help you and your child get the most out of well-child visits.</span></p><h4><span>Gather important information.</span></h4><p><span>Take any medical records you have to the appointment, including a record of vaccines (shots) your child has received.</span></p><p><span>Make a list of any important changes in your child’s life since the last doctor’s visit, like a:</span></p><ul><li><span>New brother or sister</span></li><li><span>Serious illness or death in the family</span></li><li><span>Separation or divorce — or a parent spending time in jail or prison</span></li><li><span>Change in childcare</span></li></ul><p><span>Use this tool to&nbsp;</span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/cbiit.github.io/FHH/html/index.html?_label_=%3Cspan%3Ekeep+track+of+your+child%E2%80%99s+family+health+history%3C%2Fspan%3E"><span>keep track of your child’s family health history</span></a><span>. This information will help your doctor or nurse know if your child is at risk for certain health problems.&nbsp;</span></p><h5><span>Ask other caregivers about your child.</span></h5><p><span>Before you visit the doctor, talk with others who care for your child, like a grandparent, daycare provider, or babysitter. They may be able to help you think of questions to ask the doctor or nurse.</span></p><h4><span>What about cost?</span></h4><p><span>Under the Affordable Care Act, insurance plans must cover well-child visits. Depending on your insurance plan, you may be able to get well-child visits at no cost to you. Check with your insurance company to find out more.</span></p><p><span>Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=%3Cspan%3ELearn+about+coverage+options%3C%2Fspan%3E"><span>Learn about coverage options</span></a><span> for your family.</span></p><p><span>If you don’t have insurance, you may still be able to get free or low-cost well-child visits. </span><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=%3Cspan%3EFind+a+health+center+near+you%3C%2Fspan%3E"><span>Find a health center near you</span></a><span> and ask about well-child visits.</span></p><p><span>To learn more, check out these resources:</span></p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act">Free preventive care for children covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=%3Cspan%3EHow+the+Affordable+Care+Act+protects+you+and+your+family%3C%2Fspan%3E"><span>How the Affordable Care Act protects you and your family</span></a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=%3Cspan%3EUnderstanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D%3C%2Fspan%3E"><span>Understanding your health insurance and how to use it [PDF - 698 KB]</span></a></li></ul>

<h4><span>Make a list of questions you want to ask the doctor.</span></h4><p><span>Before the well-child visit, write down a few questions you have. This visit is a great time to ask the doctor or nurse any questions about:</span></p><ul><li><span>A health condition your child has (like asthma or an allergy)</span></li><li><span>Changes in sleeping or eating habits</span></li><li><span>How to help kids in the family get along</span></li></ul><h5><span>Here are some questions you may want&nbsp;to ask:</span></h5><ul><li><span>Is my child up&nbsp;to&nbsp;date on vaccines?</span></li><li><span>How can I make sure my child is getting enough physical activity?</span></li><li><span>Is my child at a healthy weight?</span></li><li><span>How can I help my child try different foods?</span></li><li><span>What are appropriate ways to discipline my child?</span></li><li><span>How much screen time is okay for young children?</span></li></ul><p><span>Take notes so you can remember the answers later.</span></p><h5><span>Ask what to do if your child gets sick.&nbsp;</span></h5><ul><li><span>Make sure you know how to get in touch with a doctor or nurse when the office is closed.</span></li><li><span>Ask how to reach the doctor on call — or if there's a nurse&nbsp;information service you can call at night or during the weekend.&nbsp;</span></li></ul>

<h4>Know what to expect.</h4><p><span>During each well-child visit, the doctor or nurse will ask you questions about your child, do a physical exam, and update your child's medical history. You'll also be able to ask your questions and discuss any problems you may be having.</span></p><h4>The doctor or nurse will ask questions about your child.</h4><p><span>The doctor or nurse may ask about:</span></p><ul><li><span><strong>Behavior:</strong> Does your child have trouble following directions?</span></li><li><span><strong>Health:</strong> Does your child often have stomachaches or other kinds of pain?</span></li><li><span><strong>Activities:</strong> What types of pretend play does your child like? What toys or other things do they most like playing with?</span></li><li><span><strong>Eating habits:</strong> What does your child eat on a normal day?</span></li><li><span><strong>Family:</strong> Have there been any changes in your family since your last&nbsp;visit?</span></li><li><span><strong>Learning:</strong> What’s something new your child learned recently?</span></li></ul><p><span>They may also ask questions about safety, like:</span></p><ul><li><span>Does your child always ride in a car seat in the back seat of the car?&nbsp;</span></li><li><span>Does anyone in your home have a gun? If so, is it unloaded and locked in a place where your child can’t get it?</span></li><li><span>Is there a swimming pool or other water around your home? Is there a locked door or gate to keep your child from getting to the pool without an adult?</span></li><li><span>What steps have you taken to childproof your home? Do you have gates on stairs and latches on cabinets?</span></li><li><span>Does everyone who cares for your child know when and how to call Poison Control (1-800-222-1222)?</span></li></ul><p><span>Your answers to questions like these will help the doctor or nurse make sure your child is healthy, safe, and developing normally. Be honest, even if you’re worried you’re doing something wrong — the doctor or nurse is there to help you.</span></p>

<h4>The doctor or nurse will also check your child’s body.</h4><p><span>To check your child’s body, the doctor or nurse will:</span></p><ul><li><span>Measure your child’s height and weight</span></li><li><span>Check your child’s blood pressure</span></li><li><span>Check your child’s vision</span></li><li><span>Check your child’s body parts (this is called a physical exam)</span></li><li><span>Give your child any vaccines they need</span></li></ul><p><span>Learn more about your child’s health care:</span></p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/doctor-visits/shots-vaccines/get-your-childs-shots-schedule?_label_=%3Cspan%3EFind+out+how+to+get+your+child%E2%80%99s+shots+on+schedule%3C%2Fspan%3E"><span>Find out how to get your child’s shots on schedule</span></a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/doctor-visits/screening-tests/get-your-childs-vision-checked?_label_=%3Cspan%3ELearn+how+to+take+care+of+your+child%E2%80%99s+vision%3C%2Fspan%3E"><span>Learn how to take care of your child’s vision</span></a></li></ul>

Make the Most of Your Child’s Visit to the Doctor (Ages 1 to 4 Years)

<p>Children ages 5 to 10 years need to see the doctor or nurse for a “well-child visit” once a year.</p><p>A well-child visit (also called a checkup) is when you take your child to the doctor to make sure they’re healthy and developing normally. This is different from visits for sickness or injury.</p><p>At a well-child visit, the doctor or nurse can help catch any problems early, when they may be easier to treat. You’ll also have a chance to ask any questions you may have about your child’s behavior or development.</p><p>Learn what to expect so you can make the most of each visit.</p>

