texas children's well visit schedule

Family Life

AAP Schedule of Well-Child Care Visits

Parents know who they should go to when their child is sick. But pediatrician visits are just as important for healthy children.

The Bright Futures /American Academy of Pediatrics (AAP) developed a set of comprehensive health guidelines for well-child care, known as the " periodicity schedule ." It is a schedule of screenings and assessments recommended at each well-child visit from infancy through adolescence.

Schedule of well-child visits

• The first week visit (3 to 5 days old)
• 1 month old
• 2 months old
• 4 months old
• 6 months old
• 9 months old
• 12 months old
• 15 months old
• 18 months old
• 2 years old (24 months)
• 2 ½ years old (30 months)
• 3 years old
• 4 years old
• 5 years old
• 6 years old
• 7 years old
• 8 years old
• 9 years old
• 10 years old
• 11 years old
• 12 years old
• 13 years old
• 14 years old
• 15 years old
• 16 years old
• 17 years old
• 18 years old
• 19 years old
• 20 years old
• 21 years old

The benefits of well-child visits

Prevention . Your child gets scheduled immunizations to prevent illness. You also can ask your pediatrician about nutrition and safety in the home and at school.

Tracking growth & development . See how much your child has grown in the time since your last visit, and talk with your doctor about your child's development. You can discuss your child's milestones, social behaviors and learning.

Raising any concerns . Make a list of topics you want to talk about with your child's pediatrician such as development, behavior, sleep, eating or getting along with other family members. Bring your top three to five questions or concerns with you to talk with your pediatrician at the start of the visit.

Team approach . Regular visits create strong, trustworthy relationships among pediatrician, parent and child. The AAP recommends well-child visits as a way for pediatricians and parents to serve the needs of children. This team approach helps develop optimal physical, mental and social health of a child.

More information

Back to School, Back to Doctor

Recommended Immunization Schedules

Milestones Matter: 10 to Watch for by Age 5

Your Child's Checkups

• Bright Futures/AAP Recommendations for Preventive Pediatric Health Care (periodicity schedule)

Patients and Families Appointments

Appointments

At Texas Children's, we're always here for you.

We want you to rest assured that we are here for you, now more than ever – across all of our services – as we continue to schedule appointments for new and established patients. Texas Children’s continues to provide the trusted care you know and need, either by video or in person.

Texas Children's has over 80 convenient locations across Texas to provide life-changing care closer to home. Whether you are a new patient looking to schedule your first appointment or an existing MyChart user looking for a check-up, we have all the information you need to schedule your appointment below. 

Questions? Please contact us today. We're here for you.

Appointments at Texas Children's

Hospital and specialty care clinic patients, new patients.

• Call us at 832-824-9322 (Houston area). Monday – Friday, 7 a.m. – 7 p.m.  
• After an appointment is made, the clinic will reach out to you if a video visit is available.

Existing Patients

If you have a MyChart account

• A provider you've seen before
• Adolescent Medicine
• Allergy & Immunology
• Diabetes & Endocrinology
• Gastroenterology
• Kidney (Renal)
• Ophthalmology
• Orthopedics
• Otolaryngology
• Pulmonology
• Rheumatology
• Sports Medicine

If you do not have a MyChart account or need to schedule with a specialty not available in MyChart

• Call us at 832-824-9322 (Houston area). Monday – Friday, 7 a.m. – 7 p.m.; Saturday 9 a.m. – 2 p.m.

Pavilion for Women Patients

Houston Area Locations

• ​Baylor Obstetrics and Gynecology:  832-826-7500
• Partners in OB/GYN Care:  713-335-0335
• The Women's Specialists of Houston:  713-797-1144
• Obstetrics and Gynecology in Pearland:  281-412-4335
• Texas Children’s Fetal Center: 832-822-2229
• Maternal-Fetal Medicine: 832-826-4636
• Urogynecology:  832-826-7500
• Family Fertility Center:  832-826-7272
• Reproductive Psychiatry:  832-826-5281

If you are a patient and over 18 years of age you are eligible to sign up for a My Chart account  online!

• After you submit the online form we will email you your access code and registration instructions. Once your MyChart account is created, you will be able to sign in to your account to schedule an appointment.
• Well Woman Exams (Annual)
• Gynecological (GYN) visits
• Returning OB check-ups
• Urology-Gynecology visits
• Menopause Center visits
• Gynecology-Oncology
• Reproductive Psychiatry visits
•  Family Fertility Center visits

Call us at:

• If you are a patient and over 18 years of age you are eligible to sign up online!
• Request Access
• After an appointment is made, the clinic will reach out to you if a video visit is available

Texas Children's Pediatrics Patients

Whether you are a new or established patient, you can schedule directly with one of our Texas Children's Pediatrics practices. 

Patients can choose the location they'd like to schedule with here and find the scheduling information for that particular practice. Current patients can schedule online for a well visit, sick visit and/or COVID-19 Vaccine appointment if they have a MyChart account.

• Call us at 737-229-3550 (Austin area). Monday – Friday, 7 a.m. – 7 p.m.  
• Directly schedule online for many services
• Call us at 737-229-3550 (Austin area). Monday – Friday, 7 a.m. – 7 p.m.; Saturday 9 a.m. – 2 p.m.

Austin Area Locations

• Baylor Obstetrics and Gynecology North Austin:  737-289-7100 or schedule online .
• Maternal-Fetal Medicine North Austin: 737-229-2636
• Texas Children’s Fetal Center North Austin: 737-229-2636
• Baylor Obstetrics and Gynecology North Austin:  737-289-7100

Existing MyChart Users

For existing patients or if you have a MyChart account, log in to make an appointment.

eHealth Services

Virtual visits.

Receive care from the comfort of your home

Limited on time? Complete an E-Visit

How We're Keeping You Safe

Covid-19 information.

• COVID-19 Vaccine Information:  Learn More  
• All Texas Children’s locations are actively screening in order to minimize exposure risk to our patients, families, staff and providers. In addition, some patients may need COVID-19 testing.  At Texas Children’s locations, testing is available only as directed by a Texas Children’s provider and not open to the general public.  
• Health authorities encourage residents to get tested for COVID-19 if you think you have it or were in contact with someone who tested positive.  
• City of Houston
• Harris County
• Brazoria County
• Fort Bend County
• Galveston County
• Texas Health and Human Services

Visitation Restrictions

At Texas Children’s you and your loved ones are highly regarded as partners in care. We welcome and encourage friends and family members to be present and provide support.

Pediatric Inpatient Units in Legacy Tower including the Heart Center, Critical Care and ACHD, West Tower (except NICU), West Campus and The Woodlands

To promote family-centered-care while also providing a restful environment for our patients: visiting hours are between 8 a.m. – 8 p.m.

