What preventive examinations (and at what age) should your child undergo?

Routine visits to the pediatrician are very important for the prevention of childhood chronic diseases between the ages of 1 and 7 years. After all, it is much easier to fight a disease detected at an early stage of the disease.

In the period from one to seven years, medical examinations of children are mandatory at 1 year and 3 years, before entering kindergarten and at 7 years before school. In this case, it will be better if you bring your child for a routine examination annually. This way the doctor will be able to recognize the initial signs of the disease or reassure you by explaining that your baby’s health is fine.

How are medical examinations carried out?

If your child is under three years old, contact your pediatrician and tell him that you want to undergo a medical examination. The pediatrician must issue referrals for tests and examinations. When the child turns three years old, the kindergarten assumes all obligations for undergoing medical examinations (if the child attends a municipal preschool institution). Parents are only required to sign consent for medical intervention. It's the same with schoolchildren.

If the child was sick while a medical examination was being carried out in kindergarten or school, then the parents will have to go to the clinic themselves with the baby and go through all the necessary doctors. Referrals to doctors are issued in kindergarten or school. If a child attends a private kindergarten, the organization of medical examinations falls on the shoulders of the parents.

Certificate No. 026/u for kindergarten: which doctors?

Description
Is it necessary
Where to contact
Analyzes
About doctors
List of documents
Advantages of carrying out the procedure at MEDSI

The practice of maintaining unified medical records for each student goes back more than one decade. During this time, it demonstrated its advantages both for medical personnel and for parents, since if a child’s outpatient card was lost, it became possible to restore information using form No. 026/u-2000.

Description

A certificate for kindergarten is the first thing that modern parents of preschoolers face when they receive a ticket to a preschool educational institution.

Form No. 026/у-2000 is a child’s medical record, and not just a single certificate. This is a full-length A4 notebook with a thick cover, which will summarize all the medical information about the baby from the moment he enters kindergarten until the completion of secondary education.

General information is placed on the cover: last name, first name, patronymic of the minor, his gender, date of birth and registration address; below is the children's clinic to which he is assigned and contact phone numbers.

Is it necessary

The presence of a medical card No. 026/u-2000 for a kindergarten is mandatory, rather, for medical workers, since this is the main reporting document where information about the medical examinations performed, Mantoux reactions and vaccinations will be entered. On the other hand, maintaining a card is convenient for the parents themselves, as it allows them to obtain the necessary information from there (including in the form of extracts to be provided at the place of request), which can be especially important if the main outpatient card is lost.

Where to contact

In city clinics there is usually a rather long process of getting doctors and not always all the specialists are available. It is easier and more comfortable to conduct an examination of a preschooler in a private clinic, where all the necessary specialists are gathered in one place. Modern private clinics often offer comprehensive treatment.

Analyzes

In addition to the conclusions of specialists, a certificate for a child in kindergarten will contain laboratory tests.

Clinical blood test + ESR

However, if a child has chronic diseases for which he is registered, this doctor will also be included in the list of specialists, and the list of tests may expand.

Like examination by specialists, obtaining test results can be expedited by contacting a private clinic. Here, the child will undergo all the examinations in one day, parents will be able to save working time, and the child will be able to minimize stress from medical interventions.

About doctors

Certificate for kindergarten form No. 026/у-2000 includes mandatory specialists, the list of which may vary slightly depending on the age at which the child first enters an educational institution. Some children skip kindergarten, and then parents apply for a child’s medical card (form No. 026/у-2000) only before first grade.

The child’s medical record for kindergarten will include:

Examination and conclusion of a pediatrician
, with whom the medical examination will begin and with which it will end. In addition to the conclusion about the child’s readiness and ability to attend an educational institution, the pediatrician will issue referrals for tests, determine the health group and give recommendations regarding the characteristics or diseases identified as a result of the examination, if any.
The pediatric dentist
will not only assess the condition of the oral cavity, but will also make a conclusion about the correspondence of the number of teeth to the age of the preschooler in the form of a dental formula
The pediatric otolaryngologist
will check the level of hearing and evaluate the anatomical structure of the ENT organs
A pediatric neurologist
will assess the degree of psychological maturity and level of mental development
An orthopedic surgeon
or
pediatric surgeon
will evaluate the correct formation and development of the child’s musculoskeletal system and the functioning of the musculoskeletal system
A pediatric ophthalmologist
will check visual acuity
Children's gynecologist
examines girls
Pediatric urologist-andrologist
examines boys

A child’s medical development record for school will require a visit to the same specialists, in addition, it is necessary to undergo an examination by a psychiatrist

The following types of research are also carried out before school:

Clinical blood test (+ ESR)
General urine analysis
ECG and echocardiography
Ultrasound of the abdominal organs and kidneys

Children visit many of these specialists for routine examinations according to their age, however, some diseases may be first identified at a medical examination before admission to a preschool educational institution, since here the child receives a full comprehensive examination.

List of documents

To obtain a certificate for kindergarten No. 026/u you will need to have with you:

Child's birth certificate
SNILS (not required in private clinics)
Insurance policy (in private clinics - only VHI policy)
Passport of one of the parents, where the child is entered in the “Children” column (or passport of one of the guardians/adoptive parents)
Vaccination certificate with vaccination marks

If the child does not have any vaccinations and the parents do not plan to vaccinate him before entering kindergarten/school, the medical office of the educational institution will require the parent to write a temporary refusal of vaccinations (Form No. 19n).