<h4>How do I know if my child is growing and developing on&nbsp;schedule?</h4><p>Your child’s doctor or nurse can help you understand how your child is developing and learning to do new things — like read or brush their teeth. These are sometimes called “developmental milestones.”</p><p>Developmental milestones for children ages 5 to 10 years include physical, learning, and social skills — things like:</p><ul><li>Developing skills for success in school (like listening, paying attention, reading, and doing math)</li><li>Taking care of their&nbsp;bodies without help&nbsp;(like bathing, brushing their teeth, and getting&nbsp;dressed)</li><li>Learning from mistakes or failures and trying again</li><li>Helping with simple chores</li><li>Following family rules</li><li>Developing friendships and getting along with other children</li><li>Participating in activities like&nbsp;school clubs, sports teams, or music lessons</li></ul><p>Most children ages 5 to 10 years have a sense of their gender identity — this means seeing themselves as a boy, a girl, having no gender, or being somewhere in between. It’s normal for children to ask questions about gender identity throughout childhood.</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/ages-stages/gradeschool/Pages/Gender-Identity-and-Gender-Confusion-In-Children.aspx?_hash_=%3A%7E%3Atext%3DAround%2520age%2520two%253A%2520Children%2520become%2Csense%2520of%2520their%2520gender%2520identity.&_label_=Learn+more+about+gender+identity+development+for+children">Learn more about gender identity development for children</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/ages-stages/gradeschool/Pages/gender-diverse-transgender-children.aspx?_gl=1*6b5dlr*_ga*Mjg2NjE2NjE3LjE3MTQ0OTQ2MDc.*_ga_FD9D3XZVQQ*MTcxNDQ5NDYwNy4xLjAuMTcxNDQ5NDYwNy4wLjAuMA..&_label_=Read+about+parenting+gender-diverse+and+transgender+children">Read about parenting gender-diverse and transgender children</a></li></ul><p>See a complete list of developmental milestones for kids who are:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/ncbddd/actearly/milestones/milestones-5yr.html?_label_=Age+5%26nbsp%3Byears">Age 5&nbsp;years</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/child-development/positive-parenting-tips/middle-childhood-6-8-years.html?_label_=Ages+6+to+8%26nbsp%3Byears">Ages 6 to 8&nbsp;years</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/child-development/positive-parenting-tips/middle-childhood-9-11-years-old.html?_label_=Ages+9+to+11%26nbsp%3Byears">Ages 9 to 11&nbsp;years</a></li></ul>

<p>Take these steps to help you and your child get the most out of well-child visits.</p><h4>Gather important information.</h4><p>Take any medical records you have to the appointment, including a record of vaccines (shots) your child has received. If your child gets special services at school because of a health condition or disability, bring that paperwork, too.</p><p>Make a list of any important changes in your child’s life since the last doctor’s visit, like a:</p><ul><li>New brother or sister</li><li>Separation or divorce&nbsp;— or a parent spending time in jail or prison</li><li>New school or a move to a new neighborhood</li><li>Serious illness or death of a friend or family member</li></ul><p>Use this tool to&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/cbiit.github.io/FHH/html/index.html?_label_=keep+track+of+your+child%E2%80%99s+family+health+history">keep track of your child’s family health history</a>. This information will help your doctor or nurse know if your child is at risk for certain health problems.</p><h4>Ask other caregivers about your child.&nbsp;</h4><p>Before you visit the doctor, talk with others who care for your child, like a grandparent, daycare provider, or babysitter. They may be able to help you think of questions to ask the doctor or nurse.</p><h4>Help your child get more involved in doctor visits.</h4><p>You can help your child get involved by letting them know&nbsp;what to expect. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/parents/dr-visits.html?_label_=Learn+how+to+prepare+your+child+for+a+doctor+visit">Learn how to prepare your child for a doctor visit</a>.</p><h5>What about cost?</h5><p>Under the Affordable Care Act, insurance plans must cover well-child visits. Depending on your insurance plan, you may be able to get well-child visits at no cost to you. Check with your insurance company to find out more.</p><p>Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=Learn+about+coverage+options">Learn about coverage options</a> for your family.</p><p>If you don’t have insurance, you may still be able to get free or low-cost well-child visits. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you">Find a health center near you</a> and ask about well-child visits.</p><p>To learn more, check out these resources:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act">Free preventive care for children covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you+and+your+family">How the Affordable Care Act protects you and your family</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Understanding your health insurance and how to use it [PDF - 698 KB]</a></li></ul>

<h4>Make a list of questions you want to ask the doctor.</h4><p>Before the well-child visit, write down a few questions you have. This visit is a great time to ask the doctor or nurse any questions about:</p><ul><li>A health condition your child has (like asthma, allergies, or a speech problem)</li><li>Changes in behavior or mood</li><li>Problems in school —&nbsp;with learning or with other children</li><li>Your child's gender identity</li></ul><p>Here are some important questions to ask:</p><ul><li>Is my child up&nbsp;to&nbsp;date on vaccines?</li><li>How can I make sure my child is getting enough physical activity?</li><li>How can I help my child eat healthy?</li><li>Is my child at a healthy weight?</li></ul><p>You may also want to ask:</p><ul><li>How can I teach my child to use the internet safely?</li><li>How can I talk with my child about bullying?</li><li>How can I help my child know what to expect during puberty?</li><li>How can I talk to my child about racism and racial bias?</li></ul><p>Take notes so you can remember the answers&nbsp;later.</p><h5>Ask what to do if your child gets sick.</h5><ul><li>Make sure you know how to get in touch with a doctor or nurse when the office is closed.</li><li>Ask how to reach the doctor on call <span>—</span> or if there's a nurse&nbsp;information service you can call at night or on the weekend.&nbsp;</li></ul>

<h4>Know what to expect.</h4><p>During each well-child visit, the doctor or nurse will ask you questions about your child, do a physical exam, and&nbsp;update your child’s medical history. You'll also be able to ask your questions and discuss any problems.&nbsp;</p><h4>The doctor or nurse will ask you and your child questions.</h4><p>The doctor or nurse may ask about:</p><ul><li><strong>Behavior:</strong> Does your child have trouble following directions at home or at&nbsp;school?</li><li><strong>Health:</strong> Does your child often complain of headaches or other&nbsp;pain?</li><li><strong>Emotions:</strong> Is your child often very worried about bad things happening?</li><li><strong>School:</strong> Does your child look forward to going to school?</li><li><strong>Activities:</strong> What does your child like to do after school and on weekends?</li><li><strong>Eating habits:</strong> What does your child eat on a normal day?</li><li><strong>Family:</strong> Have there been any changes in your family since your last&nbsp;visit?</li></ul><p>They may also ask questions about safety, like:</p><ul><li>Does your child always ride in the back seat of the car?</li><li>Does anyone in your home have a gun? If so, is it unloaded and locked in a place where your child can’t get it?</li><li>Is there a swimming pool or other water around your home? Is there a locked door or gate to keep your child from getting to the pool without an adult?</li></ul><p>Your answers to questions like these will help the doctor or nurse make sure your child is healthy, safe, and developing normally. Be honest, even if you’re worried you’re doing something wrong — the doctor or nurse is there to help you.</p>

