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HealthInfo Canterbury

B4 School Checks

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What is the B4 School Check?

The B4 School Check is free for every 4-year-old child in New Zealand. It is the last Well Child check. It's a good idea for your child to have their B4 School Check soon after their 4th birthday. This leaves enough time for follow-up before they start school.

The check is a chance to have your child's health and development checked before they start school. It is an opportunity for you to talk with a nurse about your child and ask about things that are important to you. Your child will also have their vision and hearing checked.

After the check, you can get a copy of the results.

What happens in the B4 School Check?

You will be asked to fill in a questionnaire about your child's development and wellbeing. You will also be asked to complete a consent form to show that you consent to the B4 School Check.

If your child attends a preschool, kindergarten, or kĊhanga reo, their teacher will be asked to fill in a questionnaire. This questionnaire is about your child's learning and development.

You and your child will have a 45 minute appointment with a nurse. The nurse will talk to you about your child's health and development, social and emotional wellbeing, and immunisations. The nurse will also check your child's teeth, height and weight. You will be able to talk with the nurse about your child's wellbeing and about anything that is worrying you.

Please bring along your child's Well Child Tamariki Ora health book. The nurse will record your child's growth and development in the book.

Your child's vision and hearing will be assessed by a vision and hearing technician. In Canterbury, vision and hearing testing is done in early childhood centres. If your 4-year-old child does not go to an early childhood centre, please contact the vision and hearing testing team on (03) 383‑9498 to make an appointment.

What happens after the B4 School Check?

After the check, you can get a copy of the results. You can also ask any further questions about your child's health and development.

If you or the nurse thinks your child has any health or development issues that need further assessment, the nurse will discuss this with you. The nurse will offer to refer you to other services that may help. The nurse can also help if your child needs any catch-up immunisations.

How does my child get a B4 School Check?

Your child's B4 School Check is due when they turn 4. Some B4 School Checks are done by the Public Health Nursing Service, but most are carried out by general practices.

For more information about the free B4 School Check, call the Canterbury B4 School Check Service Coordinator on 0800‑247‑2123. You can also talk to your family doctor or nurse.

  HealthInfo recommends the following pages

Compiled by the Canterbury B4 School Check service coordinator. Adapted by HealthInfo clinical advisers. October 2015.

See also:

Bedwetting

Child development and growth

Healthy eating and weight for children

Hearing and vision in children

Oral health for children

Parenting websites

Speech and language delay or disorder

Page reference: 49765

Review key: HIBFS-14758