18, 19 years (female) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and at work and even during your free-time activity still depends on your diet. Even if you feel you're done growing, you still need 3-4 foods a day high in calcium to support the completion of your bone density and continued bone strengthening. Also, 2-3 iron-rich foods a day are still recommended to support your blood. Read food labels to see how much fiber you need and how much you are actually getting — fiber is known to prevent colon cancer and heart disease. Avoid the "traps" that often affect people your age out on their own. Junk foods taste great but can deprive your body of what it really needs and can put on the excess weight. Also, avoid habits that will be tough to break later on, such as always eating in a rush or in front of the TV, or eating when stressed or while studying. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. There is no vitamin or "energy" supplement nearly as good as just eating a healthy diet, drinking plenty of water, and exercising regularly. This becomes even more important if you are a college student or at a job where you feel you are not as active as you used to be (or would like to be). See your dentist every six months for regular cleanings and exams. Wellness Visits Keeping your body on a fairly regular wake/sleep schedule (even on weekends) will help you get the sleep you need. Try not to save all of your "think time" or studying for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating. NO ONE thinks an accident will happen to them, and then it does. Wear sunscreen if you are outside. A great tan is not worth cancer. Take your body seriously. Make the decision not to smoke, take drugs, drink alcohol, or ride in a car with someone who has been drinking. Delay sex until you're truly emotionally ready for this step. It only takes one mistake to change your life forever. If you feel you have made a past mistake, remember that you can always re-contract with yourself and make a better decision from now on. If you have questions about sex, HIV, pregnancy, STDs, drugs, alcohol, or tobacco, please talk with another adult whom you trust and respect. If you live away from home and return for a visit, expect that your parents will still want to know where you are and who you're with (yes, they have their own adjustments to make regarding your independence at home!). Remember that driving is a privilege, not a right. You are an adult by law. More injuries occur in unorganized sports ("pick-up games" or "a quick jog") than ever before. Warm-up and stretch well before any exercise. Safety Continue to prioritize your demands — the ones you place on yourself as well as the ones others place on you. You will find that balancing all the parts of your life (including your free time) is the key. Try to talk to your family frequently, even if by phone. This can be a fabulous, and stressful, time. On one hand, increasing independence and decision-making power is great. On the other hand, stresses of school and money, lack of familiar support, and increasing responsibilities and uncertainty can take their toll. If you find yourself getting stressed out more than you feel you should or can reasonably handle, please talk to someone. A friend, parent, favorite professor or coach, counselor, or health care provider can offer support and help. Social, Family, & School Even though you are probably at your adult height, your weight and clothing size may still increase as your body continues to "proportion" itself and strengthen muscles and bones. This is normal. Your periods should be fairly regular (about once a month or so). It is recommended that all young women start having routine pelvic exams at age 18-21 (regardless of sexual history); your health care provider will then check your reproductive system more closely and start screening you for cervical cancer. It is also recommended that you start routine monthly breast exams. We will teach you how to do this. This is a good time to start making your own health appointments as you transition from adolescent to adult care. Be sure you have a copy of your health history (including vaccines) as you move away from home. We are happy to continue seeing you for the next few years if you choose, and we recommend another routine physical next year. Please call with any concerns you have about yourself. Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

12, 13 years (female) Nutrition Try to eat 3 healthy meals a day and limit the "junk" so your body can do its' best work (in school, sports, etc.). Your need for calcium increases to 3-4 servings a day (more than the Food Pyramid suggests) because your bones are soon going to be at their peak of strengthening and growth. Milk, yogurt, or calcium-fortified orange juice are good choices. Also, increase your iron (2-3 foods a day of iron-fortified cereal, meat, eggs, or green leafy vegetables). Your eating habits now will always pay you back later, for better or worse. Many adults wish they had known to eat better when they were younger. Some illnesses could have been prevented by eating more fiber (fruits, vegetables, breads, cereals). Try not to get into habits that will be tough to break, such as eating on the run or in front of the TV. And as your life gets busier, try to eat with your family once a day. If you are unhappy with your body's appearance or performance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will naturally grow at its' own pace. If you are concerned about your size, please talk to your health care provider. Wellness Visits If you want your teeth and gums to be healthy your entire lifetime, take care of them now. Brush well 2-3 times a day and see your dentist 2 times a year. Teeth Your sleep needs may increase as your growth increases. Try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating, even if no one else does. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A great tan is not worth cancer. Wear your life jacket if boating or near deep water, even if you swim well. Never take medicine (including vitamins) without knowing your dose. Evaluate what it will take to give your body the best. Make the decision now not to smoke, take drugs, drink alcohol, or have sex. Practice what you would say if someone pressured you. It only takes one mistake to change your life forever. If you have questions about sex, HIV or AIDS, drugs, alcohol, or tobacco, please ask your mom, dad, or doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Safety Your friends and school activities are important, but try to participate in a "family" event at least once a week, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as household jobs, curfew, or friends) but talking about your differences helps you respect and understand each other better. And remember to take some "free time" just for yourself every day. Family Many girls notice the body changes of "puberty" happening now (they can start anywhere between ages 8-14). These include fast height growth, breast development, armpit and pubic hair, body odor, acne, and interest in boys. Most girls start their periods between ages 10-16 (average 12-13). In regards to acne, the best prevention and treatment is staying healthy on the inside (eating well, drinking water, getting sleep and exercise). Wash your face no more than 2 times a day with your hands and very mild soap and limit make-up. Boys usually start puberty by ages 12-14, with their growth spurt at ages 13-16. Body changes can make people excited, nervous, or embarrassed, so respect other people's privacy. If you have questions or concerns about your health, body changes or sexuality, please talk with your mom or dad or your health care provider here. There are also many good books available on these topics. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

2 months Nutrition Most babies nurse 5-8 times a day or take 20-32 ounces of iron-fortified formula (or a combination of the two). No solid foods are advised yet. We recommend always holding your baby for feedings. Wellness Visits Infants may start "sleeping through the night" between 3 and 8 weeks of age. This is typically a 6-hour stretch of uninterrupted sleep. Naps will vary in number and length. We recommend routinely putting your baby in his crib, on his back, for sleep. Babies occasionally wake during sleep, but can start settling alone. Sleep Most breast-fed infants continue to have frequent loose stools, but this can change dramatically in the next few months. Some breastfed babies can have a stool once a week or less! As long as these stools are soft there is no need to worry or "treat" your baby for constipation. Bottle-fed babies typically have pasty, soft or semi-formed stools. Frequency and color will vary greatly. Constipation is the difficult or painful passage of hard, pellet-like stool. Please tell your health care provider if you feel your baby is having problems with this. Elimination ALWAYS use an approved car seat, and face it backward in the center back seat of the car until your baby is 20 pounds and age 1. All children should ride in the back seat until age 12. Your baby will be rolling over soon. To prevent falls, never leave him unattended on a sofa or changing table. Be cautious of burns. Do not smoke cigarettes or drink hot liquids while holding your baby. Falling ashes or spilled coffee can result in significant burns. In addition, tobacco smoke is irritating to a baby's developing lungs and may contribute to the development of asthma and ear infections. WE STRONGLY DISCOURAGE THE USE OF INFANT WALKERS!! These rolling seats provide a young infant much more mobility than he or his parents are ready for. Walkers flip over easily, and many infants have gone roaring down stairways, even with protective baby gates in place. Walkers also speed access to open oven doors, space heaters, broken glass, etc. Childproof your baby's environment. Remove small objects (buttons, coins, pins), bags, balloons, food, or toys with detachable parts that could cause choking. Never tie a pacifier around your infant's neck - it could become entangled on a crib or other furniture. Sunscreen and insect repellent are now considered safe and recommended. If you feel your baby is crying a lot (not related to illness) and you are at your wit's end, put your baby in a safe place and take a break. Call a relative, friend, or the Parent Warmline (612-813-6336) for support. If your frustration is increasing, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Safety This is a good time for parents to plan an outing away from the baby (to reestablish their relationship or individual