Advanced Neighborhood Pediatrics, LLC will continue to vaccinate children and adolescents according to the States of Maryland, Virginia, District of Columbia and AAP Guidelines. Not the Current CDC recommendations. We also recognize that some parents with choose not to vaccinate their children, we respect their decision and will continue to see their children. Please note, that at each well visit, we will offer vaccinations for your child and when appropriate have you sign the AAP vaccine refusal form.