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MIDDLE CHILDHOOD: 9 & 10 Year Visits

Getting Ready for this Visit


girls sitting in front of a computerWrite down your questions. Share anything new and exciting. These are important! You and your child should be ready to participate fully in the visit. You are a partner with your health care provider; your child is learning.

Children with special needs: Discuss how school is going, support services, etc. Bring your child's updated or new Individualized Education Program (IEP) to the visit, mention treatments, medications, or visits to specialists.

At this age, your child may:

  • Show increased physical skills, thinking and reasoning abilities
  • Show increased social and emotional skills and a sense of right and wrong
  • Understand health and wellness and what she can do to achieve them
  • Show that he is becoming more responsible; making good decisions on his own
  • Demonstrate caring relationships with family, other adults, and other children
  • Appear self-confident, hopeful; has a sense of well-being


What's Important for this Visit

YOUR questions and concerns are the #1 priority! Your health care provider may also discuss:

  • School: Performance; homework; bullying; readiness for middle school

  • Development and emotional health (mental health): Self esteem; family time; getting along with family, friends; temper; setting "reasonable" limits; self-care; growth spurts, beginning puberty

  • Food/eating and Physical Activity: Weight concerns; body image; importance of breakfast; limiting high-fat foods; water instead of soda or juice; family meals; physical activity

  • Oral Health: Daily brushing and flossing; fluoride; regular visits to the dentist

  • Safety: Seat belts; helmets; bicycles; swimming; sunscreen; knowing child's friends; supervising child with friends; smoking/alcohol/drugs; guns


The 9 & 10 Year Visit: What To Expect

Your health provider will do a physical exam, covering your child with a drape for privacy, and check height, weight, Body Mass Index (BMI), and blood pressure; observe skin for tattoos, injuries. Check spine. Check for beginnings of sexual maturity. May carry out screening tests: vision, others as indicated.

  • Immunizations: See chart for any needed at this age.