A back-to-school check-up is a full physical examination that is done before going back to school each year. The child and family health history will be updated, immunization record checked, and a physical exam will be completed, including checking vital stats like heart rate, breathing, blood pressure, record growth in height and weight, check throat, nose, eyes, and ears, test reflexes, posture, strength, and range of motion, and talk about developmental milestones and compare the child’s development to an average child of the same age. The doctor will also answer any questions or address any concerns of the child or parent.