Vaccine Policy
    • We firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives.
    • We firmly believe in the safety of vaccines.
    • We firmly believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and the American Academy of Pediatrics.
    • We firmly believe, based on all available literature, evidence and current studies, that vaccines do not cause autism or other developmental disabilities.
    • We firmly believe that vaccinating children and young adults may be the single most important health promoting intervention we perform as health care providers, and that parents can perform as caregivers.  The recommended vaccines and the vaccine schedule are the result of years and years of scientific study and data collection from millions of children by thousands of our best and brightest scientists and physicians.

The vaccine campaign is truly a victim of its own success.  It is precisely because vaccines are so effective at preventing illness that we are even discussing whether or not they should be given.  Because of vaccines, many of you have never seen a child with polio, tetanus, whooping cough, bacterial meningitis or even chickenpox, or known a friend or family member whose child died of one of these diseases.  Such success can make us complacent or even lazy about vaccinating.  But such an attitude, if it becomes widespread, can lead to tragic results.

Administration of simultaneous immunizations has been extensively studied and determined to be safe and efficacious.  There is no negative effect on the normal childhood immune system.  The average child is exposed to millions of germs each day.  The number of antigens found in immunizations pale in comparison to the load the immune system faces daily.  There is no medical benefit to splitting shots.  We have found that splitting vaccines leads to medical errors and increased patient risk and potentially endangers their child.

We recognize that the choice to vaccinate your child may be a very emotional one for some parents.  We will do everything we can to convince you that vaccinating according to the schedule is the right thing to do.  Because of our strong belief in vaccines and the danger that unvaccinated children pose to themselves and their community, we at Tots N Teens have a common belief that all children should be immunized with the vaccines recommended by the AAP.  We encourage all parents to visit the Vaccine Education Center at The Children's Hospital of Philadelphia's website (http://www.vaccine.chop.edu) or the CDC (http://www.cdc.gov) to better educate themselves on vaccines.

For those parents and caregivers that have a different belief in vaccines and that choose not to vaccinate their children, we feel that it is best for those families to find another primary care doctor that will meet their specific needs and wants.  If you have decided not to vaccinate your children, you will need to sign a waiver stating that you have refused the vaccines and will have 30 days to find a new primary care provider.  Within the 30-day transition period to a new physician, we will continue to serve your child's needs; however, after the 30 days have passed, we will no longer be required to see your children.

AAP GUIDELINES AS ADOPTED BY TOTS’N’TEENS PEDIATRICS

Age                                         Immunizations                                                      Lab Work

 

Hospital/Nursery                  Hepatitis B, #1                                                      Metabolic Screen

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1 month                                 Hepatitis B, #2                                                      Metabolic Screen

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2 months                               DTap-HB-IPV                                                          None

                                                Prevnar

                                                Rotavirus

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4 months                               DTap-HB-IPV                                                          None

                                                Prevnar

                                                Rotavirus

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6 months                               DTap-HB-IPV                                                          CBC

                                                Prevnar

                                                Rotavirus

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9 months                               Hepatitis B, #3                                                      None

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12 months                             Varicella                                                                 CBC, Lead Level

                                                Hepatitis A, #1                                                    

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15 months                             MMR                                                                      None

                                                HIB

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18 months                             DTap                                                                       None

                                                Prevnar

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2 years                                   Hepatitis A, #2                                                     CBC, Lead Level

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3 years                                   None                                                                      Vision Screen

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4-5 years                               Polio                                                                       Urinalysis

                                                DTap

                                                MMR

                                                Varicella

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11-18 years                           Tdap at age 11, booster at College PE             *CBC

                                                Meningococcal x 2 @ 11 and 16                       *Urinalysis

                                                HPV-Females x 3                                                  (* once only beginning age 11 unless medically necessary)

                                                Varicella Booster if needed                               Lipid profile age 11 & 17 as indicated based on family history

                                                                                                                                   and other risk factors

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Flu vaccine or Flu Mist is recommended yearly for all children.

Newer vaccines will be discussed as they become available. Other appointments may be setup for anticipatory guidance, school problems, teenage problems, etc.

Hesitations or questions regarding vaccinations should be discussed with your doctor directly. Our practice follows guidelines in accordance with the American Academy of Pediatrics (AAP) on care such as routine checkups, lab work and immunizations.

 

 

** Nationwide shortages of vaccines may occur, which would change immunization schedules. **

In case of emergency

In case of an emergency, one of our physicians is always on call. Call our main number 205-856-4440, our answering service at 205-930-4322, or if needed, take your child to The Children’s Hospital or your nearest Emergency Room.