• Families are allowed up to eight (8) healthy individuals of any age on a visitation list for the duration of their stay in Legacy Tower. Health screening will be done before going to the unit.
• During visitation hours, up to four (4) individuals of any age are welcome at the bedside at one time. This includes caregivers, siblings, children of a patient, family and friends. Bedside team may limit the number of people at the bedside on certain situations.
• Up to two (2) adult caregivers may be present with the patient at the bedside after visiting hours. To encourage infant bonding and healthy attachment, breastfeeding siblings of a patient or children of a primary caregiver, who are 12 months or younger, may also stay and do not count towards the number of bedside visitors. Parents must provide a safe sleeping surface and needed supplies for the infant.
• To maintain safety, all children must be supervised by an accompanying adult at all times. Children may visit up to four hours every day.

Pavilion for Women Inpatient Units including Women’s Specialty Unit and Mother/Baby Units

• During visitation hours, up to four (4) healthy individuals of any age are welcome at the bedside at one time. This includes caregivers, siblings, children of a patient, family and friends.
• To maintain safety, all children must be supervised by an accompanying adult at all times.
• Up to two (2) adult caregivers may be present with the patient at the bedside after visiting hours.
• Patients on Labor & Delivery are permitted up to four (4) adult visitors throughout the duration of their stay on the unit.

Newborn Center (NICU) in the Medical Center, Pavilion for Women and The Woodlands

• Families are allowed up to six (6) healthy, adult visitors on a visitation list for the duration of their stay in the Newborn Center.
• Up to two (2) healthy visitors are welcome at bedside at one time.
• Siblings of a patient or children of a primary caregiver, 5 years or older , are allowed to visit. Only one sibling will be allowed at bedside at one time and will be limited to a 4-hour visitation block.
• Siblings are also required to complete a temperature screening upon arrival. Ill siblings may not return until 24 hours after being symptom free without medication.
• Siblings younger than 14 who are visiting the Newborn Center (NICU) do best when prepared for the environment. We recommend talking to your child’s nurse about a visit with a Child Life Specialist, who can help siblings understand what to expect prior to their visit.

Surgery, Procedure Suites, Cath Lab

• Up to two (2) healthy, adult caregivers are welcome to accompany each patient.
• In order for us to best care for our patients we are unable to accommodate visitors under the age of 18 at this time.

Pediatric Emergency Center

• Up to two (2) healthy, adult caregivers may accompany each patient.
• Due to the size of rooms, we recommend that families do not bring siblings/children when alternate childcare is available for them.

Women’s Assessment Center

• Up to one (1) healthy, adult support person may accompany each patient.
• In order for us to best care for our patients we are unable to accommodate additional visitors at this time.

Ambulatory Visits for Pediatric and Adult Patients including Clinics, Therapies and Outpatient Treatments

• Healthy caregivers and family members may accompany a patient to an ambulatory visit.
• We ask that you limit the number of family members present when possible, due to the size of the rooms.
• Some clinics may limit visitation based on space constraints and will notify families directly, if needed.

Texas Children’s Pediatrics, Urgent Care and The Centers for Women and Children

• Any caregivers or family members are welcome to accompany a patient to their visit.

COVID-19 Positive and PUI Visitation Guidelines

For patients who have a COVID-19 test result pending (PUI) and patients who test positive for COVID-19.

• Visitation in all settings is limited to up to two (2) healthy adult visitors.
• Visitors should wear masks and practice appropriate handwashing at all times whether in or out of the patient’s room. This includes hallways, elevators, gift shops, food courts, etc.

Safety is a priority at Texas Children’s. Some areas may ask for limited visitation due to space constraints or to meet the needs of the patient. In these instances, a team member can assist in helping to identify a comfortable waiting space. We ask that you kindly follow the visitation recommended by the patient’s care team, and we encourage you to speak with them if you have questions or require special accommodations.

For Patients Completing a Virtual Visit

• Meeting with a provider by virtual visit is a convenient way to receive care without coming to the hospital or clinic in person.   
• You can use a web browser on your computer or an app on a mobile device to start a video visit. Mobile devices are preferred, because the MyChart app makes it easy to access your visit and most mobile devices already have the appropriate camera and microphone setup for video visits.  

After an appointment is made, the clinic will reach out to you if a virtual visit is available.

For Patients Coming into the Hospital

• We have implemented additional patient and visitor screening measures, developed workflows to triage patients presenting with possible symptoms and best practices for treating suspected cases.   
• Our Environmental Services team is dedicated to providing patients with a clean and safe experience by increasing the frequency of cleanings and applying enhanced cleaning procedures in clinics, patient rooms, operating rooms and gathering spaces throughout our system.   
• For the safety of our patients, we are screening and modifying how we manage all families and visitors on site. Only one parent or guardian over the age of 18 may accompany or visit a patient at any time. No siblings or visitors under 18 will be allowed.  
• In an effort to reduce the amount of time spent at the front desk, we highly encourage completing the check-in process with MyChart prior to your appointment. You can save time when you arrive at the clinic by using the Texas Children’s patient portal to pay visit copays, verify your medical and insurance information, respond to questionnaires, and electronically sign documents. Visit  texaschildrens.org/mychart  or download the MyChart app to check-in for your next appointment.  
• If you think your child has symptoms of, or was exposed to, COVID-19, please do not come in for your appointment. Instead, call our COVID-19 Nurse Triage Phone Line at  832-822-6843 . We are available to take your call 24 hours a day, 7 days a week.  
• eConsults  - In order to limit the number of people coming into your room, we are now utilizing eConsults. eConsults occur when an attending provider requests a subspecialty service or ancillary service meet with the patient via video. The patient is provided with an iPad to connect with the consulting provider. eConsults secure and confidential. The conversations are not recorded.
• eRounding  - In order to limit the number of people coming into your room, we are now utilizing eRounding – using a mobile computer workstation with a camera, or a tablet, to allow members of your child’s health care team to participate in rounds via a video call from another location like a conference room, their office or even from home. This allows providers who would already be involved in your child’s care to stay connected – helping keep them up to date on your child’s journey and allowing them to learn and contribute valuable feedback about his or her case. eRounding is secure and confidential. The conversations are not recorded.

Once You Arrive

• Medical Center Campus:  Legacy Tower (first floor lobby), Pavilion for Women (first floor lobby), Mark A. Wallace Tower (first floor lobby and garage levels B2 and B3); The West Tower Visitor Screening Station has moved across the concourse from the West Tower lobby entrance to the side of the walkway closest to the Abercrombie Building. Visitor Screening Station signage designates the entrance to the screening site.
• Woodlands Campus:  Medical Office Building 2nd floor bridge
• West Campus:  Main hospital entrance
• Specialty Care locations:  Main entrances  
• After you pass the screening process, you will be issued a mask. Please wear your hospital-issued mask at all times for the duration of your visit at any of our facilities.  
• When you are on our campus, we ask that you please keep a safe distance of approximately 6 feet from others whenever and wherever possible, including waiting in line and sharing spaces in our elevators. You will see red stickers across the hospital to help keep social distancing top of mind.

