2025 update of the Greig Health Record

OBJECTIVE: To review a selection of new resources and updated recommendations from the third update of the Greig Health Record (GHR). SOURCES OF INFORMATION: Pediatric preventive care literature was reviewed using PubMed and Google Scholar databases. Systematic reviews of subtopics were evaluated where available. Guidance and supporting evidence were reviewed from the Canadian Paediatric Society, the American Academy of Pediatrics, the Canadian Task Force on Preventive Health Care, the United States Preventive Services Task Force, the National Advisory Committee on Immunization, and the Centers for Disease Control and Prevention. MAIN MESSAGE: In this 2025 update the following topics have been added or revised: confidentiality, capacity, and consent in pediatric patients; developmental assessment; poverty screening; sexual health and consent; menstrual health history; contraception; guidance for detection and prevention of sexually transmitted infections; radon as an environmental hazard; updated ferritin standards; vaccine hesitancy; and updated dosing for human papillomavirus vaccination. CONCLUSION: The third update of the GHR provides recent evidence-based recommendations and detailed guidance for clinicians providing pediatric preventive care.