Please watch this brief video to prepare for your upcoming Well Visit at CPCMG.
The CPCMG Well Visit
CPCMG clinicians and healthcare team are your partners in managing your preteen and teen’s health. This partnership means all of us – including you – are committed to open communication, attending appointments, sharing information, and making decisions that benefit your child. We have summarized this joint relationship in our PACT: Patients and Clinicians/Care Teams Together. Please click here to learn more about this partnership.
One of our best tools to ensure that your preteen or teen is thriving is the annual Well Visit. This in-office visit is our chance to make sure your child’s growth and development are on track. Here is what you can expect, and what you can do to help make the Well Visit a success.
What topics are covered during a Well Visit?
The Well Visit is designed for families to learn about how their preteen or teen is progressing with growth, development, and behavior.
Every CPCMG Well Visit will include what clinicians call anticipatory guidance. This is a discussion with you about age-appropriate safety, as well as preventing illness and injury. Anticipatory guidance also includes a discussion on expected development and ways you can foster healthy development for your preteen or teen. This portion of the Well Visit includes vaccines, which are an important tool to stay healthy.
What we don’t discuss during a Well Visit
While we cover quite a bit during the Well Visit, there are health topics that should be discussed during other appointments or ongoing communications with your CPCMG clinician. This includes new health concerns and the management of chronic conditions like asthma or ADHD. These diagnoses may require regular visits to check how your teen is doing and manage their medication. Please note that if any evaluation and management of a new or chronic issue occurs during the Well Visit, a co-pay may be charged.
Physical exam: a head-to-toe review
When your preteen or teen arrives at the office, a medical assistant will start their Well Visit with a weight, height, temperature, and blood pressure. At certain ages, we will also check their vision and hearing.
Once your CPCMG clinician has reviewed the medical chart and completed questionnaires, they will perform a complete physical exam. Please be aware that the patient may need to be undressed for the physical exam, as it is an important part of a complete Well Visit to confirm healthy development. Patients ages ten and over will be offered a chaperone during the sensitive part of the exam.
Who should attend the visit?
The patient and at least one parent or caregiver must be present at the visit for preteens and teens less than 18 years old.
What should I bring?
If you have important records from another health care institution or doctor that you did not already send to us, please bring these or upload them to the health record via MyChart. Also, please bring any paper vaccine records that you want to be updated. Please note that almost all schools accept the vaccine record that you can print from MyChart.
Do I need a MyChart account?
We request that the parent or legal guardian have a MyChart account, and that patients 12 years and older have a separate Teen account. Logging on before a Well Visit allows you to complete pre-visit questionnaires, verify insurance, and update medications and allergies, which saves a lot of time during the check-in process. Please call your CPCMG office to sign up if you don't have an account.
How do I complete pre-visit questionnaires?
Before each Well Visit, please complete the patient questionnaires in MyChart. The information you provide helps your CPCMG clinician evaluate nutrition, sleep habits, and developmental milestones. Your CPCMG clinician will review how your teen is doing in school and what activities they enjoy. Please note that teenagers will answer screening questions to assess for anxiety or depression.
Questionnaires are available on MyChart on a computer web browser and the MyChart mobile phone application 7 days before your visit. You will find questionnaires in the MyChart menu.
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How can I make the check-in process easier?
EZ Arrival is available on MyChart a few days before your visit. Please access this activity to update allergies and medications, confirm health insurance, and submit any required copay, saving time when you arrive for the visit. You should also finish any incomplete questionnaires.
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When should I arrive?
If you complete EZ Arrival and all questionnaires on the MyChart website or My Chart mobile application prior to arriving at our office, please arrive 15 minutes prior to your appointment to complete check-in. If you are unable to complete these tasks before arrival, we ask that you arrive 30 minutes before the appointment to complete them.
What should my teen expect regarding privacy and confidentiality?
We start all Well Visits with parents or guardians in the room. To provide teens the appropriate privacy and confidentiality, we ask parents or guardians to wait in the reception area for a portion of the visit.
Will I have access to notes written by the pediatrician or Advanced Practice Provider after the visit?
Due to federal and state privacy laws, visit notes are not visible to parents and legal guardians starting at 12 years old.
The After Visit Summary is available to parents and teens in MyChart.
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When should I schedule the next Well Visit?
For ages 12 and older, a Well Visit is needed once each year.
Frequently Asked Questions About Well Visits
What is the purpose of a Well Visit if my preteen/teen is healthy?