Advantages of carrying out the procedure at MEDSI:

Availability of a comprehensive: the necessary specialists are brought together and completed in one day
Tests can be taken on the day of treatment (and on the same day as specialists)
Pediatric doctors with extensive experience and experience interacting with children: polite staff, technical service

To make an appointment, call 24/7: 8 (495) 7-800-500

Routine examinations of the child by doctors at 4 and 5 years of age

Preschoolers exhibit increased activity, curiosity, confidence in independence, and a desire to communicate with peers. This age is characterized by traumatic injuries and diseases caused by bacterial infections.

Taking this into account, in accordance with Order of the Ministry of Health of the Russian Federation No. 514N, children 4 and 5 years old undergo routine examinations by a pediatric surgeon and pediatrician as part of medical examination. Source: Order of the Ministry of Health of the Russian Federation dated August 10, 2021 N 514N “On the Procedure for Conducting Preventive Medical Examinations” minors" With changes and additions from: July 3, 2018, June 13, 2021

Surgeon

By the age of 4, a child normally has fully formed all the natural curves of the spine. The doctor evaluates their anatomy and identifies signs of postural disorders.

By the age of 5, the arch of the foot is normally formed. The doctor can deny or confirm the presence of flat feet.

Pediatrician

4-5 years - average kindergarten age. The child adheres to a certain daily routine and diet. This allows one to assess the dynamics of the functioning of his digestive and nervous systems. Close communication with peers in a children's group has an impact on the immune system. The doctor, through a survey, examination and medical history, assesses their functional state. In addition, he takes anthropometric measurements to assess the child’s physical development. According to WHO, the norms for 4-5 year old children are:

height of 4 year old boys – 99.1-107.5 cm;
height of girls 4 years old –98.4-107 cm;
weight of 4 year old boys – 14.4-18.6 kg;
weight of girls 4 years old – 14-18.5 kg;
height of boys 5 years old – 105.3-114.6 cm;
height of girls 5 years old – 104.7-114.2 cm;
weight of boys 5 years old – 16-21 kg;
weight of girls 5 years old is 15.8-21.2 kg.

If necessary, the pediatrician prescribes additional examinations and consultations with highly specialized specialists.

Sources:

Order of the Ministry of Health of the Russian Federation dated August 10, 2021 N 514n “On the Procedure for conducting preventive medical examinations of minors” As amended and supplemented from: July 3, 2018, June 13, 2021

Preventive examinations

What is medical examination and why is it needed?

Clinical examination is a preventive medical examination. It is necessary for the early detection of diseases and factors of their development. Clinical examination involves examination by medical specialists and a number of tests and examinations. It is carried out in the clinic at the place of attachment of the child.

You have the right to refuse medical examination in general or certain types of medical interventions included in the scope of medical examination.

To undergo medical examination, a child must have:

Compulsory health insurance policy (CHI).
Attachment to the clinic.

When and where can I get a medical examination?

DGP No. 86 (main division)	Fri 8.30 – 12.30
Branch No. 1	Wed 8.30 – 12.30
Branch No. 2	Fri 8.30 – 12.30

How to get a medical examination for a child?

To conduct a medical examination of your child, make an appointment with your local pediatrician at the clinic at your place of residence. At the appointment, all necessary recommendations, explanations, as well as referrals for tests and to specialist doctors will be given.

The volume and nature of medical examination depend on the age of the child and are divided into groups:

from birth to 1 year;
from 1 year to 3 years;
4-5 years;
6 years;
7 years;
8-9 years;
10 years;
11-12 years old;
13 years old;
14 years old;
15-17 years old.

Which doctors should a child under 1 year of age see?

During this period of a child's life - from birth to 1 year - examinations by a pediatrician are carried out every month. A more in-depth medical examination is carried out:

at birth;
at 1 month;
at 2 months;
at 3 months;
at 12 months.

Which doctors should a child aged 1-3 years see?

During this period of the child’s life, examinations by the pediatrician are carried out:

at 1 year and 3 months;
at 1 year and 6 months;
at 2 years old;
at 3 years old.

What doctors should a child see at 4-5 years old?

The medical examinations recommended for 4- and 5-year-old children have the same set of doctors. It is necessary to undergo examinations with:

pediatrician;
pediatric dentist

What doctors should a child see at 6 years old?

At 6 years old, a child must undergo examinations with:

pediatrician;
neurologist;
pediatric surgeon;
pediatric dentist;
traumatologist-orthopedist;
ophthalmologist;
otorhinolaryngologist;
child psychiatrist;
obstetrician-gynecologist - girls;
pediatric urologist-andrologist - for boys.
In addition, you will need:
general blood analysis;
general urine analysis;
Ultrasound of the abdominal organs (comprehensive);
Ultrasound of the kidneys;
echocardiography;
electrocardiography.

What doctors should a child see at 7 years old?

At 7 years old, the child needs to undergo examinations with:

pediatrician;
neurologist;
pediatric dentist;
ophthalmologist;
otorhinolaryngologist.
In addition to medical examinations, you need to pass:
general blood analysis;
general urine analysis.

What doctors should a child see at 8-9 years old?

The medical examinations recommended for 8- and 9-year-old children have the same set of doctors. At this age you need to undergo examinations with:

pediatrician;
pediatric dentist.

What doctors should a child see at 10 years old?

At 10 years of age, the child must undergo examinations by:

pediatrician;
neurologist;
pediatric dentist;
pediatric endocrinologist;
traumatologist-orthopedist;
ophthalmologist.
In addition to being examined by doctors, you will need to pass:
general blood analysis;
general urine analysis.

What doctors should a child see at 11-12 years old?

The medical examinations recommended for 11- and 12-year-old children have the same set of doctors. At this age you need to undergo examinations with: