Pediatrics

Child & Adolescent Immunization Schedule

— Newborn

Hepatitis B (HepB) — 1st dose

— 1–2 Months

Hepatitis B (HepB) — 2nd dose

— 2 Months

• DTaP (Diphtheria, Tetanus, Pertussis) — 1st dose
• IPV (Polio) — 1st dose
• Hib (Haemophilus influenzae type b) — 1st dose
• PCV15 or PCV20 (Pneumococcal conjugate) — 1st dose
• RV (Rotavirus) — 1st dose

— 4 Months

• DTaP — 2nd dose
• IPV — 2nd dose
• Hib — 2nd dose
• PCV — 2nd dose
• RV — 2nd dose

— 6 Months

• DTaP — 3rd dose
• IPV — 3rd dose (may be given between 6–18 months)
• Hib — 3rd dose (if needed, depending on brand)
• PCV — 3rd dose
• RV — 3rd dose (if 3-dose series)
• HepB — 3rd dose (between 6–18 months)
• Influenza — Start annual flu vaccine

— 12–15 Months

• MMR (Measles, Mumps, Rubella) — 1st dose
• Varicella (chickenpox) — 1st dose
• Hib — Final dose
• PCV — Final dose
• HepA — 1st dose
• DTaP — 4th dose

— 15–18 Months

• HepA — 2nd dose (6 months after 1st)
• DTaP — 4th or 5th dose (if not already given)

— 4–6 Years

• DTaP — 5th dose
• IPV — 4th dose
• MMR — 2nd dose
• Varicella — 2nd dose

— 11–12 Years

• Tdap — 1 dose
• HPV — 2-dose series (start now)
• MenACWY (Meningococcal conjugate) — 1st dose

— 16–18 Years

• MenACWY — 2nd dose
• MenB (Meningococcal B) — Optional; discuss with provider
• HPV — Complete series if not already done

— Annual Vaccines (All Ages 6 Months & Up)

• Influenza (Flu Shot) — Every year
• COVID-19 Vaccine — Follow current CDC recommendations

Access, download, and print the full CDC schedule including important notes.

Newborn & Infant Care  

Including Texas state-required screenings

Well-Child Visits  

Routine check-ups for growth, development, and preventive care 

Hearing & Vision Screenings  

State-mandated tests for early detection of issues 

Developmental & Behavioral Assessments 

• Autism screening 
• ADHD evaluations 
• Social-emotional growth monitoring 

Physicals  

School, Sports, Camp, and Pre-Participation Exams 

Same-Day Sick Clinic 

For fevers, coughs, infections, and other urgent needs 

Common Childhood Illnesses  

• Cold 
• Flu 
• Strep throat 
• Pneumonia  
• Ear infections 
• Hand-foot-and-mouth disease 
• RSV 

Onsite X-Rays & Office Laboratory  

Rapid diagnostic tests, blood work, and imaging for quick results 

Concussion Management  

Assessment and monitoring for head injuries and return-to-play guidance

Growth & Developmental Problems  

Endocrinology referrals, early intervention strategies, and monitoring 

Allergy & Immunology Services  

Food allergies, eczema, allergic rhinitis, and anaphylaxis management 

Asthma Management & Preventative Care  

Inhaler education, allergy testing, and action plans 

Childhood Obesity & Weight Management  

Nutritional counseling, exercise recommendations, and metabolic screenings 

Sports Medicine Evaluations & Treatment  

Injury prevention, rehabilitation, and return-to-play protocols 

Fracture & Sprain Care  

Onsite evaluation and casting/splinting if needed 

Concussion Evaluation & Management

For head injuries, lingering symptoms, and return-to-activity planning

Joint & Muscular Pain Assessments  

For growing pains, overuse injuries, and other concerns 

Autism Spectrum Disorder Screening & Support  

Early intervention and referrals for therapy 

ADHD & Learning Disability Evaluations  

Screening, treatment options, and referrals if needed 

Behavioral Counseling  

For sleep issues, anxiety, emotional well-being, and social development 

Breastfeeding & Lactation Support  

Consultations for new mothers, latch techniques, and feeding concerns 

Infant & Toddler Feeding Guidance  

Transitioning from breastmilk/formula to solids, managing food allergies, etc. 

