4 years (B4 School Check)

Child growth and development

  • Observe and assess your child’s overall health and development
  • Do a physical assessment including weight, length/height and head circumference
  • Observe gait/hips
  • Discuss and test your child’s hearing and vision
  • Review child’s immunisation and breastfeeding status

Developmental assessment

  • Complete the Parental Evaluation of Developmental Status (PEDS) questionnaire with your Well Child provider
  • Referral on to other specialist services if required

Oral health

  • Assess your child's oral health (teeth and gums)
  • Parents shown how to regularly lift the child’s lip at home and discuss diet and oral hygiene
  • If required, get help with enrolment in a community dental service


Four year immunisation visit- Boosting protection against four.

Behavioural assessment

Complete and score the Strengths and Difficulties (SDQ) questionnaire with your Well Child provider

Vision and hearing

Discuss and test your child’s hearing and vision

Family health and wellbeing

Discuss maternal and parent-child interaction and bonding, mental health and parenting:

  • Mother's mental health
  • Infant and preschool mental health and attachment
  • Alcohol and other drugs
  • Strengthening family relationships
  • Parenting skills and support (see Parenting for child age and stage in the health education section for resources)
  • Supporting families to access income and housing if needed

Preparation for school

  • Review early child education experience
  • Discuss transition to school