interests). Leaving your infant with a trusted sitter is very appropriate at this age. You will miss your baby more than he will miss you! Weather permitting, stroller rides are a nice break, too. Family Adjustments If your baby is uncomfortable due to fever or leg soreness from the injections, you may give Acetaminophen as often as every four hours. A dosing sheet can be found in your clinic baby book. If your baby has a temperature greater than 104 degrees (rectally), is inconsolably irritable for 2-3 straight hours, or is more irritable than usual for more than 24 hours, please call us. Your baby's next regular health care visit is at age FOUR MONTHS. By that time he will probably be reaching out and grabbing things, learning to roll over, and smiling at everyone. We will discuss starting solid foods at that time. The scheduled vaccines are the second DTaP, Hib, Polio, PCV7, HBV and oral Rotavirus. Please try to be at least 10 minutes early for all scheduled well child visits. The first smile makes it all worthwhile! Immunizations Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Newborn Nutrition After a brief period of weight loss, your baby will begin to gain approximately one ounce per day. Babies at this age get all their nutrition from breast milk or formula. Many babies spit up when they feed. If your baby spits up often, keep his or her head raised for at least 30 minutes after feeding. Spitting up small amounts is harmless as long as your baby is gaining weight and is not in pain. Spitting up usually ends by age six to nine months. After feeds, gently burp the baby by holding the baby on your chest, upright and gently patting or stroking the back. Do this for 2 to 5 minutes. Your baby may not burp after every feeding. Do not prop bottles in your baby’s mouth. Do not add cereal to your baby’s bottles. Do not give your baby extra water. Do not give your baby honey. Wellness Visits Breastfed babies should nurse on demand when he or she is showing hunger cues at least 8 to 12 times in 24 hours. If your baby is sleepy, you may have to undress him or her, tickle the feet or rub the back to wake him or her for feeds. Breast Feeding Make sure to always use iron-fortified formula. At first, give your baby 1-2 oz of prepared formula every 2 to 3 hours, which amounts to about 18-24 oz per day. As she grows and appetite increases, you will need to prepare largeramounts. If your baby doesn’t finish all the prepared bottle, you may refrigerate it and use it for the next feed. Do not mix this formula with new formula. Further, if the formula has been heated and has been out of the refrigerator for 1hour or more, discard it. Never heat a bottle in a microwave; if you wish to warm a bottle, a hot water bath is recommended. If you are thinking about switching brands of formula, talk to a doctor first. Formula Feeding Most infants sleep 12-20 hours a day in 2-4 hour stretches. Most babies are loud sleepers. Observe your baby’s noises to learn the difference between active sleep and real awakenings. Your baby may be signaling they are between sleep cycles rather than truly waking. Maximizing the difference between night and day (for example, dim vs. abundant light, hushed vs. normal noise) helps your newborn establish a circadian rhythm, though this may not occur right away. A supine position (“back to sleep”) is best for babies, including premature babies because it reduces the risk for SIDS (Sudden Infant Death Syndrome). Room sharing is recommended with the baby in a separate, but nearby sleep space. Bed sharing (sleeping in the same bed as the parents, another adult, or a child) is not recommended because it increases the risk of SIDS. Likewise, sleeping together on a non-bed surface, such as a sofa or chair places a baby at risk for entrapment, suffocation, and death. Sleep Stool frequency varies from one every feeding, to once a week or less. Bottle-fed infants' stools are usually soft and green or brown. Nursing infants have frequent, loose, watery, yellow stools. Apply a barrier cream such as Aquaphor between diaper changes to protect the skin from irritation. Elimination PLEASE MAKE EVERY RIDE A SAFE RIDE! Use an approved infant car seat, facing backward in the center back seat of the car until your infant is 2 years old. Check your hot water heater to be sure the water temperature is no hotter than 120 degrees F. Always be near your baby while he is in the bathtub. Never attach a pacifier around your baby's neck. If you feel your baby is crying a lot (not related to illness) and you are at your wit's end, put your baby in a safe place and take a break. Call a relative, friend, or the Parent Warmline (612-813-6336). If your frustration is increasing, call Crisis Connection (612-379-6363) or Minneapolis Crisis Nursery (763-591-0100). Never leave your child alone in a car for any reason, even briefly. Start developing habits that will help prevent you from ever forgetting your baby in the car. Consider putting an item that you need, like your purse, cell phone, or employee ID, in the back seat of the vehicle, so you will see your baby when you retrieve the item before leaving the car. Safety Welcoming an infant into your life is one of life's major stresses! Whether this baby is your first or fifth, the next few weeks will be a time of adjustment. Recognize this and give yourself the