<h4>The doctor or nurse will also check your child’s body.</h4><p>To check your child’s body, the doctor or nurse will:</p><ul><li>Measure your child’s height and weight</li><li>Check your child’s blood pressure</li><li>Check your child’s vision&nbsp;and hearing</li><li>Check your child’s body parts</li><li>Give your child vaccines they need</li></ul><p>Learn more about your child’s health care.</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/doctor-visits/shots-vaccines/get-your-childs-shots-schedule?_label_=Find+out+how+to+get+your+child%E2%80%99s+vaccines%26nbsp%3Bon+schedule">Find out how to get your child’s vaccines&nbsp;on schedule</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/doctor-visits/screening-tests/get-your-childs-vision-checked?_label_=Learn+about+getting+your+child%E2%80%99s+vision+checked">Learn about getting your child’s vision checked</a></li></ul>

Make the Most of Your Child’s Visit to the Doctor (Ages 5 to 10 Years)

<p>Kids ages 11 to 14 years need to see the doctor or nurse for a “well-child visit” once a year.</p><p>A well-child visit (also called a checkup) is when you take your child to the doctor to make sure they’re healthy and developing normally. This is different from visits for sickness or injury.</p><p>At a well-child visit, the doctor or nurse can help catch any problems early, when they may be easier to treat. You’ll also have a chance to ask any questions you may have about your child’s behavior or development.</p><p>Learn what to expect so you can make the most of each visit.</p>

<h4>How do I know if my child is growing and developing on schedule?</h4><p>Your child’s doctor or nurse can help you identify “developmental milestones,” or signs that show your child is developing normally. This is an important part of the well-child visit.</p><p>Some developmental milestones are related to your child’s behavior and learning, and others are about physical changes in your child’s body.</p><p>See a complete list of developmental milestones for kids who are:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/child-development/positive-parenting-tips/middle-childhood-9-11-years-old.html?CDC_AAref_Val=https/www.cdc.gov/ncbddd/childdevelopment/positiveparenting/middle2.html&_label_=Ages+9+to+11+years">Ages 9 to 11 years</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/child-development/positive-parenting-tips/young-teens-12-14-years.html?CDC_AAref_Val=https/www.cdc.gov/ncbddd/childdevelopment/positiveparenting/adolescence.html&_label_=Ages+12+to+14+years%26nbsp%3B">Ages 12 to 14 years&nbsp;</a></li></ul>

<h4>What are some&nbsp;changes I might see in my child’s feelings, relationships, and behavior?</h4><p>Developmental milestones for kids ages 11 to 14 years include:</p><ul><li>Developing stronger problem-solving skills</li><li>Developing a clearer sense of right and wrong</li><li>Wanting more independence and privacy</li><li>Having mood swings (going quickly from happy to sad or sad to happy)</li><li>Showing more interest in friendships and classmates</li><li>Beginning to think more independently (for example, wanting to understand the reasons behind parents’ decisions or school rules)</li></ul><p>This is also a time when some kids may start showing signs of depression or eating&nbsp;disorders. Bullying and social media use may also become issues at this age. It’s important to:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/everyday-healthy-living/mental-health-and-relationships/get-your-teen-screened-depression?_label_=Make+sure+the+doctor+screens+your+child%26nbsp%3Bfor+depression">Make sure the doctor screens your child&nbsp;for depression</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/healthy-living/mental-health-and-relationships/get-your-child-screened-anxiety?_label_=Have+your+child+screened+for+anxiety">Have your child screened for anxiety</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.mayoclinic.org/healthy-lifestyle/tween-and-teen-health/in-depth/teen-eating-disorders/art-20044635?_label_=Know+the+signs+of+eating+disorders">Know the signs of eating disorders</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/parents/social-media-smarts.html?_label_=Teach+your+child+to+use+social+media+safely">Teach your child to use social media safely</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.stopbullying.gov/bullying/warning-signs?_label_=Watch+for+signs+of+bullying">Watch for signs of bullying</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/healthy-living/emotional-wellness/Building-Resilience/Pages/Talking-to-Children-About-Racial-Bias.aspx?_label_=Talk+to+your+child+about+racial+bias">Talk to your child about racial bias</a></li></ul>

The Basics: Behavior Changes

<h4>What physical changes will my child go through?</h4><p>Many kids ages 11 to 14 years are going through puberty. Puberty is when a child’s body develops into an adult’s body.</p><p>Puberty can be a difficult time for gender-diverse children — kids who feel that they’re a different gender than the sex that’s listed on their birth certificate. Encourage your child to talk with you or their doctor if they have questions about their gender. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/ages-stages/gradeschool/Pages/Gender-Diverse-Transgender-Children.aspx?_label_=Find+tips+for+parenting+a+gender-diverse+child">Find tips for parenting a gender-diverse child</a>.</p><p>Puberty usually starts:</p><ul><li>For girls: between ages 8 and 15 years. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.nlm.nih.gov/medlineplus/ency/patientinstructions/000651.htm?_label_=Get+more+information+about+puberty+to+share+with+your+daughter">Get more information about puberty to share with your daughter</a>.</li><li>For boys: between ages 9 and 16 years. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.nlm.nih.gov/medlineplus/ency/patientinstructions/000650.htm?_label_=Get+more+information+about+puberty+to+share+with+your+son">Get more information about puberty to share with your son</a>.</li></ul><p>You can help by giving your child information about what changes to expect during puberty. You can also encourage your child to talk about puberty with the doctor or&nbsp;another trusted adult, like a teacher or school nurse.</p>

