It is recommended for teens to have annual checkups, to monitor physical growth and development. We screen hearing and vision at each checkup. We recommend immunizations according to the CDC schedule. Children need Tdap and MCV4 vaccines prior to 7th grade (typically done at the 11 or 12 year visit), as well as the optional HPV vaccine. At age 16, it is recommended to booster the MCV4 vaccine, in preparation for college.