Retail Pharmacy

Texas Children’s Hospital now offers curbside prescription pick-up at the following three retail pharmacy locations:

• Texas Medical Center 6651 Main St., Houston, TX 77030 (Pavilion for Women valet driveway) Phone: 832-822-3050 Open daily: 9 a.m. to 5 p.m.  
• The Center for Children and Women – Southwest 9700 Bissonnet St., Houston, TX 77036 Phone: 832-733-1400 Open Monday through Friday: 9 a.m. to 7 p.m.; Saturday - Sunday: 10 a.m.- 6 p.m.  

The Center for Children and Women – Greenspoint 700 North Sam Houston Pkwy. W., Houston, TX 77067 Phone: 832-828-1600

Open Monday through Friday: 9 a.m. to 7 p.m.; Saturday - Sunday: 10 a.m.- 6 p.m.

Patients who have in-person clinic visits can continue to pick up prescriptions from the retail pharmacy pick-up window.

To use the curbside pick-up service

Call one of the three participating pharmacies 30 to 45 minutes in advance of your arrival to request curbside pick-up. This ensures your prescription is staged for curbside delivery and minimizes your wait time. It also allows the pharmacist to review important information with you about your prescription over the phone or by video (in certain situations) before you arrive.

When you arrive at the pharmacy curbside location:

• Follow the sign to park in the designated prescription pick-up area.
• Call the phone number listed on the sign to notify the pharmacy team of your arrival and to provide payment over the phone, if needed (credit/debit card payment only).
• A member of the pharmacy team will deliver the prescription to your vehicle and provide instructions on how to contact the pharmacy team if you have additional questions.

Urgent and Emergency Care

• If you or your child needs emergency medical help, please call 911.  
• Our emergency centers at each hospital are open.   
• Texas Children’s Urgent Care  continues to operate at normal business hours for in-person visits.  
• Urgent Care vs Emergency Room: Which to use?

Schedule an Appointment

Texas children's pediatrics westbank pediatrics, well visits.

• Pediatricians are much more than doctors – they are partners in your child’s health. We provide well-child appointments, vaccinations, behavioral health services, screenings, school and sports physicals and much more.

Sick Visits

• We’re here for you when you need us most. We have a variety of care options available to make sure your child gets the right medical care when they need it.

COVID-19 Vaccine

• We are offering COVID-19 Vaccine for all patients age 6 months and older, in addition to routine childhood immunizations.

Available Locations

• Texas Children's Pediatrics Dawson & Ramirez Pediatrics
• Texas Children's Pediatrics Longhorn Pediatrics
• Texas Children's Pediatrics Pediatric Partners of Austin
• Texas Children's Pediatrics Windsor Park

Texas Health Steps

Your how-to guides for Medicaid Texas Health Steps.

Age-appropriate preventive medical and dental checkups are at the heart of Texas Health Steps services. Turn here first for current screening tools, forms and resources needed to complete required checkup components, make referrals and provide information to patients and families.

Medical Checkups

Periodicity schedule.

• Texas Health Steps Periodicity Schedule
• Guidelines for Risk-Based Tests

Interactive Anticipatory Guidance

• Texas Health Steps Anticipatory Guidance Provider Guide

Developmental Screening

• Ages and Stages Questionnaire (ASQ)
• Ages and Stages Questionnaire: Social Emotional (ASQ:SE)
• Parents’ Evaluation of Developmental Status (PEDS)
• Survey of Well-being of Young Children (SWYC)

Autism Screening

• Modified Checklist for Autism in Toddlers (M-CHAT)
• Modified Checklist for Autism in Toddlers, Revised with Follow-up Questions (M-CHAT-R/F)

Mental Health Screening

• Pediatric Symptom Checklist (PSC-17) 
• Pediatric Symptom Checklist (PSC-35)
• Pediatric Symptom Checklist for Youth (Y-PSC)
• Patient Health Questionnaire (PHQ-9)
• Patient Health Questionnaire Modified for Adolescents (PHQ-A [depression screen])
• Car, Relax, Alone, Forget, Family, and Trouble Checklist (CRAFFT)
• Patient Health Questionnaire for Adolescents (PHQ-A [anxiety, eating problems, mood problems and substance abuse screen])
• Rapid Assessment for Adolescent Prevention Screening (RAAPS)

Maternal Postpartum Depression Screening

Texas Health Steps providers are encouraged to screen for maternal postpartum depression (PPD) during any infant checkup up to 12 months. Validated screening tools to be used during a Texas Health Steps checkup include but are not limited to:

• Edinburgh Postnatal Depression Scale (EPDS)
• Postpartum Depression Screening Scale (PDSS)

Newborn Screening

• Screened disorders, including FACT sheets to share with parents
• ACT sheets for health care providers

Tuberculosis Screening

• TB questionnaire

Child Health Record Forms

• How to access Child Health Record Forms - Instructions to download forms are listed in the Medical Checkup section.

Growth Charts

• World Health Organization (WHO) growth charts for infants and children birth through 23 months
• Centers for Disease Control and Prevention (CDC) growth charts for children 2 years and older

Immunizations

• Childhood Immunization Schedule (Birth through 18 years)
• Catch-up Immunization Schedule (Birth through 18 years)
• Adult Immunization Schedule (19 years and older)
• Texas Immunization Registry (ImmTrac2) Provider Resources
• Texas Vaccines for Children Information for Providers

Laboratory Tests

• Lead Risk Questionnaire Form P-110 English version
• Lead Risk Questionnaire Form P-110 Spanish version
• Texas Health Steps Specimen Collection and Handling Guidance
• Lab Order Forms

Oral Evaluation and Fluoride Varnish (OEFV)

• Dental Anticipatory Guidance tool
• OEFV Certification Application
• OEFV Visit Documentation Form

Texas Early Hearing Detection and Intervention (TEHDI)

• Hearing Checklist for Parents (English and Spanish)

Dental Checkups

• Caries Risk Assessment
• First Dental Home

Case Management for Children and Pregnant Women

Case management services may be available for children birth through 20 years and pregnant women who are eligible for Medicaid, have health problems or are at high risk for health problems. Case managers assist patients with a variety of needs. 

Some examples include:

• attending a school meeting with the parent to advocate for services.
• referring patients and families to state and federal benefits, such as Medicaid waivers and Supplemental Security Income (SSI).
• finding a behavioral health specialist or mental health services.
• addressing issues such as homelessness, substance abuse, or domestic violence.

