Acute appointments are for illnesses that need to be seen within 24 hours of time called. Vomiting or diarrhea causing signs of potential dehydration, respiratory difficulty, severe pain, fever lasting longer than three days, or not responding to Tylenol or Motrin are considered acute. Call the appointment line and request a same day appointment if your child requires an acute appointment. Routine appointments are for illnesses that are present, but not causing serious symptoms. Examples are acne, athletes' foot, allergies, minor rashes, ringworm. Routine appointments are booked by central appointments, or at TRICARE Online. They can be booked seven days in advance. A follow-up is booked when a provider requests to see an acutely ill child for follow-up care or by a parent whose child has a long-term illness such as asthma, allergies, ADHA, diabetes or seizures and is due for evaluation or medication changes. They can be booked up to 28 days in advance. Providers in pediatrics recommend that children between ages of two to 18 have a yearly physical. Physicals can be booked 28 days in advance, so please mark your calendar and call in a timely manner.