Three Year Well Check


 

MY THREE YEAR  OLD VISIT

What I can do now

  • I can jump in place.
  • I can ride a tricycle.
  • I can feed myself with a cup, spoon, and fork.
  • I can kick a ball.
  • I can climb stairs up and down.
  • I will use the potty with few accidents.
  • I can tell others my name, age, and sex, and almost everyone can understand most of my speech. I usually speak in full sentences and use plurals.
  • I like to listen to you read me stories.

Help me learn what to eat

  • I can use my own fork, spoon, and cup.
  • I need three meals and two to three snacks a day.
  • Keep my snacks healthy. I like candy and chips, but they should only be rare treats.We should
  • share meals as a family whenever possible- I am old enough now to make mealtime a family fun time. Sit down with me at meals when I eat.
  • Do not let me run or play while eating.Serve a variety of healthy foods. I will eat what is
  • familiar.
  • Avoid foods that might choke me like peanuts, hard candy, gum and hot dogs (unless you cut the hot dogs into pea sized pieces).You will need to help me cut up my food.

Protect my teeth

  • If I have not visited the dentist in the last six months, call and make an appointment for me. I should be seeing my dentist twice a year.
  • I can brush my teeth, but I will still need teaching and help with brushing and flossing. Be sure my teeth are brushed with a soft toothbrush and a dot of toothpaste with fluoride every day.

Concerns for Mom and Dad

Sleeping

  • Keep up my bedtime ritual. A routine like bath, brushing teeth, bedtime story, and looking over my books decreases tears.
  • Please keep my bedtime consistent – for my sake and yours!
  • If you want, I should be able to sleep all night in my own bed now.
  • Do not let me watch TV right before bedtime. It excites me.
  • Some gearing down time will help me get to sleep.
  • I usually will take one nap a day now, but I may grow out of it by the end of this year.

Toilet Training

  • I may be fully or partially potty trained now. But I may still wet my bed at night for years to come.
  • At times I am too busy to remember to go to the bathroom and may need to be reminded to take a bathroom break every two or three hours during the day.
  • Let me take control here. Punishing for accidents or pushing to the potty will only make this take longer.

Discipline

  • Give me lots of praise for behavior that you want to see more often.
  • Please use discipline to teach me and keep me safe. Be positive. I respond best to positive discipline that emphasizes good choices and reinforces good behaviors. Make sure my day care and baby-sitters all follow the no hitting or spanking rules.
  • Please take time to enjoy being with me in these exciting years. I like to spend time one-on-one with just mom or dad doing things that we can both enjoy together.
  • Try to ignore undesirable or negative behavior that does not hurt others or me.
  • When I need limits set, try distraction, gentle restraint, or separations from the object or from others until I can control my undesirable behavior.

Help me to learn and play

  • I need a safe place to play and enough room to run, jump, and somersault.
  • I can play with others now.
  • Read to me for at least twenty minutes a day.
  • I like to help you do simple tasks. I can put napkins on the table, match socks, pick up my toys, and straighten my bed.
  • Limit my TV time to no more than an hour per day of appropriate programs. Watch with me sometimes.
  • I like toys that I can put together and take apart like legos and blocks.
  • Some toys help me have fun – dress up, hats, farm animals, pretending.

Family

  • It helps me to understand closeness if you show affection in the family and you spend some time with each member of the family.
  • Parents need some adult time without me. That helps them to relax around me.
  • Teach me to understand that my body belongs to me.

Keep me safe

  • Keep me from being burned. I am tall enough to reach the stove and counters in the kitchen and bathroom. Keep pan handles turned toward the back of the stove. Set hot water heaters at 120° F. Keep cigarettes, lighters, and matches out of sight and out of reach. Cover electric outlets. Do not leave irons in my reach.
  • Always put me in a car seat until I weigh at least 40 pounds and reach to the top harness straps. Then I can graduate to a booster seat.
  • I am still too little to hold sharp knives or scissors.
  • It is best if guns are kept out of homes with children. If this is not possible, all guns should be stored unloaded and locked, with ammunition kept separately.
  • Do not leave me alone around water, in a wading pool or in the bathtub.
  • If you want to enroll me in a swimming program, choose one that does not require me to put my head under water. Find a program that allows parents to be involved in all activities.
  • Choose a water-resistant or waterproof sunscreen. Reapply every 2 hours. Sunscreens should be used for sun protection and not as a reason to stay in the sun longer.

Immunizations

  • I should be up to date with all my immunizations until my four-year check-up now. Please check with my doctor to be sure.