Use these screening tools, forms, and other resources to complete and document required components of Texas Health Steps medical checkups.

Find a Case Manager in Your Area

• Download a list of registered providers in your area.

Refer Patients enrolled in STAR or Traditional Medicaid

• Call 1-877-THSteps ( 1-877-847-8377 ) 8 am to 6 pm, Central Time, Monday through Friday 
• Download a referral form.  Scroll down to Make a Referral to Case Management section and click on Make a Referral Form.
• Submit a referral form via fax to 512-533-3867.

For School-Related Needs

Refer patients enrolled in STAR Kids to their MCO for case management needs.

• Submit a  Request for Case Management for STAR Kids Clients . Scroll down to Make a Referral to Case Management section and click on Request for Case Management for STAR Kids Clients.

“3 in 30” Services

Texas health steps-approved tools.

Use these resources to perform the coordinated health services for children entering conservatorship by the Texas Department of Family and Protective Services (DFPS).

Assessments and Exams

• CANS Assessment
• Health Passport
• Informed consent

Texas Health Steps Checkup

Health plans.

• STAR Health – Superior Healthplan
• Prescriptions

Vendor Drug Program

The Vendor Drug Program manages the state Medicaid and Children’s Health Insurance Program (CHIP) formularies, enrolls pharmacy providers wanting to provide Medicaid and CHIP services and processes outpatient pharmacy claims for patients enrolled in traditional Medicaid and other programs. Find more news and information about the Vendor Drug Program .

Clinical Prior Authorization

• Clinical Prior Authorization Assistance Chart (Medicaid Managed Care)
• Texas Prior Authorization Call Center (Medicaid FFS)

Formulary and Preferred Drugs

• Online Formulary Search
• Preferred Drug List

Referral Resources

• Early Childhood Intervention Referral Form  (Scroll to “Referrals” to download the form)
• Local Mental Health Authority (LMHA) / Local Behavioral Health Authority (LBHA) Referral Resources
• Texas Medicaid & Healthcare Partnership Online Provider Search
• Texas Health Steps Provider Outreach Referral Form  (Scroll to “Referrals” to download the form)

Texas Health Steps Provider Enrollment and Support

• Texas Health Steps Provider Relations Representatives by region

Texas Medicaid & Healthcare Partnership

• Online Provider Lookup
• Provider Enrollment
• Provider Manuals
• Texas Medicaid Provider Procedures Manual
• CSHCN Services Program Provider Manual
• Provider Support Services by region

Wellness Checkups

Frequently asked questions.

Texas Health Steps checkups and Well-child exams, also known as wellness checkups, are the best way to help your child stay healthy as they grow. Medicaid Members get Texas Health Steps checkups from birth through 20 years of age. CHIP Members get well-child exams from birth through 18 years of age.

Based on your child’s age, a wellness checkup may include:

• Health and developmental history
• Height/weight/BMI/blood pressure measurements
• Hearing tests and hearing aids
• Eye tests and eyeglasses
• Developmental and behavioral screenings
• Dental care
• Physical examination
• Immunizations A recommended immunization schedule for children from birth through 18 years of age  is available here.
• Preventive Services and Immunizations Guide
• Anticipatory guidance/health education
• Treatment for other medical conditions
• 2022 – 2023 Texas Minimum State Vaccine Requirements for Students Grades K – 12

There is no cost to you if you have Medicaid or CHIP.

• Medicaid or CHIP ID card
• A list of all medications that your child is taking
• Current immunization records
• A list of questions that you want to ask the primary care provider

Get the first checkup within 90 days of enrollment with Community. It helps us understand your healthcare needs early. You can also get to know your child’s doctor, and your child’s doctor can get to know you.

Wellness Checkup Schedule

Medicaid Members get wellness checkups until they turn 21 years old. CHIP Members get wellness checkups until they turn 19 years old.

Call your doctor and schedule an appointment. You can also call Member Services at  1.888.760.2600  and we can help you schedule.

If you are enrolled or going to enroll in a Head Start program, you may need a checkup within 45 days after enrolling. It is a requirement for Head Start. Please check with your Head Start program.

Texas Health Steps Dental Services

Your child should get regular dental checkups to make sure their teeth and gums are healthy. Dental checkups can begin at age six months and should occur every six months after that. You must choose a Main Dentist to provide your Texas Health Step services through your dental plan. If you need assistance locating a dentist, contact your dental plan:

• DentaQuest: 1.800.516.0165
• MCNA Dental: 1.800.494.6262

Don’t know who your dental plan is? Call Member Services at  1.888.760.2600  for help.

Transportation Services

CHIP Members: Call Community Member Services for help. Call toll-free at  1.888.760.2600 ., Monday to Friday, 8:00 a.m. to 5:00 p.m.

STAR Members: Acces2Care provides transportation to non-emergency healthcare appointments for  STAR (Medicaid)  Members who have no other transportation options. These trips include rides to the doctor, dentist, hospital, pharmacy, and any other places you get Medicaid services. These trips do NOT include ambulance trips.

How do I set up transportation?

• Access2Care is available 24 hours a day, 7 days a week. Call Access2Care toll-free at 1.844.572.8194 or schedule through the Access2Care (A2C) Member app. Download the app from your app store. Information is available in English and Spanish. Call Access2Care to get an interpreter. 7-1-1 TDD for Hearing-Impaired. In case of an emergency, call 9-1-1 or go to the nearest hospital.
• Be ready with the following information:
• Your name, Member ID number, and your full address on file or the phone number on file;
• The address, zip code, and phone number where you want to be picked up, this must match your address on file;
• The name, address, zip code, and phone number of the doctor or other in-network provider you will be seeing;
• The date and time of the appointment;
• If you use a wheelchair or other medical equipment;
• The name of the caregiver/attendant, if applicable

Please be ready at least 90 minutes prior your appointment.  Your transportation provider will arrive up to 90 minutes before your appointment to ensure you arrive at your appointment between 15 minutes and one hour prior to your appointment time.

Read more about Access2Care

For more information, read the STAR  or  CHIP  Member Handbook.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.” – Cecily Member of Community Health Choice

Medicaid Health Plan 04/01/2027

Marketplace Health Plan 03/01/2027

Copyright 2024 Community Health Choice. All Rights Reserved.

ALERT! We now encourage our patients to save their spot in line before coming into the clinic.

• Benefits for You
• STAR (Medicaid)
• For Pregnant Members
• For Traveling Farmworkers
• Healthy Rewards Program
• Member Events
• Pharmacy Services
• Transportation Assistance
• Member Advisory Group
• Prior Authorization
• Community Events
• Your Health
• Behavioral Health
• Cold and Flu
• Complex Case Management
• Weight Management
• Health Risk Assessment
• Mental Health
• Infant and Child Health Care
• Young Adult Health Care
• Patient Education Videos

Health and Wellness

Get a routine cervical cancer screening during your annual well-woman exam to take advantage of this great reward!

