All children in our program must have an age appropriate health report on record at the center within 30 days of enrollment. Also an up-to-date record of immunizations is required, and a tuberculosis-screening test may be required upon recognition of high risk factors determined by a physician. Age appropriate health assessments are to be conducted according to the recommended schedule for routine health supervision as referenced by the American Academy of Pediatrics (AAP). Such health assessments will be conducted and a report written and signed by a physician. The office assistant will make parents aware of when their children need to have a health assessment and will also provide the appropriate form(s) that need to be completed and signed by the physician. Immunizations must also be current and up-to-date.