Before my 4 year old visit I will

  • Be able to sing a song.
  • Tell others my first and last names. Know my gender and that of others.
  • Talk about my experiences and activities during the day.
  • Tell what is fantasy and what is reality.
  • Use 4-5 word sentences and use past tense.
  • Hop on one foot.
  • Throw a ball overhand.
  • Stack up 10 blocks.

Pediatric Associates of Austin

Pediatricians located in Austin, TX

Situated between Tarrytown and Rosedale neighborhoods, Pediatric Associates of Austin is conveniently located in the heart of Austin, Texas. Since the practice first opened in 1974, the doctors and nurses here have treated many of the city’s children. Some of their former patients have even brought their own children to the practice, creating a family legacy at Pediatric Associates of Austin.

Board-Certified Pediatricians

All of the doctors at Pediatric Associates of Austin are board-certified pediatricians. Many of them are also fellows of the American Academy of Pediatrics. Between all of the doctors, the team has a diverse array of specialties and experiences that help them provide excellent, comprehensive pediatric care.

The full list of doctors at the practice include:

  • Dr. Stephen Griggs
  • Dr. Samuel Mirrop
  • Dr. Lance Hargrave
  • Dr. Ashley Gonzalez
  • Dr. Brandi Loomis
  • Dr. Jessica Mowry
  • Dr. Katie Sanford

 

Highly Trained Nurse Practitioners

In addition to these doctors, the practice also has a highly qualified nurse practitioner, Emily Woodard. Emily is a member of the National Association of Pediatric Nurse Practitioners. Emily Woodard earned her  Pediatric Nurse Practitioner certification through The University of Texas at Austin. She also sees patients at Pediatric Associates of Austin, SportsSafe Concussion. Brain. Body., and at the evening clinic, After Hours  Kids.

SportsSafe and After Hours Kids

Many of the providers at Pediatric Associates of Austin also provide care through SportsSafe: Concussion. Brain. Body. and After Hours Kids, which are both located in the same building.

SportsSafe: Concussion. Brain. Body. Provides baseline testing, concussion evaluations, and concussion education for student-athletes. After Hours Kids provides medical care for children during evenings and on weekends.

In addition to these extension programs, Pediatric Associates of Austin also has an on-site lab. This lets them expedite blood work when needed.

Care for Children of All Ages

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personal, comprehensive service including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personable, comprehensive services including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

Pediatric Associates of Austin exists to provide parents and children with excellent medical care and parenting education. We strive to be advocates for children to ensure each child’s value and to help families be successful in raising confident, capable members of our society.

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Pediatric Associates of Austin

Situated between Tarrytown and Rosedale neighborhoods, Pediatric Associates of Austin is conveniently located in the heart of Austin, Texas. Since the practice first opened in 1974, the doctors and nurses here have treated many of the city’s children. Some of their former patients have even brought their own children to the practice, creating a family legacy at Pediatric Associates of Austin.

Board-Certified Pediatricians

All of the doctors at Pediatric Associates of Austin are board-certified pediatricians. Many of them are also fellows of the American Academy of Pediatrics. Between all of the doctors, the team has a diverse array of specialties and experiences that help them provide excellent, comprehensive pediatric care.

The full list of doctors at the practice include:

 

Highly Trained Nurse Practitioners

In addition to these doctors, the practice also has a highly qualified nurse practitioner, Emily Woodard. Emily is a member of the National Association of Pediatric Nurse Practitioners. Emily Woodard earned her  Pediatric Nurse Practitioner certification through The University of Texas at Austin. She also sees patients at Pediatric Associates of Austin, SportsSafe Concussion. Brain. Body., and at the evening clinic, After Hours  Kids.

SportsSafe and After Hours Kids

Many of the providers at Pediatric Associates of Austin also provide care through SportsSafe: Concussion. Brain. Body. and After Hours Kids, which are both located in the same building.

SportsSafe: Concussion. Brain. Body. Provides baseline testing, concussion evaluations, and concussion education for student-athletes. After Hours Kids provides medical care for children during evenings and on weekends.

In addition to these extension programs, Pediatric Associates of Austin also has an on-site lab. This lets them expedite blood work when needed.

Care for Children of All Ages

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personal, comprehensive service including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

We provide exceptional medical care for children from birth through college. At Pediatric Associates of Austin, we offer personable, comprehensive services including on-site laboratory and digital imaging. All of our nurses are Registered Nurses who have a vast knowledge of pediatric medicine. Our physicians are all Board-Certified Pediatricians.