Texas Children’s Health Plan rewards you for taking steps to manage your diabetes and keeping track of your health!

Learning is better when having fun! Texas Children’s Health Plan invites you to learn about our latest services and benefits in our special events for your whole family to enjoy!

Welcome new members! Fill out our Health Risk Assessment form so we can better understand your health care needs. If you have not completed the form yet, please click here

Getting a follow-up after a mental health hospitalization lowers the risk of going back to the hospital. Texas Children’s Health Plan wants to reward you for getting the extra help you need to get better.

A healthy brain needs healthy eyes. Our vision benefit will help keep your eyes healthy and improve your quality of life!

Well-child checkups are scheduled visits with your baby's primary care provider to track their growth and health. They may include physical exams, vaccinations, blood tests, and more.

Well-child checkups are the best way to make sure your baby is growing healthy and strong, and Texas Children’s Health Plan wants to reward you for staying on top of their health!

Young Adult Wellness Visit Reward

Routine checkups help young adults to keep track of their physical and mental health, and Texas Children’s Health Plan rewards you for making sure you develop a healthy lifestyle!

Disclaimer » Advertising

• HealthyChildren.org

3 to 5 Day Visit (Footnote 4)

Bmi (footnote 5), behavioral, social, and emotional screening (footnote 14), tobacco, alcohol, or drug use assessment (footnote 15), newborn bilirubin screening (footnote 21), oral health (footnote 35 and footnote 36), committee on practice and ambulatory medicine, 2023–2024, committee on practice and ambulatory medicine, 2022–2023, 2024 recommendations for preventive pediatric health care: policy statement.

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.

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COMMITTEE ON PRACTICE & AMBULATORY MEDICINE; 2024 Recommendations for Preventive Pediatric Health Care: Policy Statement. Pediatrics 2024; e2024067201. 10.1542/peds.2024-067201

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• Ris (Zotero)
• Reference Manager

The 2024 Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) has been approved by the American Academy of Pediatrics (AAP). Each child and family is unique; therefore, these recommendations are designed for the care of children who are receiving nurturing 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 more frequent counseling and treatment visits separate from preventive care visits. Additional visits also may become necessary if circumstances suggest concerns. 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  

To ensure that health care professionals have the most current recommendations, the Periodicity Schedule is not published in Pediatrics but is posted on the American Academy of Pediatrics Web site ( www.aap.org/periodicityschedule ). This webpage includes the most recent version of the Periodicity Schedule and the full set of footnotes. The Periodicity Schedule is reviewed and revised annually to reflect current evidence and recommendations.

The following is a description of the changes made to the Periodicity Schedule since it was last published in April 2023. The only updates to the Bright Futures Periodicity Schedule include additions to existing footnotes, which updates information but does not change the clinical recommendations.

This footnote reflects the updated AAP “Policy Statement: Breastfeeding and the Use of Human Milk”, published June 2022.

Footnote 4 has been updated to read, “Newborns should have an evaluation within 3 to 5 days of birth and within 48 to 72 hours after discharge from the hospital to include evaluation for feeding and jaundice. Breastfeeding newborns should receive formal breastfeeding evaluation, and their mothers should receive encouragement and instruction, as recommended in “Policy Statement: Breastfeeding and the Use of Human Milk” ( https://doi.org/10.1542/peds.2022-057988 ). Newborns discharged less than 48 hours after delivery must be examined within 48 hours of discharge, per “Hospital Stay for Healthy Term Newborn Infants”. ( https://doi.org/10.1542/peds.2015-0699 ).”

This footnote reflects the AAP “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity,” published January 2023.

Footnote 5 has been updated to read, “Screen per ‘Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity’” ( https://doi.org/10.1542/peds.2022-060640 ).

This footnote reflects the USPSTF “Anxiety in Children and Adolescents: Screening” recommendations, published October 2022.

Footnote 14 has been updated to read, “Screen for behavioral and social-emotional problems per “Promoting Optimal Development: Screening for Behavioral and Emotional Problems” ( https://doi.org/10.1542/peds.2014-3716 ), “Mental Health Competencies for Pediatric Practice” ( https://doi.org/10.1542/peds.2019-2757 ), “Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders” ( https://pubmed.ncbi.nlm.nih.gov/32439401 ), “Screening for Anxiety in Adolescent and Adult Women: A Recommendation From the Women’s Preventive Services Initiative” ( https://pubmed.ncbi.nlm.nih.gov/32510990 ), and “Anxiety in Children and Adolescents: Screening” ( https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-anxiety-children-adolescents ). The screening should be family centered and may include asking about caregiver emotional and mental health concerns and social determinants of health, racism, poverty, and relational health. See “Poverty and Child Health in the United States” ( https://doi.org/10.1542/peds.2016-0339 ),” The Impact of Racism on Child and Adolescent Health” ( https://doi.org/10.1542/peds.2019-1765 ), and “Preventing Childhood Toxic Stress: Partnering With Families and Communities to Promote Relational Health” ( https://doi.org/10.1542/peds.2021-052582 ).”

This footnote reflects the Centers for Disease Control and National Institute of Drug Abuse guidance related to recommending and prescribing Naloxone.

Footnote 15 has been updated to read, “A recommended tool to assess use of alcohol, tobacco and nicotine, marijuana, and other substances, including opioids is available at http://crafft.org . If there is a concern for substance or opioid use, providers should consider recommending or prescribing Naloxone (see https://www.cdc.gov/ore/search/pages/2018-evidence-based-strategies.html and https://nida.nih.gov/publications/drugfacts/naloxone ).”

This footnote reflects the AAP “Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation,” published August 2022.

Footnote 21 has been updated to read, “Confirm initial screening was accomplished, verify results, and follow up, as appropriate. See Clinical Practice Guideline Revision: ‘Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation’ ( https://doi.org/10.1542/peds.2022-058859 ).”

These footnotes reflect the updated AAP clinical report, “Maintaining and Improving the Oral Health of Young Children,” published December 2022.

Footnote 35 has been updated to read, “Assess whether the child has a dental home. If no dental home is identified, perform a risk assessment ( https://www.aap.org/en/patient-care/oral-health/oral-health-practice-tools/ ) and refer to a dental home. Recommend brushing with fluoride toothpaste in the proper dosage for age. See ‘Maintaining and Improving the Oral Health of Young Children’ ( https://doi.org/10.1542/peds.2022-060417 ).”

Footnote 36 has been updated to read, “Perform a risk assessment ( https://www.aap.org/en/patient-care/oral-health/oral-health-practice-tools/ ). See ‘Maintaining and Improving the Oral Health of Young Children’ ( https://doi.org/10.1542/peds.2022-060417 ).”

