check-up examinations U1 – U11 und J1 – J2

• The check-up examinations (yellow examination booklet) are detailed examinations of the stage of development of your child.

• Each study has other priorities: physical health, development, language, hearing, vision, etc.

• Please always bring the prevention booklet, the vaccination book and the insurance card.

• We usually start with a small questionnaire to get some important information about your child.

• Measuring and weighing is always part of it.

• There is always time to ask questions during and after the check-up, investigation questions, general development, speech, hearing, sighting, etc. (some parents make a small note before they forget anything).

• In the Rgel you will be reminded by the aftercare center in Homburg of the preventive appointments. We then give the feedback back to the aftercare center.

• Forget any precaution? The Federal Association of Paediatricians offers an electronic reminder (to your e-mail address):

Test Methods

Testing helps to see where your child is.

There are a variety of test procedures that can each provide different benefits or competencies for your child.

  • If you are not sure whether your child has certain abilities or if you think that some of your child’s abilities are not that strong, we can test this.
  • Each test includes:
    • a medical history: there are pre-existing conditions, family burdens or special life situations that may affect the performance of your child.
    • Blood tests, if there is an indication of a metabolic disorder or other problems from the medical history. A detailed examination of your child
    • if necessary further (specialist) examinations, e.g. EEG, eye test, hearing test etc.
    • After the test a detailed explanation of the results and a consultation on how to proceed.
    • if necessary, initiation of special support measures (educational counseling, speech therapy, occupational therapy, etc.)


For all test procedures:

• if there is a medical indication, the costs will be borne by the health insurer (for example, developmental test in premature babies, intelligence test for V.a. ADHD)
• If you would like a test to check your child’s status (check-up), the costs will be charged i.d.R. not taken over by the health insurance.
• In case of doubt, please contact us in advance, if necessary we can get the cost assurance from the health insurance.
• If the health insurance fund is unable to provide the cost, we must charge the examination privately. Please contact us in advance, we will gladly inform you about the costs.

Review of some tests:

  • Bayley II developmental test for children from 3 months to 3 years of age focusing on cognitive performance and motor development of the child. Approved test, which i.a. in preterm infants and children with suspected developmental delay.A playful test that lasts about 45 – 60 minutes.
  • Denver test
    development test from 0 – 2 years, e.g. as part of the check-ups
  • intelligence test
    various intelligence tests, especially language-free tests allow the classification of the intelligence of your child. Remember that each intelligence test is merely an image of your child’s current mental capacity and no statement about the other capacity (eg in school). Helpful is a Intelligence test to see if your child may be overworked or under-challenged at school and therefore can not achieve good school performance or have little school or learning pleasure. Depending on the age of the child, the test lasts 1 – 2 hours, usually we arrange 2 appointments to avoid overexerting the children.
  • development test
    Development tests provide an overview of your child’s current development at various levels. Above all questions of the social life, school problems, physical complaints and attention disturbances are in the foreground. Depending on the test you expect with a duration of 30 – 60 minutes, possibly 2 appointments are necessary.
  • concentration test
    How long can your child concentrate, is there a concentration disorder? Which promotion makes sense? Duration about 10 – 30 minutes, depending on the age of the child.
  • Language test, hearing test, eye test
    Mostly short tests to get an overview of the child’s abilities. In case of abnormalities then usually further investigations are required. We discuss this with you.
  • other testing methods
    For certain questions (social behavior, perception) different test procedures are used. We discuss this in detail with you.
  • School tests:
    Reading-spelling weakness (dyslexia), dyscalculia (dyscalculia)
    The classic school tests check school skills and special needs. These are usually not medical tests and are therefore usually not paid by the health insurance companies. In some cases they are part of medical diagnostics, e.g. in case of excessive demands or ADHD to clarify additional problems.
  • Attention Deficit Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD)
    Is your child suffering from ADHD or ADD or do you think that could be the case? Were you approached by teachers or educators? If ADHD or ADD is suspected, we carry out various examinations, i.a. various test procedures to determine whether such a suspicion is confirmed or whether other problems or diseases are the cause.
    These include, among others:
    –  detailed medical history
    –  physical examination
    –  neurological examination
    –  Blood collection for the clarification of metabolic disorders u.a.
    –  EEG – brainwave measurement
    –  concentration test
    –  development test
    –  intelligence test
    –  if necessary, other examinations

Preemie investigations

An overview should give the following table. Of course, examinations are varied according to clinical findings.

The check-ups (U’s) and vaccinations are carried out by the pediatrician / family doctor. Dates calculated according to chronological age.

We offer the preemie examinations (F1 – F9), calculated according to the corrected age (after ET). Synagis immunizations are performed during the winter months.

The preemie examinations:

For all preemie examinations includes:
Measurement of body weight, body length, head circumference, diet, stool and urine, sleep, general problems.

If necessary, in particular if a conspicuous finding has been found during previous examinations, further examinations may also be carried out, e.g. Ultrasound examinations, blood tests, EEG etc.

 F1+F2: 1. Examination after discharge from the clinic. Here, the current state of development is examined first. This includes the neurological and medical examination, the state of development, the question of nutrition and current medication. Development and physiotherapySchädelsonographie and kidney sonography
F4 In addition to the developmental examination ultrasound examinations can be carried out. Questions about nutrition, previous development and family life are in the foreground.
F5 At the age of 6 months, a child has already developed well. In premature babies, we look at how the development has been in recent months and whether the corrected age of about 6 months has already been reached.
F5a Many premature babies and their parents benefit from the 9-month corrected age study. Now the fontanelle will close soon, maybe another ultrasound examination can be done.

The first teeth are there? Sometimes that makes problems.

The monitor may have been running for 12 months now – settle or continue?

Development is progressing, what will be the next year? We discuss this with you.

F6 Time for a first interim balance. How far has your child developed? The first Bayley test should now be carried out to see how far the development has progressed and whether further funding is necessary and useful.

A language development test helps to start further funding if necessary.


F7 According to the decision of the GBA (Joint Federal Committee), all babies with a birth weight of up to 1500g should be carried out at 24 months.
We think this should be done on all preemies – regardless of birth weight – and at different times.
A language development test to classify language skills and, where appropriate, language learning is important at this age.
F7a If there are still developmental problems or linguistic delays that are not uncommon in premature babies, promotion should now be intensified.

In an inconspicuous examination, this gives you the assurance that “everything is alright”.

F8 At age 4, most children go to kindergarten. How does your child feel? Is it in good hands? We discuss these questions with you.

If there are special problems, fears, difficulties, I take the time to do so and we think about how we can handle this.

F9 Shortly before school starts, many parents are wondering whether enrollment is advisable or preferable to defer. With various investigations we can assist you with this decision competently.

A special pre-school test shows the language development, other studies the intellectual and social development.

ADHD: a topic also with preemie parents. Various investigations can help here to get more clarity.