A guide for health professionals working with
immigrant and refugee children and youth

Medical assessment of immigrant and refugee children

Checklist: Follow-Up Visit 1

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Before you start

  • These checklists are intended as a guide for family physicians and primary care paediatricians to assist with the initial medical assessment of immigrant and refugee children. They have been developed as a tool to accompany the more detailed information about medical assessment and screening, including recommendations for anticipatory guidance, developmental and pyschosocial assessment, assessing and starting immunizations, and effective communication and trust.
  • These checklists are not all-inclusive. Every child is unique and the practitioner must continue to exercise judgement.
  • These checklists are not sufficient for international adoptees; refer to the pages on this site about international adoptees.
  • The three checklists are intended to be used sequentially, though you might not complete all of the suggested screening in each checklist in a single visit. The assessment may take several appointments.
  • These checklists are not organized by geographic region, because regional distinctions are not always relevant. Epidemiological data can change quickly and do not always follow political boundaries. Geographic information is included where where it may be useful and appropriate.
  • If the patient presents with an acute complaint the Signs & Symptoms page will help you identify specific diseases/conditions.


The source content for these checklists includes evidence-based guidelines from the Canadian Collaboration for Immigrant and Refugee Health, as well as material on this website. Both the checklists and the source content have been peer reviewed. The CCIRH has also developed checklists for use with adult immigrant and refugee patients.

Selected resources



1Address specific parental concerns

2Complete any remaining items from the history and physical at the initial visit, plus:

All children


    • Microcytic/normocytic: Fe Studies; Hb electropheresis, lead
    • Megaloblastic: Folate, B12
    • Additional stool(s) for O+P as needed
    • Consider consulting with paediatric infectious diseases for further testing.

4Additional screening

5Next Steps:

Initial Assessment Follow-Up Visit 1 Follow-Up Visit 2

Print a blank copy of this checklist

Last updated: March, 2015

Also available at: http://www.kidsnewtocanada.ca/e-checklist/follow-up-1
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Caring for Kids New to Canada is a resource for health professionals. The information here is not a substitute for medical advice, nor does it indicate an exclusive course of treatment or procedure to be followed. Variations, taking into account individual circumstances, may be appropriate.

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