Jesse M. Hackell, MD, FAAP, Chairperson

Yvette M. Almendarez, MD, FAAP

Patricia E. Cantrell, MD, FAAP

Carolyn Cleary, MD, FAAP

Elizabeth Hawse, MD, FAAP

Lisa M. Kafer, MD, FAAP

Seth D. Kaplan, MD, FAAP – Section on Administration and Practice Management Liaison

Tomitra Latimer, MD, FAAP

Alisa Skatrud, MPA – Family Liaison

Robert H. Wiskind, MD, FAAP

Abeba Berhane, MD, FAAP

Patricia Cantrell, MD, FAAP

Katherine S. Schafer, DO, FAAP – Section on Administration and Practice Management Liaison

Alisa Skatrud, MPA - Family Liaison

Robin Warner, MD, FAAP

Lauren Barone, MPH

Maureen Cooney, MPH

Mackenzie Magnus, MBA, MPH

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.

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Patients and Families Virtual Visits at Texas Children's

A convenient way to receive care from the comfort of your home..

Texas Children’s offers virtual visits that allow you to meet with a provider to receive the care you need without coming to the hospital or clinic in person.

Virtual visits can be scheduled through the MyChart, and you can use a web browser on your computer or an app on a mobile device to start a virtual visit. Mobile devices are preferred, because the  MyChart app  makes it easy to access your visit and most mobile devices already have the appropriate camera and microphone setup for video visits.

Additional Resources

Virtual journey.

Help prepare your child to go on their virtual visit journey  

Instructional Guide

Get step-by-step instructions for your virtual visit using MyChart

For patients completing a virtual visit:

• First time users should be logged in at least 20 minutes before the appointment in case any issues arise. Return users should be logged in 5-10 minutes before the appointment.  
• Please give yourself plenty of time to log in and prepare for the appointment. The appointment time provided is the visit time, not the time to start the log-in process.  
• Both the patient and parent/guardian must be present at the time of the virtual visit. If the patient is a teenager and needs to be interviewed, the parent/guardian may be asked to leave the room for part of the visit.  
• For your safety, please DO NOT conduct a virtual visit from a moving vehicle.  
• For certain visit types (such as dermatologic, skin, wound or postoperative care), you may need to upload photos to MyChart prior to the visit to help facilitate a correct diagnosis. Your clinic will provide instructions should photos be needed.  
• Please understand that your virtual visit is HIPAA compliant, just like an in-office visit. Your personal information is kept private and secure.

How to start a MyChart virtual visit

Using a mobile device (iphone, ipad or android).

Complete the following steps as soon as your virtual visit is scheduled

• Download MyChart app –  Visit the app store on the device you will use for your virtual visit.  First download the MyChart app ( Apple App Store  or  Google Play for Android ). Select Texas Children’s as the health care provider

Get started about 30 minutes before your appointment

• Log in to MyChart –  Navigate to “Visits” and select your upcoming virtual visit appointment.
• Complete PreCheck-In –  PreCheck-In must be completed before you will be allowed to access your virtual visit. If you have not completed PreCheck-In, please do so as soon as possible. 
• Prep for Your Appointment –  Find a quiet, well-lit room for you and your child. Your child must be present for the virtual visit.

Start your virtual appointment

• Click “Join Video Visit”– Once PreCheck-In is completed in MyChart, the video icon will turn green. Click “Join Video Visit” at the bottom of your screen.
• Complete Hardware Test – You will be prompted to complete a hardware test that will open in a new browser. This hardware test needs to be completed prior to your visit. Enable access to your microphone and camera. Then, type the patient’s name if it is not already populated. Once the hardware test is completed, you will see a green “Join Call” bar. The bar will be yellow if your camera is turned off. If you are seeing a red “Join Call” bar, you will need to revisit your camera and microphone connection and ensure that you have allowed the browser access to your camera and microphone.
• Click “Join Call” – Once you click the “Join Call” bar, you will be entered into a waiting room and your provider will be notified that you are ready for your visit.

If you require further assistance or are unable to connect to your appointment, please contact your provider, or call 877-361-0111 8 a.m. to 5 p.m., Monday through Friday.

Using a Computer

For best results verify that your computer software and browser is up to date prior to your visit.

• Up to Date –  If you will be utilizing a personal computer for your visit, please ensure the browser you are using is Chrome 98 or later, Safari 15.2 or later OR Microsoft Edge 89 or later.

Get started about 15 minutes before your appointment

• Log in to MyChart –  Visit  mychart.texaschildrens.org  to log in to MyChart.
• Navigate to Your Appointment –  Select “Visits” from the main menu and then navigate to your upcoming virtual visit appointment.
• Complete PreCheck-In –  PreCheck-In must be completed before you will be allowed to access your virtual visit. If you have not completed PreCheck-In, please do so as soon as possible.

Helpful Tips

Disable pop-up blockers on your mobile device or computer if prompts do not appear.

Android Users

• Open Settings app from your home screen
• Select Site Settings
• Select Pop ups and Redirects
• Toggle to “Allowed”  

iPhone Users

• Open Settings App in iOS
• Select Safari
• Toggle the switch next to “Block Pop-ups” to the OFF position  

Use your fastest data connection for best results. This could be your cellular data or Wi-Fi. *Standard data rates apply.

Have the patient with you when joining the call.

Make sure you are in a well-lit room that is quiet. Please do not connect to a video appointment while in a moving vehicle.

If you already have the MyChart app on your mobile device, please make sure that you have the most current version by checking for app updates.

Your mobile device or computer must have a video camera connected to or built in camera on the device you are using for your virtual visit.

You can join your virtual visit up to 30 minutes before your appointment start time.

Please be advised that a virtual visit is considered an office visit, and may result in a co-pay charge according to your insurance coverage. For further information on insurance and billing please  click here .

Frequently Asked Questions (FAQs)

What is a virtual visit?

At Texas Children’s, we are making advances to offer your family the care you need in a more accessible and convenient way– from the comfort of your own home. We offer virtual visits, also known as eHealth, telehealth or telemedicine, with your trusted Texas Children’s providers.

What equipment is needed for a virtual visit?

All you need is a smart phone, a tablet or computer with two-way video capabilities. Please make sure your device is plugged in or fully charged ahead of your visit. If you would like additional privacy or are hearing-impaired, headphones are also recommended.

What app do I need to download for a virtual visit?

Download the MyChart app. Visit the Apple App Store or Google Play on your device and find the Epic MyChart app. Download and select Texas Children’s as the health care provider.

What is the ideal WiFi speed for a virtual visit?

Use the fastest connection available. This could be your cellular data or WiFi. Cellular connection may provide improved connection quality.

Where should we be for a virtual visit?

