Office visits and recommended vaccine schedule
We are available to see children for well child visits, urgent (sick) visits, and in consultation for ongoing concerns. For more complex issues, we are able to collaborate with local and regional specialists, in order to bring your child the highest quality care with the most up to date resources.
For phone number, maps, and directions, please refer to our Contact page.
Of course, in an emergency situation, it’s best to call 911 or proceed to an Emergency Room. If you feel that your child needs to be seen urgently, our nursing staff can help to determine whether and how soon your child should be seen. If questions arise after-hours, we maintain an on-call system that allows you to speak with a triage nurse. If there are still concerns after speaking with the nurse, we are part of a local group of pediatricians available by phone, 24 hours a day, 7 days a week.
We are available to consult on a variety of ongoing problems, ranging from acne to headaches to behavioral concerns. It can be helpful to bring a symptom diary to the visit, paying attention to timing and duration of symptoms, and any aggravating or alleviating factors.
Well Child Care
These periodic visits are an important part of maintaining health through preventive care. At each visit, we provide a thorough evaluation of your child’s growth and development, as well as a complete physical exam. These visits are the best time to make sure immunizations are up to date as well. Following is a list of the recommended timing of these visits, as well as recommended immunizations at each visit. Please see our Resources link (coming soon) for more information about immunizations.
Our goal is to establish a long-term relationship with you and your child. This complimentary visit is a great way to get to know our office and staff before the whirlwind of welcoming a new baby. We welcome any questions about our backgrounds and styles of practice, and are happy to share our insights into your baby’s first days.
• Newborn check
We are on staff at Sierra Vista Regional Medical Center, and typically visit our newest patients within their first 24 hours of life—please just let your nurse know who your family’s pediatrician will be. For babies born at other regional hospitals, the staff pediatricians there will generally see them while in the hospital.
• First week
Depending on a variety of factors (mode of delivery, feeding and weight, presence of newborn jaundice), this visit will be scheduled within one to several days after discharge from the hospital. We will check your baby’s weight, evaluate for any feeding difficulties, and of course answer the long list of questions that arise during those first few days.
During their first two years, babies experience incredibly rapid periods of growth and development. They also receive the first of their vaccines, which provide an important foundation for their health. While both Dr. Bravo and Dr. Szytel feel that the recommended vaccine schedule is safe and effective, we are open to discussing alternative approaches.
- 2 months – DTaP, Hepatitis B, Polio, HIB, Pneumococcal, Rotavirus
- 4 months – DTaP, Hepatitis B, Polio, HIB, Pneumococcal, Rotavirus
- 6 months – DTaP, Polio, Pneumococcal, Rotavirus
- 9 months – Hepatitis B, HIB, Hemoglobin (test for anemia)
- 12 months – MMR, Varicella, Hepatitis A
- 15 months – DTaP, HIB, Pneumococcal
- 18 months – Hepatitis A
Though most children are up to date on vaccines by this point, we still recommend annual visits from ages 2 to 6 years to assess growth and development. At the pre-Kindergarten visit, your child will receive boosters of the recommended vaccines, including DTaP, Polio, MMR, and Varicella. Hearing and vision screening will be done as well.
Given the rapid changes from 13 to 18 years, we recommend annual visits during this time. At age 14, we recommend the Meningococcal vaccine.