Back-to-School Checkups: Start the Year Strong with a Well Visit

As families prepare for a new school year, Meghan Holland, NP-C with Bayhealth, wants parents to know that an annual well visit is one of the most important things they can do to keep their children healthy and thriving in the classroom.

“These aren’t just ‘back-to-school’ checkups,” Holland said. “Annual physicals are about checking a child’s growth, development and emotional health, even when they appear healthy.”

A comprehensive checkup typically includes screening questions about health history, safety and high-risk behaviors, along with a head-to-toe physical exam. Pediatricians also assess growth milestones, screen for mental health concerns and ensure children are developing normally through puberty.

For student-athletes, a Delaware Interscholastic Athletic Association (DIAA) physical is required to play school sports. Students participating in the Special Olympics may need a separate physical. Providers also review immunization records to ensure students are up to date on all recommended vaccines.

Screenings That Support Learning

“Vision and hearing are critical for classroom learning,” Holland said. “If a child can’t see the board or hear the teacher, it will affect their ability to keep up.”

Eye exams are included in the general physical exam, and if issues are noted, providers can refer patients to an optometrist. Hearing concerns are also addressed through screenings and follow-up as needed.

Mental and Emotional Health Matter Too

Primary care providers use standardized tools during annual exams to help assess a child’s emotional and mental wellbeing. For older children and teens, parents may be asked to step out during part of the visit so the child can speak openly.

“Parents should feel comfortable sharing any physical, emotional or behavioral changes they’ve noticed,” Holland said. “Concerns about anxiety, depression or attention issues should be discussed.”

While a physical alone can’t diagnose conditions like ADHD, it can be a starting point. Providers may use tools such as the Vanderbilt Assessment Scale and recommend further evaluation if needed.

What Sports Physicals Cover

DIAA sports physicals focus on issues that could impact a child’s safety while participating in a sport, including family history of cardiac conditions, asthma, past concussions and orthopedic injuries. Holland emphasized that athletes recovering from an injury need medical clearance before returning to play.

“Hydration is also key,” she said. “It’s not just water. Student-athletes should replenish electrolytes, especially in the heat.”

When and Where to Schedule

For high schoolers, Bayhealth encourages scheduling DIAA physicals (available at their PCP or High School Wellness center) after April 1 of the current school year to ensure they’re valid through the upcoming school year. For middle school students, it’s best to complete physicals before school starts.

Bayhealth offers these services through its seven school-based Wellness Centers in Smyrna, Dover, Caesar Rodney, Lake Forest, Polytech, Milford and Woodbridge high schools. Students who are members can receive care, including sports physicals, vaccines (if eligible) and sick visits.

Bayhealth also offers walk-in and urgent care clinics and hosts special events in the summer where residents provide low-cost sports physicals. Some locations offer $45 physicals that meet school or sports requirements, though availability and eligibility may vary.

Build Healthy Habits Year-Round

Establishing a relationship with a primary care provider ensures continuity of care for both routine and sick visits. Holland also recommends starting a school routine at least a week before the first day back to help kids transition from summer schedules.

“Creating structure early helps children adjust more smoothly,” she said. “It sets the tone for a strong start both physically and emotionally.”

To find a provider or learn more about Bayhealth’s school-based and walk-in services, visit Bayhealth.org/Pediatrics or call 302-725-3550 to schedule an appointment.