Pediatric Nutrition Counseling  

Healthy diet planning, weight concerns, and picky eating solutions 

Painless Practice Approach  

Techniques to reduce discomfort during procedures and exams  

Ear Piercing  

Sterile, pediatric-friendly techniques with hypoallergenic earrings 

Minor Skin Procedures  

• Wart removal 
• Laceration repair 
• Drainage of minor infections 

Telemedicine Visits

Virtual care for non-emergency issues

• Aetna Select
• Open Access Selects
• Elect Choice
• Aetna Open Access Elect Choice
• Aetna Choice POS II
• Managed Choice
• Open Choice PPO
• Aetna Medicare Advantage Plans

CLS Health does not accept:

• Aetna CVS Marketplace Plans

* Some providers may not accept this insurance, please call to confirm

• Superior Ambetter Core (Complete, Clear, Focused, Standard Silver and Gold)
• Superior Ambetter Value (Clear Value Silver, Focused Value Silver, CMS Standard Silver & Gold Value, Everyday Value Gold)
• Superior Ambetter Virtual (Ambetter Virtual Access Silver, CMS Standard Virtual Access Basic Silver, Ambetter Virtual Access Gold)
• Superior Health Plan CHIP*
• Superior Health Plan MAPD (Medicare Advantage Prescription Drug)
• Superior Health Plan Medicare
• Superior Health Plan MMP Medicaid*
• Superior Health Plan MMP Medicare
• Superior Health Plan STAR*
• Superior Health Plan STAR Kids*
• Superior Health Plan STAR+PLUS*

CLS Health participates in most Blue Cross Blue Shield plans including:

• Blue Choice PPO
• Blue Essentials
• Blue Essentials Access
• HealthSelect
• HealthSelect of Texas In Area
• Consumer Directed HealthSelect in Area
• HealthSelect of Texas Out of State
• Consumer Directed Health Select Out of State
• HealthSelect Secondary 65+
• Medicare Advantage HMO
• Medicare Advantage PPO
• Medicare Advantage Value HMO
• POS
• Traditional/Par Plan
• TRS-Active Care
• TRS-Care Standard
• BCBS MyBlue Health (Marketplace)

*Some providers may not accept Community Health Choice, please call to confirm

• MarketplacePremier
• Medicaid*CHIPCHIP PerinateSTAR
• Medicare AdvantageDual-Special Needs Plan (D-SNP)

CLS Health accepts most Cigna plans, including:

• Cigna HMO
• Cigna Local Plus
• Cigna Open Access Plus
• Cigna PPO

• ChoiceCare PPO
• EPO
• HMO
• HMO Premier
• Medicare Advantage Plans
• HumanaChoice - Medicare Advantage PPO plan
• Humana Gold Choice - Medicare Advantage Private Fee-for-Service (PFFS) plan
• Human Gold Plus - Medicare Advantage HMO & Special Needs Plan
• Military (TRICARE South Region Military Health Plan)
• POS - including Choice POS, National POS Open Access/Plus and Preferred POS Open Access.
• PPO

*Some providers may not accept United Healthcare, please call to confirm

• Commercial, HMO, POS, EPO and PPO Plans (Charter, Choice,Core, Doctors Plan, Freedon, Heritage, Navigate, Nexus ACO, Options PPO, Passport Connect, Select)
• Indemnity
• Medicare Advantage (AARP, Care Improvement Plus, C-SNP, D-SNP, I-SNP, Erickson Advantage, ERS Medicare Advantage, TRS-Care Medicare Advantage, UnitedHealthcare Chronic Complete, UnitedHealthcare Connected (Medicare-Medicaid Plan), UnitedHealthcare Dual Complete, UnitedHealthcare Group Medicare Advantage PPO, United Healthcare Medicare Complete)
• Community Plans* (CHIP, CHIP Perinate, Star, Star Kids, Star Plus, MMP)
• Wellmed (Wellmed Dual SNP Focus, Wellmed Medicare Advantage Focus)

*Some providers may not accept Wellpoint, please call to confirm

• Medicaid (All Texas Plans Including the Below)*
• CHIP
• CHIP Perinate
• STAR
• STAR+PLUS
• STAR Kids
• Medicare Advantage
• C-SNP
• D-SNP
• I-SNP
• Medicare Advantage HMO
• Medicare-Medicaid (MMP)
• Medicare-Medicaid Program (MMP)
• STAR+PLUS MMP

