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Dr. Brudenell's Well-Visit Forms and Questionnaires

For your Newborn Visit, please look over the American Academy of Pediatrics TIPP® sheet for ages 0-6 months. It is filled with valuable information to help you keep your child both safe and happy.

Remember: Make certain that your baby's car safety seat is installed correctly. Read and follow the instructions that come with the car safety seat and the sections in the owners' manual of your car. Use the car safety seat every time your child is in the car.

When children begin crawling, or eating sold foods, parents and guardians must be aware of the dangers and risks of chocking. For more information of choking prevention, please read the American Academy of Pediatrics handout below.


For your 2 Month Visit, please look over the American Academy of Pediatrics handout on developmental milestones and print out the dosage chart for Children's Tylenol.


The American Academy of Pediatrics notes that sleep problems are very common in the first several years of life. These problems might include waking up during the night, not wanting to go to sleep, sleepwalking, nightmares, and wetting the bed. For your 4 Month Visit, please look over the American Academy of Pediatrics handout on sleep issues in children.


For your 6 Month Visit it is time to review home safety. The American Academy of Pediatrics' Home Safety Checklist is a good place to start. It is filled with helpful hints on keeping your home safe for your new child. In addition to the checklist the AAP also has a TIPP® sheet on specific safety issues for children aged 6-12 months, which is important look over. Lastly, we have provided a brochure on poison safety tips that was put out by Denver Health and the Rocky MOuntain Poison Center.

Remember: Use gates on stairways and doors. Install operable window guards on all windows above the first floor. Do not use a baby walker. If your child has a serious fall or does not act normally after a fall, call your doctor.


No matter how "safe" your child's car seat may be, it cannot protect your child if it is not properly installed. For your 9 Month Visit, please read over the AAP's flyer on car seat safety and make sure to review the manual that came with your particular carrier.


For your 12 Month Visit, please look over the American Academy of Pediatrics TIPP® sheet for ages 1-2 years. Also, you may have notice, or you may start noticing, that you child has trouble keeping strong emotions inside, which can lead to temper tantrums. This is normal. Included in the readings for your 12 month visit is a handout from the AAP on temper tantrums and what to do about them. We're also including a look at the Food Pyramid and another AAP handout on nutrition because healthy eating starts early.

And since we are talking about eating it a good time to address dental hygiene, so we'll also provide information on that.

Remember: Children in homes where guns are present are in more danger of being shot by themselves, their friends,or family members than of being injured by an intruder. Ask if the homes where your child visits or is cared for have guns and how they are stored


As a parent, it is your job to teach your child what is and is not acceptable behavior. Though it seems like a daunting task, it really isn't as hard as you think. For your 18 month visit, please review the AAPs handout on discipline.


For your 2-4 Year Visits, please review the safety tips in the American Academy of Pediatrics TIPP® sheet for 2-4 year-olds.

Remember: Keep safety caps on at all times or find nontoxic substances to use. If your child does put something poisonous in his or her mouth, call the Poison Help Line immediately. Attach the Poison Help Line number (1-800-222-1222) to your phone.


For your 5-6 Year Visits, please review the Colorado Child Restraint Law and read over the AAP's handout on the impact of media on children.

Remember: At age 6, children aren't good at judging sound, distance, or the speed of a moving car. Teach your children to stop at the curb and to never cross the street without a grown-up. Make sure your child wears a helmet every time he or she rides a bike.


For your 11 Year Visit, please review the U.S. Department of Health and Human Services brochures on Milk.


For the 12-15 Year Visits we've provided information from the AAP on both sex and smoking.


For your 17-18 Year Visits we've provided information on how to perform both breast and testicular exams.