4 Year Well Visit


  • Kinrix (DtaP & IPV)
  • ProQuad (MMR & Varicella Booster)

Your provider will measure your child’s weight and height to make sure he or she is developing at a healthy pace.
Your child’s blood pressure, heart rate and breathing will be checked.
Your child’s hearing will be screened and this is required for kindergarten
A thorough eye exam will be performed to monitor for conditions and changes to vision health.
We will check your child ‘s immunizations record and will give him or her any shots that are required before your child starts school. These shots may include: DTaP, polio, MMR, and chicken pox vaccines.
If your child has any risk factors, your provider may test for tuberculosis.
Your provider will discuss any new health and safety concerns with you and your child.
Your provider can answer any questions you may have about preparing for school, safety matters, nutrition, bed-wetting and any other concerns you may have.
We’ll talk to your child about what books, games and activities he or she enjoys. Your child may display an active imagination at this stage and improved language skills. Your provider may ask your child to draw a picture to see how his or her mild is developing.
We’ll discuss your child’s growth, temperament, and behavior, offering support and tips for promoting healthy development.

At ages four and five your child will be ready to go to school, an exciting and often nervous time for both you and your child. Your child is learning new colors, increasing their vocabulary and may now be able to count from one to five. At this age range, most children are dressing and undressing themselves without supervision but may still require help with buttons, zippers and shoelaces. Your child should be able to draw a 3 part person and copy a circle and should be beginning to write his/her name.

Family Meals are important. 
We encourage families to sit together at meal time as often as possible.

Your child may exhibit an increased awareness of danger but won’t fully understand the consequences of some situations or behaviors. Always supervise your child but encourage independent play and decision-making. Teach your child how to participate in sports and group activities, promoting positive play and learning to follow rules. Your four to five year old will start to take turns and play well with others.  Increased aggression or frustration is not uncommon at this age and your child may lack a moral understanding of right from wrong. Be patient but firm when your child acts out and talk to your provider about tools for building positive behaviors at home and at school.

Make sure to read to your child at least once a day. 
You can visit Reach Out & Read for reading tips, how to choose books appropriate for your child's age, other resources, and access the library's site here.

Your doctor will review milestone information with you during your visit. 
You may download and print the Bright Futures Parent Handout for this age range here (click to access PDF).


121 JPM Rd | Lewisburg | PA 17837

PHONE: 570-551-0300