time, rest, and support needed to deal with the unexpected changes. It is normal for you to feel uncertain, overwhelmed, and very tired at times. Making sure to rest and sleep when the baby sleeps is one way to help you maintain your sense of well-being. Another is to let your partner and other family members participate in the care of the baby by holding, bathing, changing, dressing, and calming him. Siblings need to hold, touch, and feel close to the baby. Some siblings get overly excited and helpful but can also feel displaced and rejected. Negative behaviors are often directed toward mom or dad because they are the ones who are holding the new baby, saying "just a minute" or "don't do that!" and are also more tired than usual. It's common to see more temper tantrums, clingy behaviors, sleep disturbances and toileting regressions. Talk openly about how the older child feels and find some uninterrupted "special time" daily to spend alone with him or her. Family Adjustments All newborns receive an initial hearing and heart screen before being discharged from the hospital. If the hearing screen was not done yet or was failed, your baby will be referred to a hearing specialist for testing. The results from the newborn blood test collected in the hospital will be available around the time of your baby’s 2 week visit. Screening If you feel your baby is ill (for example, is more irritable or lethargic than usual, is not eating as much as usual, is coughing more than usual, etc.) or has a temperature over 100.4 degrees (always taken rectally at this age), call us right away. Your baby's next regular health care visit is at age TWO WEEKS. Please try to be at least 15 minutes early for all scheduled well-child visits. Enjoy your new adventure! Illness Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

12, 13 years (male) Nutrition Try to eat 3 healthy meals a day and limit the "junk" so your body can do its' best work (in school, sports, etc.). Your need for calcium increases to 3-4 servings a day (more than the Food Pyramid suggests) because your bones are soon going to be at their peak of strengthening and growth. Milk, yogurt, or calcium-fortified orange juice are good choices. You will probably find that you are now eating more than you used to of all foods as your body has a growth spurt. Your eating habits now will always pay you back later, for better or worse. Many adults wish they had known to eat better when they were younger. Some illnesses could have been prevented by eating more fiber (fruits, vegetables, breads, cereals). Try not to get into habits that will be tough to break, such as eating on the run or in front of the TV. And as your life gets busier, try to eat with your family once a day. If you are unhappy with your body's appearance or performance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will naturally grow at its' own pace. If you are concerned about your size, please talk to your health care provider. Wellness Visits If you want your teeth and gums to be healthy your entire lifetime, take care of them now. Brush well 2-3 times a day and see your dentist 2 times a year. Teeth Your sleep needs may increase as your growth increases. Try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt in the car and your helmet when biking or in- line skating, even if no one else does. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A good tan is not worth cancer. Wear your life jacket if boating or near deep water, even if you swim well. Never take medicine (including vitamins) without knowing your dose. Evaluate what it will take to give your body the best. Make the decision now not to smoke, take drugs, drink alcohol, or have sex. Practice what you would say if someone pressured you. It only takes one mistake to change your life forever. If you have questions about sex, HIV or AIDS, drugs, alcohol, or tobacco, please ask your mom or dad or your doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Safety Your friends and school activities are important, but try to participate in a "family" event at least once a week, and sit and talk with your mom or dad a little every day. You may not always agree on things (such as household jobs, curfew, or friends) but talking about your differences helps you respect and understand each other better. And remember to take some "free time" just for yourself every day. Family Many boys start to notice the body changes of "puberty" happening now (they can start anywhere between ages 10-16). These include fast height growth, armpit and pubic hair, deepening voice, body odor, increased penis and testicle size, acne, and interest in girls. Puberty changes can continue for years (many boys even have changes after high school). In regards to acne, the best prevention and treatment is staying healthy on the inside (eating well, drinking water, getting sleep and exercise). Wash your face and other acne-prone areas (back, chest) no more than 2-3 times a day with your hands and mild soap. Girls usually have noticed many body changes by now and are often taller than boys at this age. Body changes can be exciting or embarrassing, so respect other people's privacy. If you have any questions or concerns about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. There are also many good books available on these topics. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

