Test and Exam Record

You can keep track of tests or exams your child has by using the chart below.

Type of Test or Exam Enter Date/Age, Results and Other Information

Newborn Screening

Schedule: Before 7 days old*

Date/Age            
           

Vision Test

Schedule: First test before 5 years old*

Date/Age            
           

Hearing Test

Schedule: *

Date/Age            
           

Lead Test

Schedule: First test by 1-2 years old*

Date/Age            
           

Tuberculosis Skin Test

Schedule: If needed.*

Date/Age            
           

Dental Visit

Schedule: *

Date/Age            
           

* Discuss your child's specific needs with his or her doctor or nurse.



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The Pocket Guide to Good Health for Children