Office Visits

 

Well Visits and Our Standard Vaccination Schedule

Patients are seen by appointment. At Well Visits we examine your child fully and evaluate his/her health, growth, and development carefully.  Remember to ask your questions and concerns!  These visits are more frequent in the newborn and infancy period and gradually spread out to once yearly after age 3 years.  We strive to be on time as best we can! The appointment time given to you is the time the doctor is to see your child. Please come to the office early enough so that your child can be weighed, measured and be ready to be seen at the right time!

On arrival, check in at the reception window. Keep us up to date on all changes in insurance, addresses, telephone numbers, etc. If you require signed documents, have them available with the parent’s portions completed at the time you check in. There will be a processing fee for forms. Any required co-payment is due at the time you check in and failure to pay at the time of the visit will result in an additional fee. Exact change is appreciated.

In addition to this well visit/vaccine schedule, we have two other newborn visits at our office. After they are discharged from the hospital we like to see new babies two days later (although given the situation it also may be one to three days after they go home and the discharging physician decides when is best).  We have a 2 week well-visit check for newborns as well. 

Visit at Age Vaccines & Tests

Birth

Hepatitis B [1st in a Series of 3]
1 Month Hepatitis B [2nd in a Series of 3]
2 Months Pentacel-(DTaP, Hib, & IPV) [1st in a Series of 4]
Pneumococcal [1st in a Series of 4]
Rotavirus Oral Administration [1st in a Series of 3]
4 Months Pentacel-(DTaP, Hib, & IPV) [2nd in a Series of 4]
Pneumococcal [2nd in a Series of 4]
Rotavirus Oral Administration [2nd in a Series of 3]
6 Months Pentacel-(DTaP, Hib, & IPV) [3rd in a Series of 4]
Pneumococcal [3rd in a Series of 4]
Rotavirus Oral Administration [3rd in a Series of 3]
Hepatitis B [3rd in a Series of 3]
9 Months *
12 Months

MMR [1st in a Series of 2]

Varicella [1st in a Series of 2]

Hepatitis A [1st in a Series of 2]
Hemoglobin & Lead Level Tests

15 Months Pentacel-(DTaP, Hib, & IPV) [4th in a Series of 4]
Pneumococcal [4th in a Series of 4]
18 Months Hepatitis A [2nd in a Series of 2]
2 Years *
2.5 Years *
3 Years *
--Annual well visits after the age of 3--
4 and 5 Years

 

MMR [2nd in a Series of 2]
Varicella [2nd in a Series of 2]

 DTaP [final booster]
IPV [final booster]
TB Test [if indicated],

Vision & Hearing Tests

10 Years Tdap

11 to 12 Years

 

16 Years

 

17 to 18 Years

Meningococcal MCV4 at 11 Years
HPV9 [2 or 3 Dose series, for both females & males, depending on age of administration]

 

Meningococcal MCV4 booster at 16 Years

 

Tetanus booster [if indicated]

Meningococcal B series [if indicated]

+

Influenza Vaccine should be given yearly in the Fall to children 6 months through 18 years of age

*At any Well Visit, if catch up vaccinations are needed, we will give them at that time.

Our well visit and vaccination schedule is based on the Standard Vaccine Schedule recommended by ACIP.

Hepatitis B = Hepatitis B Vaccine
DTaP= Diphtheria and Tetanus Toxoids, and Acellular Pertussis Vaccine
Hib = Haemophilus influenzae type b Conjugate Vaccine
IPV= Inactivated Poliovirus (polio vaccine)
Rotavirus
Pneumococcal (Prevnar) = Pneumococcal 13-valent Conjugate Vaccine
Hepatitis A= Hepatitis A Vaccine
MMR = Measles, Mumps, and Rubella Virus Vaccine
Varicella = (Chickenpox) Vaccine
TB = Tuberculosis Skin Test
Meningococcal = Menactra Vaccine MCV4 to protect against meningococcus strains A, C Y and W-135.
Tdap = Diphtheria and Tetanus Toxoids, and Acellular Pertussis Vaccine for adolescents and adults

HPV = Human Papillomavirus Vaccine HPV9

Meningococcal B = Bexsero or Trumenba series of 2 to protect against meningococcus strain B

Acute / Sick Visits

It is possible to obtain a short appointment for an acute illness on the same day that you call. Due to time constraints, we ask that you make a separate appointment for each child to be seen. If you feel that your child might be highly infectious, please inform us at the time you make the appointment. We may request that you enter through an alternative door to avoid exposing other patients.

After Hours

As a service to our patients, we participate in the Pediatric Evening Referral (PERC) Clinic to provide after hours care and advice. The clinic is staffed by us as well as our pediatric colleagues and is located in Laurel Heights at 3490 California Street, Suite 200 at Locust in San Francisco 94118. If your child needs an appointment after our regular office hours, call the PRG advice nurse at 415-387-9293. The clinic is open Mon-Fri from 6pm - 9:30pm and Sat-Sun and holidays 8:30am - 9:30pm.  Additionally, the advice nurse is available to take your phone calls through the night and 24 hours on weekends. If you wish advice or if you are not sure whether your child needs to be seen, call 415-387-9293. You may also make after hours appointments for your children at the SF-based Mission Bernal Pediatric After Hours Clinic or the Marin-based Pediatric After Hours Clinic if these locations are considerably closer to your home. For urgent matters after hours that cannot be handled by the Clinic or Advice Nurse, one of our pediatricians is on call at all times and can be reached through the answering service by calling the regular office number and pressing “8”. During regular business hours and after hours, if you are expecting a phone call from our staff or a physician, you must accept ID blocked calls.