16, 17 years (male) Nutrition Try to eat 3 healthy meals a day and make this a habit for life. Your performance in school and other activities and your ability to finish growing and strengthening will depend on the foods you put into your body. You need 3-4 foods a day high in calcium (milk, yogurt, calcium-fortified orange juice) to support the completion of your bone growth and continued bone strengthening. Also, 2-3 iron-rich foods (iron-fortified cereal, meat, eggs, or green leafy vegetables) a day are recommended to support your blood. Fiber is known to prevent stomach and colon illnesses (such as cancer) and heart disease. By reading food labels and planning ahead you will have more control over your diet. "Junk" foods taste great but can deprive your body of what it really needs and can put on excess weight. Try not to get into eating habits that will be tough to break later on, including eating on the run or in front of the TV. Make a point to eat with your family at least once a day. It's a good time to get together on otherwise busy days. If you are unhappy with your appearance or performance, take a good look at your eating and see what you could change. If you eat well, drink plenty of water, and exercise regularly, your body will look, grow and perform at its' best. If you are concerned about your size or growth, please talk to your health care provider. SLEEP If you find that you need more sleep than you are getting, try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Wellness Visits If you find that you need more sleep than you are getting, try to go to bed earlier instead of sleeping in; getting up late can alter your normal body rhythm and make you even more tired during the day and sleepless at night. Also, try not to save all of your "think time" for bedtime — it often delays falling asleep. Sleep Always wear your seatbelt and helmet (when biking or in-line skating), even if no one else does. We see permanent, life-changing injuries resulting from simple accidents, and NO ONE thought it would happen to them. Wear sunscreen if you are outside. A good tan is not worth cancer. Take your body seriously. Make the decision not to smoke, take drugs, have sex, drink alcohol, or ride in a car with someone who has been drinking. Practice what you would say if someone pressured you. It only takes one mistake to change your life forever. If you feel you have made a past mistake, remember that you can always re-contract with yourself and make a better decision from now on. If you have questions about sex, HIV or AIDS, pregnancy, sexually transmitted diseases, drugs, alcohol, or tobacco, please ask your mom, dad, or doctor or nurse practitioner. Introduce your friends to your family, negotiate your curfew times reasonably, and expect that your parents will want to know where you are (yes, they are still responsible for you). Earn respect and trust by demon-strating that you are responsible and deserving of the privileges you want. Remember that driving is a privilege, not a right. Take this seriously. And in case you didn't know, Minnesota State Law prohibits any driver under the age of 18 to use a cell phone while driving. If you are in sports, make sure the playing areas are kept up well, and all protective equipment fits and is in good shape. Never share head gear. Safety Most teenagers are developing longer-lasting and more personal relationships with others. It is often difficult to balance friends, school, extra activities and family. Prioritize the demands on you, and try to sit and talk with your mom or dad a little every day. You may not always agree on things, but talking about your differences will help you understand each other better. This age can be stressful for teenagers. They can feel the pressure to look for the right college, hang out with the right people, dress in the latest styles, get better grades, get a part-time job, or develop individuality. The future can be an exciting, and scary, thought. If you are finding yourself getting stressed out more than you feel you should or can reasonably handle, please reach out and talk to someone. A friend, parent, favorite teacher or coach, counselor, or health care provider can offer support. Social, Family, & School Most young men have gone through the majority of "puberty" changes by now and will continue to experience height growth and increased body strength and tone (possibly for years). Your comfort with your changed body will increase with time. Most young women are finished with their growth and development by now. Continue to respect other people's privacy and need for space. If you have questions or concerns about your health, body changes or sexuality, please ask your mom or dad or your health care provider here. We look forward to seeing you again for a check-up next year! Growth Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Casual Provider Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now Danielle Thelen DNP Biography A native of Sartell, MN, Danielle graduated from the College of Saint Benedict with a bachelor of science in nursing degree in 2006 and went on to the U of M to obtain her doctorate of nursing, family nurse practitioner degree, and graduated in 2013. Her previous experience as a nurse practitioner included work at level one trauma centers caring for both adults and children. Due to her passion and interest in pediatrics, she returned to school at Rush University to obtain her pediatric nurse practitioner acute care degree, graduating in 2016. Danielle is board certified in both family medicine and pediatrics. She enjoys establishing relationships with patients and families and supporting their growth and development. Danielle lives in Wayzata with her family and two dogs. Outside of work her interests include running, yoga, attending Timberwolves, Twins and Wild games, spending time with her family at the cabin, and traveling. Back to Providers

