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Pediatrics Services


Pediatrics Services

Comprehensive Healthcare for Kids 

For your child’s safety and your peace of mind, our clinic offer separate sick and well waiting areas.

The outpatient pediatric services we offer include:

  • Same-day sick appointments
  • Well-child exams/EPSDT
  • School and sports physicals
  • Immunizations/vaccinations
  • Breastfeeding consultation
  • Telemedicine visits
  • OB Consults

Developmental Milestones

The CDC recommends a general standard of developmental milestones for children. Not all children are going to meet these milestones perfectly. Parents who have concerns about their children either not meeting these milestones or are off the charts need to speak to their doctor. Every age the child reaches signifies specific abilities. These abilities are standards for the parents and doctors to monitor to ensure the child falls into the majority of particular categories of growth.

Wellness Visits

Well, visits are yearly from birth to the age of 21. If the child becomes ill, random doctor visits are expected between these yearly visits. Wellness visits are essential to the health of your child and ensure quality health care.

  • Prevention plans
  • Tracking the child’s growth and development
  • Raises health concerns
  • Develops a lasting and trusting doctor child relationship
  • Track and administer essential vaccinations
  • Develops an optimal assessment and treatment of physical, mental, and social issues

Vaccines & Immunizations

According to the guidelines from the AAP, children need to vaccinate against childhood diseases. This includes:

  • The Latest immunizations
  • The latest news on immunization data
  • Supplies or shortages
  • HPV
  • State Information
  • Recommendations for the prevention and control of influenza in children
  • CDC Resources for encouraging vaccinations during COVID-19 pandemic
  • State by state data on immunizations, vaccinations, and immunity
  • To vaccinate or not to vaccinate
  • Common concerns

During our COVID-19 pandemic, it is more important than ever to get your child vaccinated against childhood diseases.


Childhood physicals are a routine checklist for infants to 21-years of age. This is the time to ask your questions and relay concerns about your child to the doctor and any development concerns you have about the child. Make your list of questions before you go to your child’s physical. Such as, but not limited to:

  • Eating
  • Sleep issues
  • Toilet training
  • Socialization issues
  • Family problems
  • Behavioral issues
  • Learning problems
  • School and learning problems

The doctor examines the child’s growth and development and assesses changes, and noted abnormalities through

  • A physical examination
  • Blood test
  • Blood pressure reading
  • Pulse
  • Respiration rate and lung sounds.
  • An assesses growth and development
  • Physical examination
  • Immunization update
  • Blood test
  • Records height and weight
  • Blood pressure
  • Pulse
  • Respiration rate
  • Vision and hearing tests
  • Check heart, lungs, abdomen, eyes, ears, nose, and throat
  • Assessment of posture, flexibility, and strength

Health Screenings

Health screenings throughout the year, in addition to a yearly physical, assures your child remains healthy and well. These health screenings are age-related exams. This exam includes acute and immediate physical health concerns in addition to annual physicals. Your doctor may access:

  • Weight, length, and circumference of the head
  • Heartbeat and breathing
  • The flexibility of hips, legs, arms, back, and spine
  • Eyes, nose, and ears
  • Mouth and throat
  • Lymph glands
  • Soft spots on the head
  • Genital issues
  • Hernias
  • Femoral pulse
  • Skin condition
  • Palpation of abdomen


A parent’s worst nightmare falls into the category of pediatric injury. Injuries of this sort are vast, varied, and limitless. These injuries refer to physical, emotional, and mental harm to the child between one and eighteen years of age. Injuries to a child can be accidental, unintentional, or on purpose.

The CDC is developing prevention programs to protect children from as many injuries as possible through these programs and prevent the most common types of pediatric injuries.

  • Count pediatric injuries
  • Causes
  • Types
  • Severity

Sick Visits

Our pediatric department is on call 24/7 to set parent’s minds at ease. A sick visit is different from wellness visits as the child requires immediate treatment for an episodic event such as, but certainly not limited to:

  • Colds, upper respiratory infections
  • Bug and animal bites
  • Sprains, strains, fractures
  • Burns
  • Worsening earaches, coughs, shortness of breath
  • Urinary Tract Infections
  • Worsening nausea, vomiting, and diarrhea
  • Dehydration and much more.

We are open 24/7 to meet all of your child’s sick visits. Access this website for more information on when to take your child for a sick visit.

Common Childhood Illnesses

Most parents learn as they raise their children, and many first-time parents tend to over assess childhood illnesses that are likely to put them into a panic mode. Our experienced pediatrics office is prepared to help a wide range of common childhood illnesses, including:

Viral Sore Throats

  • Babies and toddlers rarely get strep
  • Vanishes in seven to ten days

Bacterial Throat Infection

  • Babies and toddlers rarely get strep
  • Rapid Swab test of the back of the throat
  • Painful
  • Passed in coughs and sneezes; is contagiousl


  • Swimmer’s ear, cold or sinus infection, dental caries, generally caused by a virus (no antibiotic and allow to run its course)
  • Ear pain
  • Possible high fever
  • Passed in coughs and sneezes; is contagious

Urinary Tract Infection or Bladder Infection

  • Occurs from babies to adults
  • Pain or burning on urination
  • Frequent urination
  • Urgency to urinate
  • Possible urine incontinence, bedwetting
  • Abdomen, back, or side pain
  • Possible fever

Skin Infection

  • History of MRSA, staph infection, resistant bacteria, hives, rashes
  • Exposure to another with a skin infection
  • Possible NSAIDs for discomfort

Bronchitis, Chronic Bronchitis

  • Chest virus: antibiotics are non-effective
  • Congested cough
  • Possible shortness of breath
  • Mucus build-up and coughing up color-tinged mucus
  • Possible fever
  • Bronchiolitis


  • Seen in infants and young children
  • Wheezing
  • Possible fever
  • Congested cough


  • Access where, when, why, and possible cause and monitor.


  • Usually viral or allergies

Bacterial Sinusitis

  • Bacterial infection
  • Nasal discharge
  • Daytime cough
  • Possible fever

Hand, Foot, and Mouth Disease

  • Virus
  • Not serious
  • Children under the age of five-years
  • A virus in saliva, blisters, and stools
  • Fever
  • Sore Throat
  • Poor appetite
  • Possible painful blisters at the back of the throat
  • Skin rash; hand palms, soles of feet, trunk, perineum, buttock
  • Passes seven to ten days


  • Common viral respiratory infection
  • An airway infection not serious
  • Children under two or who have lung disease or heart issues can cause severe pneumonia
  • Cold signs and symptoms
  • Nasal congestion
  • Cough
  • Runny nose
  • Irritability
  • Breathing problems in infants
  • Possible hospitalization


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Contact Information


Cooke County Medical Center
801 N. Grand Ave.
Gainesville, TX 76240

Hours of operation:

Cooke County Medical Center is open:
Monday through Thursday
7 a.m. to 7 p.m.
Friday 7 a.m. to 6 p.m.