The Basics: Physical Changes

<p>Take these steps to help you and your child get the most out of well-child visits.</p><h4>Gather important information.</h4><p>Take any medical records you have to the appointment, including a record of vaccines (shots) your child has received. If your child gets special services at school because of a health condition or disability, bring that paperwork, too.</p><p>Make a list of any important changes in your child’s life since the last visit, like a:</p><ul><li>New brother or sister</li><li>Separation or divorce&nbsp;— or a parent spending time in jail or prison</li><li>New school or a move to a new neighborhood</li><li>Serious illness or death of a friend or family member</li></ul><p>Use this tool to&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/cbiit.github.io/FHH/html/index.html?_label_=keep+track+of+your+child%E2%80%99s+family+health+history">keep track of your child’s family health history</a>. This information will help your doctor or nurse know if your child is at risk for certain health problems.&nbsp;</p><h4>Help your child get more involved in doctor visits.</h4><p>Once your child starts puberty, the doctor will usually ask you to leave the room for a few minutes so your child can ask questions about their health. This lets your child develop a relationship with the doctor or nurse, and it's an important step in helping your child learn about their health care.</p><p>Your child can also:</p><ul><li>Call to schedule appointments (you can check to see if the doctor’s office allows this)</li><li>Help you fill out medical forms</li><li>Write down questions for the doctor or nurse</li></ul><p>For more ideas,&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/kidshealth.org/parent/positive/family/teen_health_care.html?tracking=P_RelatedArticle&_hash_=cat20650&_label_=check+out+these+tips+to+help+your+child+take+charge+of+their+health+care">check out these tips to help your child take charge of their health care</a>. You can also <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/teens/questions-doctor.html?_label_=share+this+list+of+questions+for+the+doctor+with+your+child">share this list of questions for the doctor with your child</a>.</p><h4>What about cost?</h4><p>Under the Affordable Care Act, insurance plans must cover well-child visits. Depending on your insurance plan, you may be able to get well-child visits at no cost to you. Check with your insurance company to find out more.</p><p>Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=Learn+about+coverage+options">Learn about coverage options</a> for your family.</p><p>If you don’t have insurance, you may still be able to get free or low-cost well-child visits. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you">Find a health center near you</a> and ask about well-child visits.</p><p>To learn more, check out these resources:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act">Free preventive care for children covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you+and+your+family">How the Affordable Care Act protects you and your family</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Understanding your health insurance and how to use it [PDF - 698 KB]</a></li></ul>

<h4>Make a list of questions you want to ask the doctor.</h4><p>Before the well-child visit, write down a few questions you have — and ask your child if they have any questions to add. This visit is a great time to ask the doctor or nurse any questions about:</p><ul><li>A health condition your child has (like an allergy, asthma, or acne)</li><li>Changes in behavior or mood</li><li>Loss of interest in favorite activities</li><li>Strengths and challenges at school (like learning challenges or not feeling safe at school)</li></ul><h5>Here are some questions you may want to ask:</h5><ul><li>How can I make sure my child is getting enough physical activity?</li><li>How can I help my child eat healthy?</li><li>Is my child at a healthy weight?</li><li>Is my child's body developing normally?</li><li>Is my child up to date on vaccines?</li><li>How can I help my child succeed at school?</li></ul><p>You may also want to ask for guidance on talking to your child about sensitive subjects. You can ask:</p><ul><li>How can I <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/sexual-health/talk-your-kids-about-sex?_label_=talk+with%26nbsp%3Bmy+child+about+sex">talk with&nbsp;my child about sex</a>?</li><li>How can I <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/mental-health-and-relationships/talk-your-kids-about-tobacco-alcohol-and-drugs?_label_=talk+with+my+child+about+tobacco%2C+alcohol%2C+and+drugs">talk with my child about tobacco, alcohol, and drugs</a>?</li><li>How can I <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/parents/net-safety.html?_label_=teach+my+child+to+use+the+internet+safely">teach my child to use the internet safely</a>?</li><li>How can I <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.stopbullying.gov/resources/how-to-talk-about-bullying?_label_=talk+with+my+child+about+bullying">talk with my child about bullying</a>?</li><li>How can I <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/English/healthy-living/emotional-wellness/Building-Resilience/Pages/Talking-to-Children-About-Racial-Bias.aspx?_label_=talk+with+my+child+about+racism+and+racial+bias">talk with my child about racism and racial bias</a>?</li></ul><p>Take notes so you can remember the answers&nbsp;later.</p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthychildren.org/english/ages-stages/teen/pages/default.aspx?_label_=Find+more+tips+to+talk+to+your+child+about+a+range+of+tricky+topics">Find more tips to talk to your child about a range of tricky topics</a>.</p><h5>Ask what to do if your child gets sick.&nbsp;</h5><ul><li>Make sure you know how to get in touch with a doctor or nurse when the office is closed.</li><li>Ask how to reach the doctor on call, or if there's a nurse&nbsp;information service you can call at night or on the weekend.&nbsp;</li></ul>

<h4>Know what to expect.</h4><p>During each well-child visit, the doctor or nurse will ask you questions, do a physical exam, and update your child’s medical history. You'll also be able to ask your questions and discuss any problems.&nbsp;</p><h4>The doctor or nurse will ask you and your child questions.</h4><p>The doctor or nurse may ask about:</p><ul><li><strong>Behavior:</strong> Does your child have trouble following directions at home or at&nbsp;school?</li><li><strong>Health:</strong> Does your child often complain of headaches or other pain? How much sleep does your child get? When was their last visit to the dentist?</li><li><strong>Safety:</strong> Does anyone in your home have a gun? If so, is it unloaded and locked in a place where your child can’t get it?</li><li><strong>School and activities:</strong> Does your child look forward to going to school?&nbsp;What does your child like to do outside of school?</li><li><strong>Eating habits:</strong> What does your child eat on a normal day?</li><li><strong>Family and friends:</strong> Have there been any recent changes in your family? How many close friends does your child have?&nbsp;Has your child been bullied at school or online?</li><li><strong>Emotions:</strong> Does your child often seem sad, stressed, or bored? Do they seem scared or worried a lot? Does your child have someone to talk to about problems?</li><li><strong>Sexuality:</strong> Have you talked with your child about puberty? Is your child dating?</li></ul><p>The answers to questions like these will help the doctor or nurse make sure your child is healthy, safe, and developing normally. Be honest, even if you’re worried you’re doing something wrong — the doctor or nurse is there to help you.</p>

<h4>The doctor or nurse will also check your child’s body.</h4><p>To check your child’s body, the doctor or nurse will:</p><ul><li>Measure height and weight</li><li>Check your child’s blood pressure</li><li>Check your child’s vision&nbsp;and hearing</li><li>Check your child’s body parts</li><li>Decide if your child needs any lab tests, like a blood test</li><li>Give your child any vaccines they need</li></ul><p>Learn more about your child’s health care:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/doctor-visits/shots-vaccines/get-your-pre-teens-shots-schedule?_label_=Find+out+how+to+get+your+child%E2%80%99s+vaccines+on+schedule">Find out how to get your child’s vaccines on schedule</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/doctor-visits/screening-tests/get-your-childs-vision-checked?_label_=Learn+about+getting+your+child%E2%80%99s+vision+checked">Learn about getting your child’s vision checked</a></li></ul>

<h4>The doctor or nurse will ask how your child is doing — and pay special attention to signs of certain issues.</h4><p>The doctor or nurse may ask your child if they:</p><ul><li>Enjoy school</li><li>Have friends</li><li>Can talk to a caring adult</li><li>Feel sad or anxious</li><li>Worry about their weight</li><li>Use tobacco, alcohol, or drugs</li><li>Experience any kind of violence&nbsp;</li></ul><p>The doctor or nurse will offer additional help if your child has any signs of needing more support.</p><p>And if your child may be having sex, the doctor or nurse will talk to your child about&nbsp;preventing STIs (sexually transmitted infections, also called sexually transmitted diseases)&nbsp;and pregnancy. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/health-conditions/hiv-and-other-stds/talk-your-teen-about-preventing-stds?_label_=Learn+how+to+talk+with+your+child+about+preventing+STIs">Learn how to talk with your child about preventing STIs</a>.</p><h4>The doctor or nurse will make sure you and your child have the resources you need.</h4><p>This may include telling you and your child about:</p><ul><li>Websites or apps that have helpful health information</li><li>Organizations in your community where you can go for help</li></ul><p>If needed, the doctor or nurse may also refer your child to a specialist.</p>

