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    Health Screening Guidelines, Ages 2 to 18

    Screening tests are a key part of managing your child's health. Screening tests are done to find conditions in people who don't have any symptoms. These tests are not used to diagnose. They are used to find out if more testing is needed. The goal may be to find a disease early so it can be treated with more success. Or the goal may be to find a disease so lifestyle changes can be made. And your child can be watched closely to reduce the risk of disease.

    Here are guidelines for children and teens from ages 2 to 18. Talk with your child’s health care provider. Based on your child’s health history and risk factors, the provider may change this advice. Make sure your child is up-to-date on what they need.

    Screening

    Who needs it

    How often

    Chlamydia and gonorrhea infections

    All females in this age group who have sex

    Once a year

    High lead level

    Children ages 6 and younger

    Questions to learn risk, or blood tests, may be done once a year

    HIV

    Children in this group who are ages 13 to 18. Talk with your child’s provider.

    At routine exams at age 13 or older (or younger if at risk)

    Obesity

    Assessment of risk for all children in this age group

    At routine exams

    Tooth decay and other dental problems 

    All children in this age group

    Dental exams every 6 months. Fluoride supplements from age 6 months to 16 years for those with low fluoride levels in their water. Fluoride varnish may be applied every 3 to 6 months, based on the risk for tooth decay. Fluoride rinses may be used in children age 6 years or older, if they are able to rinse and spit.

    Type 2 diabetes or prediabetes

    Children ages 10 or older (or after onset of puberty) who are overweight or obese and have one or more other risk factors for diabetes

    At least every 3 years or more often if BMI is going up

    Blood pressure

    All children 3 years of age and older

    Annual well-child visit

    Vision

    All children in this age group

    At least one time between ages 3 and 5 years. After that, every 1 to 2 years.

    Hearing

    All children in this age group

    Once a year ages 4 through 6, followed by more screening at ages 8 and 10. Screening (with high frequency) once between 11 and 14 years, once between 15 and 17 years, and once between 18 and 21 years.

    Anemia

    All children in this age group

    Assess risk at all well-child visits up to 36 months of age and every year after that. Screening as needed per risk factors.

    Screening

    Who needs it

    How often

    Depression and suicide

    Children ages 12 and older

    At routine exams

    Behavioral/social/emotional screening

    All children in this age group

    At routine exams

    Anxiety

    Children between ages 8 and 18

    At routine exams

    Prevention of skin cancer

    All children in this age group

    At routine exams

    Prevention of sexually transmitted infections (STIs)

    Children in this age group who have sex

    At routine exams

    Physical activity

    All children in this age group

    At routine exams

    Tobacco, alcohol, or drug use

    Children ages 11 and older

    At routine exams

    Online Medical Reviewer: L Renee Watson MSN RN
    Online Medical Reviewer: Rita Sather RN
    Online Medical Reviewer: Stacey Wojcik MBA BSN RN
    Date Last Reviewed: 12/1/2024
    © 2000-2024 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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