
Here’s what to expect at the 4-year old well visit.
Four-year-olds often like to sing, dance, act, do karate and be just plain active. They like to tell “tall tales” and make up stories. Enjoy these moments when creativity flows throughout the body. Parents should continue to help with brushing teeth even though your child will want to do it themselves.
At this visit, we will:
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- Measure your child’s weight, height, body mass index (BMI) and record on a growth curve.
- Provide your child’s immunizations. Discuss dental health and apply fluoride varnish to your child’s teeth.
- Discuss concerns about development, i.e., clear speech, gross and extra fine motor skills
- Hear and address your concerns
Immunizations: Influenza (during flu vaccine), Proquad/MMRV, Kinrix/DTaP and Polio
Tests/Screens/Assessments: TB surveillance, CBC, Fluoride Varnish, Vision Testing, Hearing Testing


Dr. Hylton I. Lightman is a senior statesman amongst pediatricians, an internationally-recognized authority and diagnostician, a public speaker, expert witness and go-to resource for health issues in the Orthodox Jewish community.

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