Take Action: Behavior and Emotions

Make the Most of Your Child’s Visit to the Doctor (Ages 11 to 14 Years)

<p>Teens ages 15 to 17 years need to go to the doctor or nurse for a “well-child visit” once a year.</p><p>A well-child visit is when you take your teen to the doctor to make sure they’re healthy and developing normally. This is different from other visits for sickness or&nbsp;injury.</p><p>At a well-child visit, the doctor or nurse can help catch any problems early, when they may be easier to treat.</p><p>Learn what to expect so you can make the most of each visit.</p>

<h4>How do I know if my teen is growing and developing on schedule?</h4><p>Your teen’s doctor or nurse can help you identify “developmental milestones,” or signs to look for that show your teen is developing normally. This is an important part of the well-child visit.</p><p>Some developmental milestones are related to your teen’s behavior and learning, and others are about physical changes in&nbsp;your teen’s body.</p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.cdc.gov/ncbddd/childdevelopment/positiveparenting/adolescence2.html?_label_=See+a+complete+list+of%26nbsp%3Bdevelopmental+milestones+for+your+teen">See a complete list of&nbsp;developmental milestones for your teen</a>.</p>

<h4>What are some changes I might see in my teen’s behavior?</h4><p>Developmental milestones for teens ages 15 to 17 years include:</p><ul><li>Spending less time with family and more time with friends</li><li>Worrying more about the future (like going to college or finding a job)</li><li>Thinking more about romantic relationships and sex</li><li>Trying new things like new sports or hobbies — or possibly experimenting with tobacco, alcohol, or drugs</li></ul><p>This is also a time when some teens may start showing signs of depression, anxiety, or eating disorders. That’s why it’s important to:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/mental-health-and-relationships/get-your-teen-screened-depression?_label_=Make+sure+the+doctor+screens+your+teen+for+depression">Make sure the doctor screens your teen for depression</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/healthy-living/mental-health-and-relationships/get-your-child-screened-anxiety?_label_=Have+your+teen+screened+for+anxiety">Have your teen screened for anxiety</a>&nbsp;</li></ul>

<h4>What are some physical changes my teen is going through?</h4><p>Teens ages 15 to 17 years may be nearing the end of puberty. Puberty is when a child’s body develops into an adult’s body.</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.nlm.nih.gov/medlineplus/ency/patientinstructions/000651.htm?_label_=Get+more+information+about+puberty+to+share+with+your+daughter">Get more information about puberty to share with your daughter</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.nlm.nih.gov/medlineplus/ency/patientinstructions/000650.htm?_label_=Get+more+information+about+puberty+to+share+with+your+son">Get more information about puberty to share with your son</a></li></ul><p>Teens might not ask you questions about sex, their bodies, or relationships. That’s why it’s a good idea for you to start the conversation. You can also encourage your teen to ask the doctor or nurse any questions they have about body changes or other health concerns.</p><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/sexual-health/talk-your-kids-about-sex?_label_=Learn+how+to+talk+with+your+teen+about+sex">Learn how to talk with your teen about sex</a>.</p>

<p>Take these steps to help you and your teen get the most out of well-child visits.</p><h4>Gather important information.</h4><p>Take any medical records you have to the appointment, including a record of vaccines (shots) your teen has received.</p><p>Make a list of any important changes in your&nbsp;teen’s life since the last visit, like a:</p><ul><li>New brother or sister</li><li>Separation or divorce — or a parent spending time in jail or prison</li><li>New school or a move to a new neighborhood</li><li>Serious illness or death of a friend or family member</li></ul><p>Use this tool to&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/cbiit.github.io/FHH/html/index.html?_label_=keep+track+of+your+teen%E2%80%99s+family+health+history">keep track of your teen’s family health history</a>.</p><h4>Help your teen get more involved in visits to the doctor.</h4><p>The doctor will probably ask you to leave the room during part of the visit, usually the physical exam. This lets your teen develop a relationship with the doctor or nurse and ask questions in private. It’s an important step in teaching your teen to take control of their health care.</p><p>Your teen can also:</p><ul><li>Call to schedule appointments</li><li>Help you fill out medical forms</li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/kidshealth.org/teen/your_body/medical_care/questions_doctor.html?_label_=Write+down+questions+for+the+doctor+or+nurse">Write down questions for the doctor or nurse</a></li></ul><p>For more ideas,&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/kidshealth.org/parent/positive/family/teen_health_care.html?tracking=P_RelatedArticle&_hash_=cat20650&_label_=check+out+these+tips+to+help+teens+take+charge+of+their+health+care">check out these tips to help teens take charge of their health care</a>. You can also <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/teens/questions-doctor.html?_label_=share+this+list+of+questions+for+the+doctor+with+your+teen">share this list of questions for the doctor with your teen</a>.</p><h4>What about cost?</h4><p>Under the Affordable Care Act, insurance plans must cover well-child visits. Depending on your insurance plan, you may be able to get well-child visits at no cost to you. Check with your insurance company to find out more.</p><p>Your teen may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP). <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=Learn+about+coverage+options">Learn about coverage options</a> for your family.</p><p>If you don’t have insurance, you may still be able to get free or low-cost well-child visits. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you">Find a health center near you</a> and ask about well-child visits.</p><p>To learn more, check out these resources:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act">Free preventive care for children covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you+and+your+family">How the Affordable Care Act protects you and your family</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Understanding your health insurance and how to use it [PDF - 698 KB]</a></li></ul>

<h4>Make a list of questions you want to ask the doctor.</h4><p>Before the well-child visit, write down 3 to 5 questions you have.&nbsp;This visit is a great time to ask the doctor or nurse any questions about:</p><ul><li>A health condition your teen has (like acne or asthma)</li><li>Changes in your teen’s behavior or mood</li><li>Loss of interest in favorite activities</li><li>Tobacco, alcohol, or drug use</li><li>Problems at school (like learning challenges or not wanting to go to school)</li></ul><h5>Here are some questions you may want to ask:</h5><ul><li>Is my teen up to date on vaccines?</li><li>How can I make sure my teen is getting enough physical activity?</li><li>How can I help my family eat healthy?</li><li>How can I help my teen succeed at school?</li><li>How can our family set rules more effectively?</li><li>How can I help my teen become a safe driver?</li><li>How can I talk with my teen about tobacco, alcohol, and drugs?</li></ul><p>Take a notepad, smartphone, or tablet and write down the answers so you can remember them&nbsp;later.</p><h5>Ask&nbsp;what to do if your teen gets sick.</h5><p>Make sure you know how to get in touch with a doctor or nurse when the office is closed. Ask how to get hold of the doctor on call, or if there's a nurse information service you can call at night or on the weekend.</p>

