Olga and Boris Mikhailov come to an outpatient clinic with their five-year-old daughter, Anya. The receptionist gathers information during the initial history. Olga and Boris were born in Russia and they have lived in the country for 8 years. They are both employed full time and speak English well. Anya was born in this county and she is fluent in Russian and English. Olga states that Anya is basically healthy. She experienced a viral illness a couple of months ago, but she quickly recovered. Anya is at the clinic for her 5-year-old check-up for kindergarten.