Find a quiet and well-lit place in your home to make sure everyone can hear well during the visit. If possible, be in a private room away from other children not having the visit. It helps to have a flash light or to be near a window or other well-lit area.

Ensure the child being seen is nearby and visible to the provider.

Due to licensing rules, you must be located in Texas to complete a virtual visit.

Who must be present for a virtual visit?

Both the patient and parent/guardian must be present at the time of the video visit. If the patient is a teenager and needs to be interviewed, the parent/guardian may be asked to leave the room for part of the visit.

Why should I use a virtual visit for my child?

Virtual visits are ideal for busy families to receive convenient quality care from your Texas Children’s provider from the safety of your home. If the provider determines that your child requires an in-person visit for further evaluation, this will be arranged.

Can more than one person call into a virtual visit at once (i.e.: both parents)?

Yes, if more than one person has access to their child’s information in MyChart. Please alert the provider and request they text or email a link to the visit from within Epic to the additional individual.  

If I don’t speak English, am I still able to have a virtual visit?

Yes, the provider will have an interpreter scheduled to participate in the visit.

What should I expect from a virtual visit?

A virtual visit is similar to an in-office visit with a provider, but on an application similar to FaceTime.

How long does a virtual visit last?

A virtual visit will last anywhere between 15-30 minutes, depending on the complexity of the topic discussed. Although there is no limit to the length of a virtual visit, please understand the provider will be seeing multiple patients.

What if I can’t find my appointment link?

The link is now part of MyChart. To connect:

Open the MyChart app, go to Appointments and Visits.

Complete the PreCheck-in questions and then you will be able to click on the Join Video Visit button.

If you are unable to connect to your appointment, please call us at  877-361-0111 .

Who is eligible for a virtual visit?

All patients are eligible for virtual visits; however, your provider may request an in-person evaluation as necessary.

Do I need an appointment for a virtual visit?

Your virtual visit will have a scheduled appointment time. It is important to connect prior to your appointment time. First time users should allow for 20 minutes of log-in and troubleshooting time, while return users should allow for 5-10 minutes of log-in time. The time provided is the visit start time rather than log-in time.

What if the provider isn’t on the virtual visit immediately?

The provider may be running a few minutes late. Please remain on the line for 5-10 minutes, even if you see a blank black screen. If for some reason they do not join, please call us at  877-361-0111 .

What if I have trouble connecting during my virtual visit?

Check your internet connection. Use the fastest connection available. This could be your cellular data or WiFi. Standard data rates may apply. If on WiFi, try disabling WiFi, or switch WiFi networks.

Close all apps/windows in the background and disable pop-up blocker.

Uninstall and then reinstall the application on the same device.

Use a different device to download the application and connect.

Turn your device off and restart.

If you are still having problems, please call us at  877-361-0111 .

Can the provider on the virtual visit have access to my child’s medical records?

Yes, they will be able to access their electronic medical record during the visit.

Can the provider on the virtual visit write a prescription for my child?

Yes, when appropriate, an e-prescription can be sent to your preferred pharmacy.

When should I not receive a virtual visit?

A virtual visit may not be ideal when the patient needs to be seen in-person for a specialized exam, test or procedure.

Is my virtual visit secure?

Yes, Texas Children's is utilizing secure HIPPA compliant software for these visits.

Who do I contact if I have any follow-up questions after my virtual visit?

You may message your provider through MyChart or call the office with any follow-up questions.

How much does a virtual visit cost?

Please be advised that a virtual visit is considered an office visit, and may result in a co-pay charge according to your insurance coverage. For further information on insurance and billing please click  here .

Joining a Call Without MyChart

Purpose: You can easily join a visit with your provider even without MyChart.

Make sure to keep your email and cell phone number updated with your provider.

When it is time for your telemedicine visit your provider or the provider’s medical assistant will send a link to your phone or email.

Click on the link sent to you and you will be connected to your provider.

Texas Children's Virtual Care

Virtual urgent care visits allow your child to be seen from the comfort of your home by healthcare providers who specialize in pediatric clinical care. We will send a summary of your visit to your pediatrician at the conclusion of your visit. If a prescription is needed, we will send it directly to your local pharmacy.

Gateway Church elder says accepting resignation of pastor in sex abuse scandal was ‘difficult’ decision

Four days after they learned of decades-old child sex abuse allegations against their senior pastor, Robert Morris, hundreds of Gateway Church employees filed into an auditorium in Southlake, Texas, on Tuesday to learn his fate.

Some staff members appeared solemn as they found their seats. Others looked angry. One attendee pulled out her cellphone and secretly hit record. Later, she shared the audio with NBC News and described the meeting in an interview. A second person who attended confirmed her account and the recording’s authenticity.

Kenneth W. Fambro II, a real estate executive who serves on Gateway’s board of elders , struggled through tears as he delivered the news that employees had come to hear: Morris, one of the nation’s most prominent evangelical leaders, was resigning from the church he’d founded 24 years earlier.

“This,” Fambro said of accepting Morris’ resignation, “has been one of the most difficult decisions in my life.”

The recording of Fambro’s remarks reveals the deeply conflicted feelings of church leaders as they come to terms with the knowledge that their founding pastor — the man who’d built Gateway into one the largest megachurches in America and served on former President Donald Trump’s spiritual advisory board — had confessed to engaging in “inappropriate sexual behavior” with a child.Fambro opened Tuesday by acknowledging that he and other church officials had long known that Morris had admitted to sexual misconduct when he was young. It was a story Morris told so often over the years from the pulpit and in one-on-one meetings that “you can get kind of numb” to it, Fambro said, according to the recording.

“Pastor Robert did a phenomenal job of being open and transparent about his transgressions and his past, his moral failures,” Fambro said, speaking on behalf of the elders board, which is charged with governing the church. 

“What we did not know was that she was 12 years old.”

Cindy Clemishire, the woman who accused Morris of molesting her as a child, disputed the notion that Morris had been transparent. In a statement to NBC News, she said she was disturbed that Gateway elders struggled over whether to remove him from leadership.“What is so difficult about accepting the resignation from a man who repeatedly sexually abused a little girl for almost five years and then lied about it?” Clemishire said after having reviewed a transcript of the recording provided by NBC News. “Why wasn’t he terminated?”

Clemishire and her lawyer, Boz Tchividjian, contend that she contacted Morris and church officials with her allegations in 2005 and 2007 and that Gateway’s board of elders should have long ago investigated Morris’ version of events. (Fambro began attending the church in 2006 and became an elder in 2014, according to Gateway’s website.)

Morris hasn’t been charged with a crime and didn’t respond to messages requesting comment.