<h4>Know what to expect.</h4><p>During each well-child visit, the doctor or nurse will ask you questions,&nbsp;do a physical exam, and&nbsp;update your teen’s medical history. You and your teen will also be able to ask your questions and discuss any problems.&nbsp;</p><h4>The doctor or nurse will ask your teen questions.</h4><p>The doctor or nurse may ask about:</p><ul><li>Behavior — Do you have trouble following directions at home or at&nbsp;school?</li><li>Health — Do you often get&nbsp;headaches or have other kinds of pain?</li><li>Safety — Do you always wear a seatbelt in the car? Do you and your friends use tobacco, alcohol, or drugs?</li><li>School and activities — Do you look forward to going to school?&nbsp;What do you like to do after school?</li><li>Family and friends — Have there been any changes in your family recently? Do you have close friends?</li><li>Emotions&nbsp;— Do you often feel sad or bored? Do you often feel scared or very worried? Is there someone you trust who you can talk to about problems?</li><li>Sexuality&nbsp;— Do you have any questions about your body? Have you talked with your parents about dating and sex? Are you dating anyone now?</li><li>The future&nbsp;— Have you started to think about what you want to do after high school?</li></ul><p>The answers to questions like these will help the doctor or nurse make sure your teen is healthy, safe, and developing normally.&nbsp;</p>

<h4>The doctor or nurse will also check your teen’s body.</h4><p>To check your teen’s body, the doctor or nurse will:</p><ul><li>Measure height and weight and figure out your teen's body mass index (BMI)</li><li>Check your teen’s blood pressure</li><li>Check your teen's vision and hearing</li><li>Check your teen’s body parts&nbsp;(called a physical exam)</li><li>Decide if your teen needs any lab tests, like a blood test</li><li>Give your teen vaccines they need</li></ul>

<h4>The doctor or nurse will pay special attention to signs of certain issues.&nbsp;</h4><p>The doctor or nurse will offer additional help if your teen may:</p><ul><li>Be depressed&nbsp;</li><li>Have anxiety</li><li>Struggle with an eating disorder</li><li>Use tobacco, alcohol, or other drugs&nbsp;</li><li>Experience any kind of violence&nbsp;</li></ul><p>And if your teen&nbsp;may be having sex, the doctor or nurse will talk about&nbsp;preventing STIs (sexually transmitted infections)&nbsp;— also called STDs (sexually transmitted diseases)&nbsp;—&nbsp;and pregnancy. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/health.gov/myhealthfinder/topics/health-conditions/hiv-and-other-stds/talk-your-teen-about-preventing-stds?_label_=Learn+how+to+talk+with+your+teen+about+preventing+STIs">Learn how to talk with your teen about preventing STIs</a>.</p><h4>The doctor or nurse will make sure you and your teen have the resources you need.&nbsp;</h4><p>This may include telling you and your teen about:</p><ul><li>Websites or apps that have helpful health information</li><li>Organizations in your community where you can go for help</li></ul><p>If needed, the doctor or nurse may also refer your teen to a specialist.&nbsp;</p>

Make the Most of Your Teen’s Visit to the Doctor (Ages 15 to 17 Years)

<p>It's important to keep your child’s first teeth — or baby teeth — healthy. Baby teeth hold space for adult&nbsp;teeth. Taking care of your child’s teeth will protect them from tooth decay&nbsp;(cavities).</p><p>Tooth decay can:</p><ul><li>Cause your child pain</li><li>Make it hard for your child to chew</li><li>Lead to your child having a harder time in school</li><li>Create problems with your child’s adult teeth</li></ul><h4>Take simple steps to prevent tooth decay.</h4><p>Most babies will get their first tooth around age 6 months. Start these healthy habits now so your child’s smile will stay healthy!</p><ul><li>Wipe your baby's gums with a clean cloth 2 times a day before they get any teeth</li><li>Start cleaning your baby’s teeth 2 times a day as soon as they come in</li><li>Teach your child to brush 2 times a day</li><li>Protect your child’s teeth with fluoride</li><li>Give your child healthy, low-sugar foods and drinks</li><li>Take your child to the dentist for regular checkups</li></ul><p><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.cdc.gov/oral-health/prevention/oral-health-tips-for-children.html?_label_=Learn+more+about+keeping+your+child%27s+mouth+healthy" id="anch_38">Learn more about keeping your child's mouth healthy</a>.</p>

The Basics: Overview 

<h4>What is tooth decay?</h4><p>Tooth decay happens because bacteria (germs)&nbsp;in our mouths turn sugar from the food we eat into acid. Over time, the acid can cause cavities (holes) in teeth.</p><h4>Is my child at risk for tooth decay?</h4><p>Tooth decay is one of the most common childhood diseases. More than 5 in 10 kids have had decay in their baby teeth by the time they're 8 years old.</p><p>Eating and drinking lots of sugary foods and drinks puts your child at higher risk for tooth decay. But healthy habits, like brushing and going to the dentist, can prevent tooth decay.</p>

The Basics: Tooth Decay

<p>Follow these steps to help you take good care of your child’s teeth.</p><h4>Start with the first tooth.</h4><p>As soon as your baby’s teeth start coming in, clean them regularly with a smear of fluoride toothpaste (the size of a grain of rice) and a soft children’s toothbrush. Clean your baby’s teeth 2 times a day — especially right before bedtime.</p><p>If your child is younger than 2 years, ask their doctor or dentist when it's time to start using fluoride toothpaste.</p><h4>Teach your child to brush 2 times a day with fluoride toothpaste.</h4><p>Starting around age 3 years, use a pea-sized amount of toothpaste to brush your child’s teeth. Make sure your child spits out the toothpaste after brushing — if young children swallow too much fluoride toothpaste, their adult teeth may have white spots.</p><p>Around age 6 years, kids can start to brush their own teeth. Watch your child to make sure they:</p><ul><li>Brush all of their teeth</li><li>Brush for about 2 minutes each time</li><li>Spit out the toothpaste instead of swallowing it&nbsp;</li></ul><h5>Make brushing teeth fun.</h5><p>Getting kids to brush their teeth can be hard. Here are some ways you can help make it fun for them:</p><ul><li>Let your child choose a toothbrush in a favorite color or with a character from a TV show or movie — just make sure it’s the right size for your child’s mouth</li><li>Find books or shows with stories about brushing — then you can use the characters as an example when it's time for your child to brush their own teeth</li><li>Sing or play a song to help your child brush for 2 minutes</li></ul>