A Letter from Our New Executive Director, Eric B. Bettelheim, J.D., ACHE A Letter from the Executive Director In August 2024, for the first time in its 54-year history, Wayzata Children’s Clinic (WCC) hired an Executive Director – me. I come to WCC with over 30 years’ experience in children’s healthcare administration, having been Chief Operating Officer for a large children’s behavioral healthcare organization in New York City. I moved to Bloomington to be closer to my father-in-law, who is in a skilled nursing facility, and other family members. In the past seven months, I have fallen in love with the Twin Cities -- its culture, its food, its people. It has quickly become “home” in a way that New York never was. My focus at WCC is to make sure that it operates in a more efficient manner, so it can continue to provide state-of-the-art medical care in a traditional setting. Most of what I will be doing will be “behind the scenes”. There will be no change in what makes WCC special -- providers who look at and listen to you, and who practice medicine the way it used to be practiced. WCC will continue to be both your primary care providers and a more personal alternative to urgent care. Every so often, I will reach out you directly. I want your opinion on how we are doing -- what works, and where you think we could be doing better. If changes are made to our clinic operating hours/days, it will be based on your input -- telling us which clinics need to be open, and when, to work better with your busy schedules. I look forward to increasing the things that you can do on our new and enhanced Patient Portal -- such as making, rescheduling, and checking-in for appointments online. It will also be easier to use the portal to make a payment toward your co-pay or balance. I want to make your lives easier and better when it comes to your interactions with us -- to improve your WCC experience. In short, the only changes you will see will be changes for the better. Refreshed or renovated waiting room (the fish tanks will still be there) and treatment rooms. Better communication from us, including more targeted outreach and follow-up. Starting in Fall 2025, we will be able to administer flu, COVID and other annual vaccinations to you , the parent, at the same time we are immunizing your child . I’ll be at all five WCC Clinics on a regular basis. If you see me walking through the waiting room or in the treatment hallways, I hope you will introduce yourself and say “hello” (I like to be called “Eric”). And, if you have a question or something you wish to discuss with me, my e-mail address is EBettelheim@wcclinic.org . Thank you for the confidence you are placing in WCC and its staff. You are trusting us with one of the most important people in your lives -- your child -- often at a time they are at their most vulnerable. It is a responsibility we take very seriously, and we will do everything we can to keep earning that trust with every visit. Eric B. Bettelheim, J.D., ACHE Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Our clinics will be closed on Monday, September 4. Closed on Labor Day Holiday Our clinics will be closed on Monday, September 4 in obvervance of Labor Day. We hope you have a great extended weekend! Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now

Call to Book Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now Awards Mpls-St. Paul Magazine Rising Star Top Dr 2019, 2018, 2017 Sun Newspapers Best Pediatrician 2018, 2014 Rachel Bies MD Biography Rachel is from Detroit Lakes, Minnesota, and graduated magna cum laude from St. Olaf College (in Northfield, Minnesota) in 1999 with a Bachelor of Arts degree in biology. While at St. Olaf, Dr. Bies was involved in cardiac physiology research, and after graduation moved to Atlanta, Georgia, to continue her research at Emory University. She returned to Minnesota for medical school, graduating from the University of Minnesota in 2005. Dr. Bies remained at the University for her pediatric residency training, and completed a year as chief resident. She is board certified in pediatrics, and joined Wayzata Children’s Clinic in 2009 where she is a past president. Her clinical interests include caring for medically complex children and the medical home model of care. Rachel and her husband live in Plymouth, and in her spare time she enjoys reading, relaxing at the lake, and connecting with family and friends. Back to Providers

