There are recommendations from the American Academy of Pediatrics that help parents know when a well visit or annual check-up is due. Sick visits? They can be a grey area. How sick is sick enough to warrant a doctor visit? When is an illness minor enough that it can be treated at home with a little T.L.C. and patience?
Here are some some basic guidelines on what to do - and when to do it.

Already know your child needs a sick visit? Call 317-621-9000 for a scheduled appointment time Monday-Friday. If it's the weekend, visit the walk-in sick clinic.
. See website for locations and hours
When it’s time to call the office for an appointment

- Vomiting and diarrhea that last for more than a few hours in a child of any age
- Rash, especially if there is also a fever
- Any cough or cold that does not get better in several days, or a cold that gets worse and is accompanied by a fever
- Cuts that might need stitches
- Limping or is not able to move an arm or leg
- Ear pain with fever, inability to sleep or drink, vomiting or diarrhea
- Drainage from an ear
- Severe sore throat or problems swallowing
- Sharp or persistent pains in the abdomen or stomach
- Pain that gets worse or does not go away after several hours
- A rectal temperature of 100.4°F or higher in a baby younger than 2 months
- Fever and repeated vomiting at the same time
- Blood in the urine
- Bloody diarrhea or diarrhea that will not go away
- Not drinking for more than 12 hours
If you are looking for homecare advice

- What are your child’s symptoms and how long have they not been feeling well?
- Do they have a fever? We need an actual temperature reading. Temperature should be taken before any medication (Acetaminophen or Ibuprofen) is given.
- Are they eating or drinking?
- Activity level: Are they playful, up and moving around, sleeping (more or less)?
Check out our app NP PEDS MD for further information and home care advice.