Take Action: Brushing Tips

<h4>Protect your child’s teeth with fluoride.</h4><p>Fluoride is a mineral that helps protect teeth from decay.</p><h5>Use fluoride toothpaste.</h5><p>When you shop for toothpaste, read the label to be sure it has fluoride.</p><h5>Ask your child’s doctor about fluoride varnish.</h5><p>After your child’s first tooth comes in, ask the doctor to give them fluoride varnish (a thin coating of fluoride put on the teeth). Fluoride varnish helps prevent tooth decay.</p><h5>Find out if there’s fluoride in your water.</h5><p>Fluoride is added to the drinking water in many towns and cities. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/nccd.cdc.gov/DOH_MWF/Default/Default.aspx?_label_=Check+to+see+if+the+tap+water+in+your+area+has+fluoride+in+it">Check to see if the tap water in your area has fluoride in it</a>, or call your local water company and ask. If your water doesn't have fluoride added, ask your doctor or dentist if your child needs to take fluoride supplements.</p><h5>Give your child tap water to drink.</h5><p>If your water has fluoride added, be sure to give your child tap water to drink instead of bottled water. Most bottled water doesn’t have enough fluoride in it to protect your child’s teeth from decay. Check with your local water provider to make sure your tap water is safe to drink.</p>

Take Action: Use Fluoride

<h4>Ask for supplements if your water doesn't have fluoride added.</h4><p>If your tap water doesn’t have fluoride added, ask your child’s doctor or dentist for fluoride supplements (drops or tablets). Children age 6 months and older can take fluoride supplements.</p><h5>What about cost?</h5><p>Insurance plans must cover fluoride supplements for children who don't have fluoride in their tap water. Depending on your insurance plan, your child may be able to get fluoride supplements at no cost to&nbsp;you. Check with your insurance company to find out more.</p>

Take Action: Does My Child Need Fluoride Supplements?

<h4>Give your child healthy foods.</h4><p>Healthy foods include vegetables, fruits, whole grains, dairy, beans, and lean meats — and more! Learn more about healthy food options for your child:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/nutrition/healthy-snacks-quick-tips-parents?_label_=Get+tips+to+help+you+make+healthy%2C+kid-friendly+snacks" id="anch_50">Get tips to help you make healthy, kid-friendly snacks</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/health-conditions/diabetes/eat-healthy?_label_=Find+more+ways+to+eat+healthy" id="anch_51">Find more ways to eat healthy</a></li></ul><h5>Make sure your child gets enough calcium.</h5><p>Calcium is a mineral that helps make teeth strong. Milk, cheese, and yogurt are good sources of calcium.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/myhealthfinder/topics/everyday-healthy-living/nutrition/calcium-shopping-list?_label_=Check+out+this+shopping+list+of+foods+with+calcium" id="anch_52">Check out this shopping list of foods with calcium</a>.</p><h5>Offer your child healthy drinks.</h5><p>If sugar from drinks stays on your child’s teeth for too long, it can lead to tooth decay. To help prevent tooth decay:</p><ul><li>Give your child only&nbsp;water to drink between meals</li><li>Only give your child milk or juice with a meal</li></ul><h5>Don’t put your baby to bed with a bottle.</h5><p>Milk or formula will stay on your child’s teeth all night and increase their risk of tooth decay.</p>

Take Action: Foods and Drinks

<h4>Take your child to the dentist.</h4><p>Take your child to the dentist for a checkup by age 1. Ask your child’s doctor for the name of a dentist who's good with kids.</p><p>Going to the dentist for the first time can be scary. It might help your child to see you sitting in the dentist’s chair first. You can also ask the dentist to let your child sit on your lap during the checkup.</p><p>Ask your child’s dentist about how to clean your child’s teeth and other ways to keep your child’s mouth healthy. After the first visit, make sure to schedule regular dental checkups for your child.</p><h5>What about cost?</h5><p>Under the Affordable Care Act, insurance plans must cover dental care for children. Depending on your insurance plan, you may be able to get dental care at no cost to you. Check with your insurance company to find out more.</p><p>Medicaid or the Children's Health Insurance Program (CHIP) may also cover dental care for your child at no cost. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=Learn+about+coverage+options+for+your+family">Learn about coverage options for your family</a>.&nbsp;</p><p>If you don’t have insurance, you may still be able to get free or low-cost dental care. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you+and+ask+about+dental+care">Find a health center near you and ask about dental care</a>.</p><p>To learn more, check out these resources:</p><ul><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+children+covered+by+the+Affordable+Care+Act">Free preventive care for children covered by the Affordable Care Act</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you">How the Affordable Care Act protects you</a></li><li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Understanding+your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Understanding your health insurance and how to use it [PDF - 698 KB]</a></li></ul><h5>Ask your child’s dentist about sealants.</h5><p>A sealant is a thin, plastic material put on the tops of back teeth to help protect them from decay. Ask your dentist about sealants for your child as soon as they get their first adult molars — around age 6 years.&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.nidcr.nih.gov/health-info/sealants?_label_=Get+more+information+about+sealants" id="anch_56">Get more information about sealants</a>.</p>

Take Action: Dental Checkups

Take Care of Your Child's Teeth

<p>If your child is between ages 8 and 18 years, ask the doctor about screening (testing) for anxiety — even if you don’t see signs of a problem.</p>

<h4>Why do I need to get my child screened for anxiety?</h4>

<p>Anxiety can affect your child’s mood and interfere with their usual activities — like school or time with family and friends.</p>

<p>The good news is that anxiety can be treated with counseling, medicine, or a combination of both. When you ask your child’s doctor about screening for anxiety, find out what services are available in case your child needs follow-up care.</p>


<p>Anxiety is a feeling of fear, dread, and worry. It can be a normal reaction to a stressful situation, like taking a test or starting a new school year. But if anxiety doesn’t go away, becomes overwhelming, or interferes with everyday activities, it may be an <strong>anxiety disorder</strong>.</p>

<p>There are different types of anxiety disorders that can affect children and teens. For example:</p>

<ul>
	<li>Generalized anxiety disorder: being very worried about the future or about bad things happening</li>
	<li>Separation anxiety disorder: feeling very scared to be away from parents or caregivers</li>
	<li>Social anxiety disorder: being very worried about what others might think or say about them — and often concerned about embarrassing themselves</li>
	<li>Panic disorder: having episodes of sudden, intense fear that involve symptoms like a pounding heart, trouble breathing, or dizziness when there’s no danger</li>
	<li>Phobias: being very afraid of a specific thing or situation, like spiders or the dark</li>
</ul>

<p>If your child has an anxiety disorder, they may also have headaches, stomachaches, or other types of pain for no clear reason. And they might have trouble sleeping and be very tired during the day.</p>

<p>Keep in mind that some children and teens keep their worries and fears to themselves, which can make it hard to get them the help they need. That’s why it’s so important to have your child screened for anxiety.</p>

<p>To learn more about anxiety in children and teens, check out:</p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/parents/anxiety-disorders.html?_label_=Anxiety+Disorders+">Anxiety Disorders </a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/parents/manage-anxiety-video.html?_label_=Helping+Your+Child+Manage+Anxiety+%28Video%29">Helping Your Child Manage Anxiety (Video)</a></li>
</ul>


The Basics: What Is Anxiety?

