Well Check Visit Forms and Handouts

Prepare for Your Child’s Well Check Visit!

Below are well check forms that include information about feeding, safety, development, behavior, and activities for every stage of your child’s growth! There is also a Checklist and Milestone page for you to download, fill out, and share with your pediatrician on that visit.

It’s time to bring your child in for their wellness check, and you don’t know what to expect! Below are helpful informational sheets that can help you with your next checkup! This is also a reminder of when to send your child in for a checkup.

  1. Please find your child’s age and click the link.
  2. Review the handouts prior to your visit
  3. Download and Print the SWYC documents (if applicable for your child’s age), and fill them out to the best of your knowledge (please be sure to answer all the questions)
  4. Your pediatrician will address any questions or concerns during your check up!


2-4 Weeks Old

2 Months Old

4 Months Old

6 Months Old

9 Months Old

12 Months Old (1 Year)

15 Months Old (1 Year and 3 Months)

18 Months Old (1 Year and 6 Months)

2 Years Old

3 Years Old

4 Years Old

5 & 6 Years Old

7 & 8 Years Old

9 & 10 Years Old

Early Adolescent (11-14 Years Old)

Middle Adolescent (15-18 Years Old)