, Bright Futures
FOURTHmEDITION
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Guidelines for Health Supervision of Infants, Children, and Adolescents
m m m m m m m m
POCKET GUIDE m
EDITORS
JosephmF.mHagan,mJr,mMD,mFAAPm
JudithmS.mShaw,mEdD,mMPH,mRN,mFA
APmPaulamM.mDuncan,mMD,mFAA
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SUPPORTED,mINmPART,mBY
USmDepartmentmofmHealthmandmHumanmServicesmH
ealthmResourcesmandmServicesmAdministrationmMat
ernalmandmChildmHealthmBureau
PUBLISHEDm BY
AmericanmAcademymofmPediatrics
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atrics.m Supported,minmpart,mundermitsmcooperativemagreementm(U04MC078 rsemofm treatmentmormservemasmamstandardmofmmedicalmcare.mVariations,mtakin
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esourcesmandmServicesm Administrationm(HRSA),mMaternalmandmChildmHe ThemAmericanmAcademymofmPediatricsmismnotmresponsiblemformthemcontent
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Suggestedmcitation:mHaganmJF,mShawmJS,mDuncanmPM,meds.mBrightmFutures:mG emasmcurrentmasm possiblembutmmaymchangematmanymtime.
uidelinesm formHealthmSupervisionmofmInfants,mChildren,mandmAdolescentsm[pock ThemAmericanmAcademymofmPediatricsmhasmneithermsolicitedmnormaccepte
etmguide].m4thmed.m ElkmGrovemVillage,mIL:mAmericanmAcademymofmPediatri dmanym commercialminvolvementminmthemdevelopmentmofmthemcontentmofmt
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ChiefmMedicalmOfficer ldersmform borrowedmmaterials.mIfmtheymhaveminadvertentlymoverloo
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AmericanmAcademymofmPediatrics:mV.mFanmTait,mMD ntsmatmthemfirstmopportunity.
Director,mDivisionmofmDevelopmentalmPediatricsmandmPreventivemServices:m AllmauthorsmhavemfiledmconflictmofminterestmstatementsmwithmthemAm
Darcym Steinberg-Hastings,mMPH ericanm AcademymofmPediatrics.mAnymconflictsmhavembeenmresolvedmth
Manager,mBrightmFuturesmNationalmCenter:mJanemBassewitz,mMA roughmamprocessm approvedmbymthemBoardmofmDirectors.
Manager,m Brightm Futuresm Implementation:m Kathrynm Janies
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AmericanmAcademymofmPediatricsmPublishingmStaff recentm advicemandminformationmavailablemfrommthem Americanm Academymof
Director,mDepartmentmofmPublishing:mMarkmGrimes m Pediatrics.
Seniorm Editor,m Professional/Clinicalm Publishing:m Eileenm Glasstetter,m MS
ProductionmManager,mClinical/ProfessionalmPublications: Specialmdiscountsmaremavailablemformbulkmpurchasesmofmthismpublication.
TheresamWiener mE-
Editorialm Specialist:m Amandam Helmholz mailm
Manager,mArtmDirectionmandmProduction:mLindamDiamond nformation.
Manager,mArtmDirectionmandmProduction:mPegmMulcahy ©m2017mAmericanmAcademymofmPediatrics
SeniormVicemPresident,mMembershipmEngagementmandmMarketi
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MarketingmManager,mPracticemPublications:mMarym Jom Reynolds
mmeans—electronic,
ISBN:m 978-1-61002-082-4 mechanical,mphotocopying,mrecording,mormotherwise—
eBook:m978-1-61002-083-1 withoutmpriormpermissionm frommthempublisherm(locatemtitlematmhttp://ebooks
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4-8780morm .
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3-340/0217
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LibrarymofmCongressmControlmNumber:m2016940256