The 2020 Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) have been approved by the American Academy of Pediatrics (AAP) and represents a consensus of the AAP and the Bright Futures Periodicity Schedule Workgroup. Each child and family is unique; therefore, these recommendations are designed for the care of children who are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in a satisfactory fashion. Developmental, psychosocial, and chronic disease issues for children and adolescents may require frequent counseling and treatment visits separate from preventive care visits. Additional visits also may become necessary if circumstances suggest variations from the normal.

The AAP continues to emphasize the great importance of continuity of care in comprehensive health supervision and the need to avoid fragmentation of care.1 

The Periodicity Schedule will not be published in Pediatrics. Readers are referred to the AAP website ( for the most recent version of the Periodicity Schedule and the full set of footnotes. This process will ensure that health care professionals have the most current recommendations. The Periodicity Schedule will be reviewed and revised annually to reflect current recommendations.

The following is the change made to the Periodicity Schedule since it was last published in March 2019.

Footnote 16 has been updated to read, “Screening should occur per ‘Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice’ (”

Julia E. Richerson, MD, FAAP, Chairperson

Joseph J. Abularrage, MD, MPH, MPhil, FAAP

Yvette M. Almendarez, MD, FAAP

Alexy D. Arauz Boudreau, MD, FAAP

Abeba M. Berhane, MD, FAAP

Patricia E. Cantrell, MD, FAAP

Jesse M. Hackell, MD, FAAP

Lisa M. Kafer, MD, FAAP

Robin Warner, MD, FAAP

Elisha Ferguson

Alexy D. Arauz Boudreau, MD, FAAP

Patricia E. Cantrell, MD, FAAP

Joseph F. Hagan Jr, MD, FAAP

Alex R. Kemper, MD, FAAP, Bright Futures Evidence Expert

Judith S. Shaw, EdD, MPH, RN, FAAP

Jane B. Bassewitz, MA

Kathryn M. Janies

Policy statements from the American Academy of Pediatrics benefit from expertise and resources of liaisons and internal (AAP) and external reviewers. However, policy statements from the American Academy of Pediatrics may not reflect the views of the liaisons or the organizations or government agencies that they represent.

The guidance in this statement does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

All policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication.

FUNDING: No external funding.

  • AAP

    American Academy of Pediatrics

, eds.
Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents
, 4th ed.
Elk Grove Village, IL
American Academy of Pediatrics

Competing Interests

POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.