Pediatric Associates of Austin exists to provide parents and children with excellent medical care and parenting education. We strive to be advocates for children to ensure each child’s value and to help families be successful in raising confident, capable members of our society.


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Is Your Child Sick?

View the KidsDoc Symptom Checker from HealthChildren.org by clicking here    

     

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If your child is seriously ill, please call us directly at (512) 458-5323

Our New Payment Partner!

Pediatric Associates of Austin has partnered with Patientco to allow you to Pay Your Bill online! This is the simplest, most secure payment experience possible.


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Injuries Happen. We're Here to Help.

By partnering with SportsSafe, Pediatric Associates of Austin is dedicated to helping pediatric patients who have sustained a concussion injury. For more information about SportsSafe click here.

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After Hours Care

AFTER HOURS KIDS is a pediatric care clinic staffed by Certified Pediatric Nurse Practitioners as an after hours extension to Pediatric Associates of Austin. It is common for problems to present themselves after regular hours for children 18 years and younger. We have an on-site lab available, and we are open to the general public.

AFTER HOURS KIDS is not a Primary Care Provider and does not accept patients for on-going primary care.

Ear Piercing available at After Hours Kids

Since a newborn’s ears are not fully developed and they typically have not received their first two tetanus vaccines, ear piercing in children under 4 months is not recommended. We advise piercings to be done between 4 to 6 months or after 12 years of age. However, some exceptions can be made. Click here for more information.

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Testimonials

Words from our patients

  • Google

    "This is hands down the BEST place you can take your children. They are so patient, caring and friendly. "

    Katie I.
  • Google

    "It's such a relief to be able to get my sick kiddos in after work hours. "

    Erin S.
  • Google

    "Super great with our son and incredibly patient and thorough with all our first time parent questions. We love Dr. Mowry."

    GIOVANNA B.
  • Google

    "Got us in first thing on a Saturday to diagnose a second round of strep. Dr. Sanford is thorough and sweet and we have loved every experience with her!"

    WHITNEY B.
  • Google

    "Dr. Gonzalez is a kind and patient listener. She immediately puts my children at ease when they talk with her. We love her!"

    ASHLEY P.
  • Google

    "Dr. Loomis is the best! She is very attentive and answers all of my questions. I never feel rushed with her. She’s gentle and caring and I couldn’t be more pleased!"

    KERRY W.
  • Google

    "Dr Mowry is always very kind and genuine. I leave my daughter's appointments feeling informed and secure that she is getting the best care. Thank you Dr Mowry."

    LIZ A.
  • Google

    "We love Dr. Sanford and appreciate the time and detailed attention she devotes to our son. She is warm, friendly and extremely patient!"

    SAMANTHA S.
  • Yelp

    "Dr. Mirrop is wonderful. I would recommend him to everyone who asks for a good pediatrician."

    SARA N.
  • Yelp

    "After Hours Kids was there for us! I'm so grateful to have found them!"

    Michelle F.
  • Yelp

    "I love Dr. Hargrave. He is always incredibly detailed and we are grateful for his approach to ensure parents' concerns are taken into account with care of his patients."

    J. C.
  • Google

    "Dr Loomis is incredible. She is knowledgeable, patient, kind, and thorough. My son has been her patient from the beginning. Highly recommend her."

    JESSICA E.
  • Google

    "I love that there are so many different hours available as well as the ability to see a Dr. on the weekend. "

    Anne R.
  • Google

    "Dr. González is always incredibly empathic and informative. As first time parents my husband and I have been grateful for her guidance."

    JAMIE P.
  • Google

    "We are new patients and feel extremely cared for by the staff here. Our newborn son has received personalized care and attention by doctors, nurses and other staff."

    Katherine B.
  • Google

    "We love Dr. Sanford and appreciate the time and detailed attention she devotes to our son. She is warm, friendly and extremely patient!"

    Samantha T.
  • Google

    The clinic is a well-oiled machine with very friendly staff. You’re given a patient room to wait in immediately and we have never waited too long to see the pediatrician.

    Lucinda W.
  • Google

    "My children have been coming to Pediatric Associates for 10 years. The doctors are knowledgable, the nurses are fantastic, the appointments run on schedule..."

    E.M.
  • Google

    "Great practice, we have been patients for almost 16 years. Very easy to get an appointment, even on short notice. Quick in/out, great docs, great staff."

    Clara O.
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Pediatric Associates of Austin
1500 West 38th Street
#20
Austin, TX 78731