*Some providers may not accept insurance, please call to confirm

PPO Networks

• Beechstreet PPO
• Carnival Cruise Lines PPO
• Envolve Benefit Options Vision-PPO, HMO
• First Health
• Curative/First Health
• Galaxy Health Network
• HealthSmart Preferred Care
• Accel
• Healthsmart Payors Organization
• Multiplan PPO
• Tricare (Humana) PPO/Prime

Employer-Specific Plans

• Brazoria County Employees – Aetna TPA Brazoria County Employees

Workers’ Compensation Plans

• Workers’ Comp
• Auto & Workers’ Comp

Medicare and Medicare Advantage

• Medicare Traditional
• Medicare Advantage
• Memorial Hermann Health Solutions Commercial and Medicare
• Molina Medicare Complete Care HMO SNP
• Medicare-Medicaid Program (MMP)
• STAR+PLUS MMP
• Alignment Health Plan
• AllyAlign Health
• American Health Plans
• Florida Complete Care
• Gold Kidney Health Plan
• Imperial Health
• Independent Health
• Kaiser Foundation Health Plan of Washington
• Kaiser Foundation Health Plan of Colorado
• Mass Advantage
• Presbyterian Health Plan
• PriorityHealth
• Provider Partners
• SCAN
• UCare
• Vantage Health Plan
• Verda Healthcare
• Zing Health

Medicaid and CHIP Programs

• Molina Healthcare* (Marketplace, Medicaid, CHIP, CHIP Perinate, STAR, STAR Kids, STAR+PLUS)
• Texas Children's Health Plans*
• TMHP (Traditional Medicaid) Traditional Medicaid

Specialty Plans

• VA Community Cares Network CCN

Your child should start seeing a pediatrician within the first week after birth for a newborn check-up. Pediatricians provide regular wellness visits starting from infancy to monitor growth, development, and overall health. 

Children should have well-child visits at newborn, 2 weeks, and months 2, 4, 6, 9, 12, 15, 18, 24, and 30. After age 3, annual check-ups are recommended to monitor development, administer vaccines, and address any health concerns. 

Children need routine vaccinations at specific ages. Key vaccines include: 

• Infancy: Hepatitis B, DTaP, Hib, Polio, Rotavirus, Pneumococcal 
• Toddler: MMR, Varicella, Hepatitis A 
• Pre-K: DTaP, Polio, MMR, Varicella 
• Pre-Teen & Teen: HPV, Meningococcal, Tdap 
• Annual: Flu shot for all ages 

Yes, pediatricians conduct sports physicals to assess a child’s fitness for athletic participation. These include a medical history review, physical exam, and risk assessment for injuries or underlying conditions. 

Take your child to a pediatrician if a fever: 

• Is 100.4°F (38°C) or higher in infants under 3 months 
• Persists for more than 3 days in older children 
• Is accompanied by difficulty breathing, rash, severe pain, or dehydration 

For mild fevers, ensure hydration and rest while monitoring symptoms. 

Common signs of food allergies in children include: 

• Skin reactions (hives, eczema, swelling) 
• Gastrointestinal issues (vomiting, diarrhea, abdominal pain) 
• Respiratory symptoms (wheezing, coughing, shortness of breath) 
• Anaphylaxis (severe reaction requiring immediate medical attention) 

If you suspect a food allergy, consult a pediatrician or allergist for testing. 

Yes, pediatricians can screen for autism through developmental assessments at 18 and 24 months. If concerns arise, they may refer to specialists for further evaluation and therapy recommendations. 

Yes, pediatricians can diagnose ADHD by evaluating attention, behavior, and learning challenges. Treatment may include behavioral therapy, lifestyle modifications, and medication if necessary. 

Yes, pediatricians provide nutrition counseling, lifestyle recommendations, and weight management plans for childhood obesity. They may also screen for underlying conditions like metabolic disorders or insulin resistance. 

Most children transition from a pediatrician to a family doctor or internist between ages 18-21, depending on their needs and medical history. Some pediatric practices may continue care into young adulthood.