Services

Please review the many services we have to offer under the Services tab!

Offered Services

Click on Topic for Drop Down Description

Well Child and Adolescent Visits

Routine visits fulfill several purposes:

  • Updating history: illness, injuries, allergies, hospitalizations
  • Assess and discuss nutrition, growth, development and behavior
  • Hearing and vision screening ages 4 and up
  • Labwork and immunizations
  • Explore changes in the child, family and social environment and share insights
  • Anticipatory guidance and accident prevention

Immunizations and Health Screening

Visit by Age: Usual Procedures

10 days: Newborn metabolic blood screening test

1 month: May receive Hepatitis B

2 months: Hepatitis B, Pentacel (DTaP, IPV, HIB), Prevnar 13 (Pneumococcal), Rotavirus

4 months: Pentacel, Prevnar 13, Rotavirus and Hepatitis B if not received at birth

6 months: Pentacel, Prevnar 13, Rotavirus and Hepatitis B

9 months: Anemia and Lead Screens

12 months: Varicella (Chicken Pox), MMR (or MMRV combo), Prevnar 13, Hepatitis A, and Tuberculosis screening

15 months: DTaP, HIB

18 months: Hepatitis A, DTaP (if not prev. received), and developmental screening

2 years: Hepatitis A (if two doses not completed), lead screening, developmental screening

2 1/2 years

3 years

4-5 years: DTaP, IPV, MMR, Varicella (Combinations MMRV and DTaP-IPV available)

6-8 years: Well visits are scheduled yearly.

9-10 years: Well visits are scheduled yearly. Cholesterol and anemia screening

11-13 years: Well visits are scheduled yearly. Tdap, Meningococcal vaccine, HPV for both boys and girls, cholesterol and anemia screening

14-15 years: Well visits are scheduled yearly. HPV (if not previously given)

16-21 years: Well visits are scheduled yearly. Meningococcal booster, HPV (if not previously given), cholesterol and anemia screening

Sick Visits

Sick visits are usually scheduled on the same day for acute illnesses. Call the receptionist to schedule an appointment if you know that your child needs to be seen. You may also ask to speak with a nurse first to help determine whether your child’s illness requires an office visit. You may schedule appointments in the future for chronic conditions such as asthma, obesity, ADHD, and wart treatments. Weekend visits can be arranged for urgently sick children. On weekends and holidays, the best time to call the doctor is between 8:00 am and 9:00 am to discuss the best way of obtaining care for your child.

Walk-In Sick Visits

Pediatric and Adolescent Care of Silver Spring offers an additional visit option for ill children on Monday and Friday mornings.

Children with acute illness may be seen without an appointment if arriving between 8:00 am and 9:00 am on Monday or Friday mornings.

(These “Walk-In” times will NOT be held on holidays, when the office is closed.)

These visits are intended to provide a convenient option for our established patients and their families for assessing short-term uncomplicated illnesses or problems.

(These “Walk-In” times are not intended for complex/chronic problems or for Well-Child Visits)

“Walk-In” time is for problems or infections which have just appeared over the past day or two. Many parents may find it convenient when decisions need to be made for school, work, or daycare attendance. In order for us to limit wait times on these mornings and to provide the proper care for more complex problems, please use the “Walk-In” time for the following types of problems:

  • Sore Throats
  • Vomiting Wheezing/Asthma
  • Rashes
  • Diarrhea
  • Recent Injury
  • Coughs
  • Pink Eye
  • Earaches
  • Fever

We ask that you telephone to schedule same-day or future appointments for other problems that are less urgent or may have been around for a while, such as:

  • All newborn problems
  • Behavioral problems
  • Headaches
  • School problems
  • Feeding or eating problems
  • Sleep problems
  • Constipation
  • Recurring stomach aches
  • Recurrent injuries
  • More than one problem or illness to be addressed

These above kinds of issues are important and require more time to evaluate and manage properly and thus are best scheduled. We will, as always, continue to see your child any day he or she needs to be seen. You also may still choose to schedule appointments for any type of illness–you may prefer to be seen at a different time of the day or schedule an appointment with a specific doctor or nurse practitioner. Your help in following these guidelines will be much appreciated by all. “Walk-In” patients whose problems are not appropriate for the “Walk-In” time may be asked to schedule for another more appropriate appointment time.

The “Walk-In” times are for established patients only of Pediatric and Adolescent Care of Silver Spring. We welcome new patients to the practice – call to schedule a first appointment during regular office hours.

We are excited to offer this service and innovation and welcome your comments and suggestions as you use or consider these appointments.

Travel Visits

Travel visits should be scheduled at least 4 weeks prior to travel. We will discuss with you and your family, depending on the exact travel destination, the Center for Disease Control’s recommendations for your visit. We can prescribe malaria prophylaxis as well as give hepatitis A, typhoid, and yellow fever vaccines. (Travel visits and vaccines may not be covered by insurance; patient families will be responsible for any non-covered services.) For less commonly recommended vaccines you may need to go to a travel clinic.

Lactation Consults

Tamara M. Buckley MSN PNP is a certified lactation consultant. She schedules consults on Tuesdays, Wednesdays, and Thursdays. These visits are extended visits during which she assists the mother and infant in all aspects of breastfeeding from the early stages through weaning.