<h4>What causes anxiety?</h4>

<p>Anyone can have anxiety. It’s not your fault or your child’s fault. Some experiences may make it more likely that a child or teen will develop anxiety. These include experiences like:</p>

<ul>
	<li>Dealing with a stressful life situation, like a serious illness or a death in the family</li>
	<li>Having problems at school, like being bullied by other kids</li>
	<li>Experiencing trauma or abuse</li>
	<li>Living with someone who has anxiety</li>
	<li>Having a family history of anxiety</li>
</ul>


The Basics: Causes

<h4>What happens during an anxiety screening?</h4>

<p>The doctor will ask your child questions about their feelings and behaviors. This may include asking how often your child:</p>

<ul>
	<li>Worries something bad might happen to them or a loved one</li>
	<li>Feels very scared to be away from parents or caregivers</li>
	<li>Feels nervous around people they don’t know well</li>
	<li>Has headaches or stomachaches at school</li>
</ul>

<p>Screening for anxiety usually takes about 10 minutes. It can be part of your child’s yearly checkup.</p>


The Basics: What to Expect

<h4>What if the doctor finds signs of anxiety?</h4>

<p>If your child is showing signs of anxiety, the doctor will:</p>

<ul>
	<li>Refer your child to a therapist or doctor with special training in helping young people with emotional or behavioral problems</li>
	<li>Talk about treatments&nbsp;that can help your child manage their anxiety —&nbsp;like cognitive behavioral therapy (a type of talk therapy) or medicines</li>
	<li>Order&nbsp;tests to check for other health problems</li>
</ul>

<p>Make sure to include your child when you make any decisions about their treatment.</p>


The Basics: Treatment

<p>Take steps to protect your child’s mental health.</p>

<h4>Talk to your child’s doctor about anxiety screening.</h4>

<p>Ask the doctor to screen your child for anxiety. If you’re worried about your child, be sure to let the doctor know. Find out what services are available in case your child needs treatment.</p>

<h5>What about cost?</h5>

<p>Depending on your insurance plan, you may be able to get your child screened for anxiety at no cost to you.&nbsp;Check with your insurance company to find out more.</p>

<p>Your child may also qualify for free or low-cost health insurance through Medicaid or the Children’s Health Insurance Program (CHIP).&nbsp;<a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.insurekidsnow.gov/coverage/index.html?_label_=Learn+about+coverage+options+for+your+family">Learn about coverage options for your family</a>.</p>

<p>If you don't have insurance, you may still be able to get free or low-cost anxiety screening. <a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/findahealthcenter.hrsa.gov/?_label_=Find+a+health+center+near+you+and+ask+about+anxiety+screening">Find a health center near you and ask about anxiety screening</a>.</p>

<p>Learn more about:</p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/coverage/mental-health-substance-abuse-coverage/?_label_=Mental+health+coverage+under+the+Affordable+Care+Act">Mental health coverage under the Affordable Care Act</a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/preventive-care-children/?_label_=Free+preventive+care+for+kids+covered+by+the+Affordable+Care+Act">Free preventive care for kids covered by the Affordable Care Act</a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.healthcare.gov/health-care-law-protections/?_label_=How+the+Affordable+Care+Act+protects+you">How the Affordable Care Act protects you</a>&nbsp;&nbsp;</li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/marketplace.cms.gov/technical-assistance-resources/c2c-roadmap.pdf?_label_=Your+health+insurance+and+how+to+use+it+%5BPDF+-+698+KB%5D">Your health insurance and how to use it [PDF - 698 KB]</a></li>
</ul>


Take Action: See a Doctor

<h4>Write down any concerns you have.</h4>

<p>Keep track of your child’s actions and words that make you think they might have anxiety. If you see a change in your child’s behavior, make a note about the change and when it happened. Include details like:</p>

<ul>
	<li>How long the behavior’s been going on</li>
	<li>How often the behavior happens</li>
	<li>What’s going on in your child’s life when the behavior happens — for example, does it happen when it’s time to leave for school in the morning?</li>
	<li>How serious you think the behavior is</li>
</ul>

<p>Share these notes with your child’s doctor. You can also use them to start a conversation with your child. Let your child know what you’ve noticed and ask what they think. Keep in mind that some children may have trouble telling you exactly what’s wrong, or they may not notice these behaviors in themselves.</p>


Take Action: Look for Changes

<h4>Find resources for your child.</h4>

<p>If your child isn’t ready to talk to you about their feelings, there are still things you can do. Help your child find resources online and in the community. Share these resources with your child:</p>

<p><strong>For kids</strong></p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/kids/worry-less.html?_label_=Worry+Less+in+3+Steps">Worry Less in 3 Steps</a>&nbsp;&nbsp;</li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/kids/talk-feelings.html?_hash_=catthought&_label_=Talking+About+Your+Feelings">Talking About Your Feelings</a></li>
</ul>

<p><strong>For teens</strong></p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/kidshealth.org/en/teens/anxiety-disorders.html?ref=search&_label_=Anxiety+Disorders+">Anxiety Disorders </a>&nbsp;</li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.mentalhealth.gov/talk/young-people?_ga=2.73408666.960465837.1632685785-603678972.1627925869&_label_=For+Young+People+Looking+for+Help">For Young People Looking for Help</a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/www.nimh.nih.gov/health/publications/so-stressed-out-fact-sheet?_label_=I%E2%80%99m+So+Stressed+Out%21%26nbsp%3B+">I’m So Stressed Out!&nbsp; </a>&nbsp;</li>
</ul>

<p>Let your child know that they can get support anonymously (without giving their name) by:</p>

<ul>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/http/www.crisistextline.org/how-it-works/?_label_=Texting+the+Crisis+Text+Line">Texting the Crisis Text Line</a> —&nbsp;text HOME to 741741</li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/suicidepreventionlifeline.org/chat/?_label_=Chatting+online+with+someone+from+the+Suicide+%26amp%3B+Crisis+Lifeline">Chatting online with someone from the Suicide &amp; Crisis Lifeline</a></li>
	<li><a href="https://odphp.health.gov/myhealthfinder/api/outlink/topicsearch.json/https/988lifeline.org/?_label_=Calling+or+texting+the+Suicide+%26amp%3B+Crisis+Lifeline">Calling or texting the Suicide &amp; Crisis Lifeline</a> at 988</li>
</ul>

<p>Help your child make a list of other people they can go to with problems or questions — like a teacher, a guidance counselor, or another trusted adult.</p>

<p>Remind your child that you’re always there if they want to talk.</p>


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