Book with Jeff Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Save time. Book online! Book Now Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now Jeff Humbert MD Biography Jeff grew up in Anoka, Minnesota, and graduated summa cum laude from the University of Minnesota in 1995 after earning his bachelor’s degree in genetics and cell biology. He remained at the University for medical school, and was also involved in research within the Department of Pediatrics. During his residency (also at the University of Minnesota), Dr. Humbert’s weekly continuity clinic was with Wayzata Children’s Clinic. He completed his pediatric residency in 2004 and then moved to Sartell, Minnesota and practiced as a pediatrician for nearly seven years with CentraCare Clinic and the St. Cloud Hospital. While there, he served as the department chair of pediatrics and as a member of the St. Cloud Hospital executive committee. Dr. Humbert is board certified in pediatrics, and joined the Wayzata Children’s Clinic in 2011. Jeff enjoys seeing children of all ages for well exams, and his clinical interests include hematology/oncology, asthma, and allergy. Jeff, his wife Tara, along with their sons Thomas, Jacob, and Benjamin, live in the Chaska area. They enjoy playing soccer, golf, tennis and baseball, taking Disney vacations, and playing board games. Back to Providers

5 years Nutrition Most children are very interested in what will make them smarter, faster, stronger, and bigger, so this is a great age to enlist your child's help in food choices and safe preparation. Keep a copy of the "USDA Food Pyramid" visible in your kitchen as a reference. Milk is still recommended at about 2 cups a day (skim or 1%), but yogurt and calcium-fortified orange juice are appropriate calcium substitutes for children who do not care for milk (Vitamin D may need to be supplemented). Children give in to temptation easily, so avoid having large amounts of high fat or low nutrient foods available (candy, chips, pop). Teach your child that unhealthy foods are never helpful to the body and should be reserved for special occasions. Try to make mealtime a social, family event. Offer 3 meals and 1-2 snacks a day of the same healthy foods you serve everyone else, and ignore negative comments. Your child's likes and dislikes will change as she eats more with other children. Quietly remove uneaten foods; if she is hungry shortly after a meal, remind her of when the next meal or snack will come. Wellness Visits Children still need 8-12 hours a night, and naps often become "rest periods." Your child may want to negotiate a change in bedtime. Fears are still common. Sleep Remember that all children have accidents (daytime and nighttime). Try to remain positive and not focus on the issue. If wetting becomes excessive or bothersome to your child, consult your health care provider. This is a good age to help your child become more independent with her toilet hygiene. Elimination It is recommended that all children remain in appropriately sized, federally approved car restraints (booster seats), and all children under 12 should continue to ride in the back seat. Teach consistent seatbelt use by your own good example. Discuss "good" and "bad" touch and appropriate contact with strangers. Make sure your child knows her full name, phone number, address and parents' names before attending kindergarten. Use sunscreen (at least SPF 15) during all outdoor daytime activity. Enforce helmets (without exception) for biking and in-line skating. Never leave your child unattended near water, even if she can swim. Wear life vests when boating (it's a Minnesota State Law) or in deep water. Consider swimming lessons. Continue to update your childproofing, and assess all locations your child may visit (such as a friend's house or grandparent's house). Keep all medications and toxic household products in a locked cabinet and make sure all have working safety caps. We also recommend that you keep the Poison Control Center (800-222-1222) phone number handy next to all of your home phones and programmed into your cell phone. Safety Whether your child looks forward to kindergarten this year or next, it promises to be an exciting, and stressful, time (for your child and probably you, too). Most children struggle for independence, but learn it can carry responsibility they may or may not be ready for (or just may not like!). Every child develops at an individual pace. Some children learn to write their names while others are trying to get rid of the training wheels on their bikes. Similarly, some children are earlier than others developing comfort separating from a parent and adjusting to a new situation. You know your child best. Anticipate the initial school challenges, and prepare your child as needed. Regression (in behavior, self-care skills, etc.) is common. Regardless, praise all efforts that are pointed in the right direction. Encourage your child to develop friendships and interests in a variety of activities, but continue to limit TV and idle computer time. Plan and encourage participation in family events. We look forward to seeing your child again at age SIX. No vaccines are anticipated. By then your child will probably want to be involved in every activity under the sun! Please try to be at least 10 minutes early for all scheduled well-child visits. Strive for the balance! School Preparation Locations Chaska (952) 448-3847 Location & Hours Delano (763) 230-2780 Location & Hours Maple Grove (763) 324-8000 Location & Hours Minnetonka (952) 473-0211 Location & Hours Spring Park (952) 495-8910 Location & Hours Save time. Book online! Book Now