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Provider’s need to question past medical history about the mother’s health during pregnancy, how the delivery of the child went, feedings (was the child breastfed) and what is their present diet at this time, how is the child developing (toilet trained, dress self). Also, the provider needs to ask about child care, behaviors of the child, medications, family circumstances,and about their living arrangements.Risk Assessment ToolVaccinations is one of the best ways parents can protect their children from potentially harmful diseases. Vaccine-preventable diseases can be very serious, may require hospitalization, or even be deadly – especially in infants and young children (CDC, 2017). The immunization schedule for children and adolescents aged 18 years or younger provides a summary of the Advisory Committee on Immunization Practices (ACIP) recommendations on the use of routinely recommended vaccines. Vaccination records are important to keep-up-to-date. The Comprehensive Clinic Assessment Software Application (CoCASA) is a tool for assessing immunization coverage and practices within a provider clinic, or any other environment where immunizations are provided (CDC, 2017).Early identification of developmental delays among young children is an important first step in providing the opportunity for children to receive early intervention services to increase functional skills (Ball et al., 2015). The use of validated developmental and behavioral screening