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All is Well Wednesday Week 12: 3 Years Old


Justin is pretty lucky to have Nurse Rebekah as his nurse and mommy! We always strive to let all our patients know and feel how special they are. Thank you for allowing us to be part of your lives!

Justin is getting his three year check up. Checking vitals is always part of the well child visit. Today’s visit is the first time we would have measured his blood pressure, the measure of the force of blood against any vessel. It is important to have blood pressure checked regularly. For example, high blood pressure (hypertension) in a young child may occur without symptoms but can be a sign of other issues such as kidney disease. 


  • On this visit, your child will have a small finger poke to do a complete blood count (CBC). This test is performed on-site and you will know the results today. A CBC is useful for assessing the overall health of the patient and checking for conditions such as anemia and infection. Among the components measured are white blood cells that fight infections, red blood cells that are responsible for carrying oxygen in the blood,  and platelets which are involved in clotting. 

  • Spot Vision Screener Your nurse will use  a handheld device to quickly assess your child’s vision. The patient will look at the spot screener for a few seconds as if getting a picture made. It quickly screens for vision issues such as near- or far-sightedness. 


Seasonal influenza Children 6 months and older may get a flu vaccine if appropriate age and season. If this is the first year your child received the flu vaccine, he/she will need a second one in 1 month. The seasonal flu vaccine covers four strains of the flu predicted to be circulated each year. All of our injections are preservative free. Children 2 years and up may also get the nasal flu vaccine, FluMist, if available and appropriate. 


Patient Portal/ Surveys:

As of September 1, 2020, Summit Medical Group transitioned to a new electronic health record  and therefore a new patient portal. Your account information will need to be reestablished.  If you as the parent/guardian see a Summit Medical Group provider, your patient portal will be linked to your children. If you have not already set up your new account, please call the office.  Once your child is over the age of 13 they may wish to have their own patient portal account. Your new patient portal account has many interactive features including self-check in which will allow you to update information prior to your appointment and avoid excessive paperwork. You will be able to view upcoming appointments, outstanding bills, care summaries and send us secure healthcare messages! For more information about the new patient portal and online features, please see our website www.shultspediatrics.com.  Thank you for your patience during this transition. 

We also utilize a program called CHADIS. If you are a returning patient you may recall completing “surveys” that were linked to your patient portal account. This is the same program but runs independently from your new patient portal account. You will receive an email invitation from CHADIS when screeners have been assigned to your child by their provider. to set up your account for your children and complete the needed questionnaires. The invitation email will  include an invitation code which allows you to register your account to receive reminders should you wish in the form of email or text aerts. you will receive an email/text from CHADIS reminding you to complete them prior to arriving for your appointment. Make sure to click the button “Send I’m Done” so that the answers can be loaded into your child’s chart and reviewed during their appointment.

Ages & Stages, 36 months

The Ages & Stages Questionnaire (ASQ) is a developmental screening tool used to assess your child’s development periodically through 5 years old. The parent completes the age specific questionnaire before the visit to help the pediatrician gauge the child’s development in five domains: Communication, Fine Motor, Gross Motor, Personal-Social and Problem-solving. Please, allow 15-20 minutes to complete the survey. It is helpful to have your child with you when completing to better answer some of the questions.

If your child has not mastered all the skills in the survey (and most have not), don’t worry. The survey is designed to check for a range of development.


Next routine well visit: 4  years old


See you next time! 

As always, take care and remember we are here if you need us!


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