The allegations were made public Friday in a post published by The Wartburg Watch , a website focused on exposing abuse in churches. Clemishire, 54, described in the post and in a subsequent interview with NBC News how Morris had molested her for years beginning on Christmas night in 1982, when she was 12.Initially, Morris and Gateway’s elders responded Friday and Saturday by acknowledging in statements that Morris had several sexual encounters with a “young lady” when he was in his 20s and saying he had been transparent about his sin and had repented.

“Since the resolution of this 35-year-old matter, there have been no other moral failures,” the elders said in a message to employees Friday.

But some Gateway parishioners and staff members viewed the statement itself as a moral failure. Why had church leaders described the alleged sex abuse of a 12-year-old with euphemisms?

Fambro didn’t address that question in his remarks Tuesday, and he and other church elders didn’t respond to messages requesting comment. A spokesperson for Gateway also didn’t respond.

The person who made the recording of Tuesday’s staff meeting said she shared it with a reporter because she believes the board of elders is “gaslighting” employees about its initial defense of Morris and needs to be replaced. NBC News isn’t naming the woman because she fears retaliation.

At the meeting, Fambro defended the board of elders, which he said had been fielding criticism from members who felt leaders had taken too long to respond to the crisis.He said leaders had deliberated during multiple hourslong meetings Monday and Tuesday and were following the guidance they’d long gotten from their now-former senior pastor. 

“If you’ve been here long enough, you’ve heard Pastor Robert say, ‘Before we can move, we need to hear God,’” Fambro said. 

Fambro also told employees he and the other elders “have great compassion” for Clemishire and don’t condone what happened to her.

“You won’t hear us try to explain it away,” Fambro said. 

But, he added, that doesn’t mean “we don’t love Pastor Robert, that we’re not defending him.”

He then spoke extensively about the profound impact Morris had on his life and on the lives of tens of thousands of church members. Fambro encouraged the audience not to let the revelations of child sex abuse make them lose sight of the good that God had done — and would continue to do — through Gateway and Morris.

“So yes, there is an anointing on this house. Yes, there is an anointing on Pastor Robert,” Fambro said. “But both/and, yes? There was some stuff that was done. They both can exist.”

Fambro asked the staff to pray for Morris’ family, including his son James Morris, who is associate senior pastor and had been scheduled to succeed his father upon his planned retirement next year. Robert Morris is still pulling for Gateway, Fambro said, which was why he is stepping down.

“Pastor Robert wants to see Gateway Church succeed in the body of Christ,” Fambro said. “Pastor Robert wanted to resign to not be a distraction.”

Clemishire said the elders’ continued support for Morris “makes me sick.”“How can a church believe that a man can be anointed by God after sexually abusing a child and then lying about it for decades?” she said. “This is repulsive.”

Although elders had asked those in attendance not to record Tuesday’s meeting, Fambro seemed to sense that his words might eventually reach a broader audience. He said he worried someone would “take a sound bite, a clip, part of a sentence” and twist its meaning.

In closing, before another church leader stepped forward to describe the counseling services that would be available to employees, Fambro encouraged the audience members to focus on what they can do to help the church succeed. 

“I can dwell on the past,” he said. “You guys can, as well. Or I can choose to say: ‘That’s a data point. How can I affect the future?’” 

“‘How,” Fambro added, “do we move forward?’”

Mike Hixenbaugh is a senior investigative reporter for NBC News, based in Maryland, and author of "They Came for the Schools." 

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FACT SHEET: President   Biden Announces New Actions to Keep Families   Together

Since his first day in office, President Biden has called on Congress to secure our border and address our broken immigration system. As Congressional Republicans have continued to put partisan politics ahead of national security – twice voting against the toughest and fairest set of reforms in decades – the President and his Administration have taken actions to secure the border, including:

• Implementing executive actions to bar migrants who cross our Southern border unlawfully from receiving asylum when encounters are high;
• Deploying record numbers of law enforcement personnel, infrastructure, and technology to the Southern border;
• Seizing record amounts of fentanyl at our ports of entry;
• Revoking the visas of CEOs and government officials outside the U.S. who profit from migrants coming to the U.S. unlawfully; and
• Expanding efforts to dismantle human smuggling networks and prosecuting individuals who violate immigration laws.

President Biden believes that securing the border is essential. He also believes in expanding lawful pathways and keeping families together, and that immigrants who have been in the United States for decades, paying taxes and contributing to their communities, are part of the social fabric of our country. The Day One immigration reform plan that the President sent to Congress reflects both the need for a secure border and protections for the long-term undocumented. While Congress has failed to act on these reforms, the Biden-Harris Administration has worked to strengthen our lawful immigration system. In addition to vigorously defending the DACA (Deferred Action for Childhood arrivals) policy, the Administration has extended Affordable Care Act coverage to DACA recipients and streamlined, expanded, and instituted new reunification programs so that families can stay together while they complete the immigration process.  Still, there is more that we can do to bring peace of mind and stability to Americans living in mixed-status families as well as young people educated in this country, including Dreamers. That is why today, President Biden announced new actions for people who have been here many years to keep American families together and allow more young people to contribute to our economy.   Keeping American Families Together

• Today, President Biden is announcing that the Department of Homeland Security will take action to ensure that U.S. citizens with noncitizen spouses and children can keep their families together.
• This new process will help certain noncitizen spouses and children apply for lawful permanent residence – status that they are already eligible for – without leaving the country.
• These actions will promote family unity and strengthen our economy, providing a significant benefit to the country and helping U.S. citizens and their noncitizen family members stay together.
• In order to be eligible, noncitizens must – as of June 17, 2024 – have resided in the United States for 10 or more years and be legally married to a U.S. citizen, while satisfying all applicable legal requirements. On average, those who are eligible for this process have resided in the U.S. for 23 years.
• Those who are approved after DHS’s case-by-case assessment of their application will be afforded a three-year period to apply for permanent residency. They will be allowed to remain with their families in the United States and be eligible for work authorization for up to three years. This will apply to all married couples who are eligible.  
• This action will protect approximately half a million spouses of U.S. citizens, and approximately 50,000 noncitizen children under the age of 21 whose parent is married to a U.S. citizen.

Easing the Visa Process for U.S. College Graduates, Including Dreamers

• President Obama and then-Vice President Biden established the DACA policy to allow young people who were brought here as children to come out of the shadows and contribute to our country in significant ways. Twelve years later, DACA recipients who started as high school and college students are now building successful careers and establishing families of their own.
• Today’s announcement will allow individuals, including DACA recipients and other Dreamers, who have earned a degree at an accredited U.S. institution of higher education in the United States, and who have received an offer of employment from a U.S. employer in a field related to their degree, to more quickly receive work visas.
• Recognizing that it is in our national interest to ensure that individuals who are educated in the U.S. are able to use their skills and education to benefit our country, the Administration is taking action to facilitate the employment visa process for those who have graduated from college and have a high-skilled job offer, including DACA recipients and other Dreamers. 

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