Alternative Immunization

Schedule and Visit Fees

Our recommended immunization schedule is consistent with American Academy of Pediatrics recommendations and is designed to achieve rapid, complete immunization with a minimum number of injections. Speed and completeness are especially important to protect against life-threatening diseases such as whooping cough, meningitis and pneumonia for infants in first 6 months of life.

We prefer polyvalent vaccines which protect against multiple diseases with a single injection (Pentacel) and infant pneumonia vaccine (Prevnar) starting at two months of age.

Although we’re aware of alternative immunization schedules which limit vaccination to single antigen shots one at a time, we believe those schedules are less effective because they achieve protection too slowly. If parents choose alternative vaccination schedules the children will need extra shot visits to get their protection or fall behind in gaining needed protection.

Extra vaccination only visits beyond usual checkups mean more crowded waiting rooms and extra work for our nurse/immunizers. To compensate for that extra burden on our resources, we are assessing a $25 surcharge in addition to any regular copays or deductibles that are otherwise due. If a vaccination only visit has been suggested by your doctor because of an illness or other medical reason that surcharge will be waived, but only if the MD has indicated it at the prior checkup visit.



There is no charge for forms filled out at the time of an exam. All other forms have a $10 fee and a one week turn around time (We try to get to them sooner but there are no promises.) Rush forms  will be done within 48 business hours. There is an additional fee for this.

Please be aware of your insurance guidelines and schedule your appointments accordingly. Some plans are very strict and will not pay for a checkup that is scheduled too early.

Exam and Vaccine


New Born within the first week, Hep B in hospital
1 Month Exam, Hep B
2 Month Exam Pentacel (Dtap, Polio, Hib), Prevnar, Rototeq
4 Month Exam Pentacel, Prevnar, Rototeq
6 Month Exam Pentacel, Prevnar, Rototeq
9 Month Exam Hep B
12 Month Exam Pentacel, Prevnar (screening for iron level and lead level as needed)
15 Month Exam MMR, Varivax (chickenpox), Hep A
18 Month Exam
24 Month Exam Hep A
30 Month Exam (not covered by all insurance plans)
3 Year Exam
4 Year Exam MMR, Varivax
5 Year Exam Dtap, IPOL
6 Year Exam
7 Year Exam
8 Year Exam
10 Year Exam Gardisil ( HPV 2 shot series if completed by 16 years of age or 3 if not)
11 Year Exam
12 Year Exam Tdap, Menactra
13 Year Exam
14 Year Exam
15 Year Exam
16 Year Exam Menactra
17 Year Exam
18 Year Exam

*** Over the age of 5, an annual check up is recommended

***We try to do all check ups from 4 and older in the Spring, Summer and early autumn