At each Well Visit, we measure height and weight, measure vital signs, and screen for hearing or vision difficulties. We screen for behaviors that impact teens’ health, and for mental and behavioral health concerns. We help reinforce the safety rules and habits you are already working on at home, like the importance of a good night’s sleep, healthy dental habits, wearing a seat belt, and safe driving. Your teen’s clinician is your partner in keeping your teen healthy and can help identify any issues that would benefit from education or counseling.
What topics are reviewed and discussed?
*Some testing and condition screening, while considered to be routine, may incur a separate financial charge for those with high insurance deductibles or PPO plans.
What happens if the patient is sick or I have concerns to discuss during a Well Visit?
We always address any concerns that pose an immediate risk to the patient’s health. When non-urgent topics arise that cannot be covered at a Well Visit, the health care team will help you schedule a follow-up visit to occur in a timely manner. When health conditions that are not typically considered part of these visits ARE addressed at a Well Visit, you may be responsible for the cost of those services not covered by your health plan.
What immunizations will be recommended?
CPCMG has a standard vaccine schedule that follows the American Academy of Pediatrics (AAP) guidelines. Your pediatrician or advanced practice provider (APP) will answer any vaccine-related questions and ensure that you are given up-to-date and accurate information about the recommendations. Please be sure to bring your teen’s immunization card with you to each Well Visit if you want it updated.
Will there be time to discuss my specific concerns during a Well Visit?
Yes, you will have an opportunity to ask questions and discuss any concerns. Please know that Well Visits are intended to screen for problems that may need further follow-up. We may need a separate visit to devote the required time to more complex issues such as anxiety, headaches, or other chronic concerns.
What should I do before arriving for the visit?
Complete all electronic Well Visit questionnaires via MyChart in advance of the appointment. Note: you may arrive 15 minutes prior, instead of our standard 30 minutes prior, if you and your teen have completed all of the pre-visit questionnaires.
Complete the EZ Arrival check-in process in advance of the appointment. This allows you to update allergies and medications, confirm health insurance and submit any required copay (if applicable) in advance of the appointment. Note: this step is separate from the electronic Well Visit questionnaire requirement above.
Expect that your teen will be asked to wear a gown during the Well Visit appointment.
Identify the top 3 areas of concern (if applicable) and relay them to the medical assistant during the rooming process (if not already entered in the Well Visit questionnaire section above).
Bring any forms/letters that require completion, understanding that they may not be able to be completed on the same day of the Well Visit appointment.
Please also bring your teen’s immunization record.
Why are the questionnaires so long?
We want to make sure that each area of your teen’s life is going well. This includes conditions beyond their physical health, including behavioral and mental health concerns, the safety of the home environment, and social media use. As partners in keeping your teens healthy, we will reinforce the messages that parents typically provide to their teens.
What should I bring to the visit?
Please bring any school, camp, or sports forms. Also, please bring your teen's immunization record if you want it updated.
Will any labs or studies be ordered?
At certain ages, we perform in-office blood tests for anemia, high cholesterol, and lead toxicity. Your teen’s clinician will talk with you about what tests may be needed and the reasons for ordering them.
Will my preteen or teen have time with the pediatrician or APP without me in the room? What is kept confidential from caregivers?
In California, persons 12 years and older have minor’s rights to privacy and may be offered an opportunity to speak with the clinician privately. This is an excellent time to build a trusting partnership between the teen and clinician, and allows the clinician to give accurate information about a teen’s changing body.
Some teens engage in behaviors than can pose health risks, and we want to help them make safe choices. Although we always encourage teens to be open with their parents or guardians, topics such as sexual activity and substance use remain confidential if teens don't want the information shared. The only exceptions allowed by law are suicidal or homicidal thoughts, which we are obligated to share with a parent or legal guardian and law enforcement authorities (for thoughts of harming someone else).
Will I have access to chart notes after the visit?
Patients 12 years and older have legal rights to privacy, so their visit notes are not viewable to parents or guardians. Click here to learn more.
How will I know when to follow up after a Well Visit?
Your clinician will let you know when your teen needs another visit. The clinician may want to see your teen again at a separate visit for a follow up of a problem discovered at the Well Visit. For example, if your teen had a high blood pressure reading, failed a hearing screen, or did not grow as expected, there may be another visit needed before the next regularly scheduled Well Visit.
Where can I find reliable health information?
HealthHub.cpcmg.net has a wealth of information, including:
AI-powered search! For example, try searching “Where can I find an occupational therapist who treats patients with autism and accepts United Healthcare insurance?”
Special Populations (Diversity, LGBTQ+, and Differently Abled Persons)
Physical Health including
Skin Conditions with pictures
And much more!