diff --git a/public/js/pediatricScheduleData.js b/public/js/pediatricScheduleData.js
index 3866972..1b7db2d 100644
--- a/public/js/pediatricScheduleData.js
+++ b/public/js/pediatricScheduleData.js
@@ -1916,6 +1916,165 @@ const GROWTH_REFERENCE = {
   }
 };
 
+// ─── REFLEXES (AAP Bright Futures / Nelson Textbook of Pediatrics) ──────────
+// Primitive reflexes are brainstem-mediated. Their presence at the expected
+// age confirms intact CNS function; their timely disappearance reflects
+// normal cortical maturation. Persistence, asymmetry, or re-emergence is a
+// red flag for neurologic evaluation.
+const REFLEXES_REFERENCE = {
+  newborn: {
+    intro: "All primitive reflexes should be present, symmetric, and easily elicited. Absent or markedly asymmetric responses suggest brachial plexus injury, stroke, hypotonia, or other CNS pathology.",
+    reflexes: [
+      { name: "Rooting",         status: "Present",  note: "Stroking the cheek turns the head toward the touch and opens the mouth. Aids latch. Fades 3–4 mo." },
+      { name: "Sucking",         status: "Present",  note: "Anything placed in the mouth triggers rhythmic sucking. Becomes voluntary by ~4 mo." },
+      { name: "Moro (startle)",  status: "Present",  note: "Sudden head drop or loud noise → symmetric arm extension then flexion, often with a cry. Asymmetry = brachial plexus injury / clavicle fracture / hemiparesis. Fades 4–6 mo." },
+      { name: "Palmar grasp",    status: "Present",  note: "Pressure on the palm closes the fingers. Fades 4–6 mo; persistence interferes with voluntary reach." },
+      { name: "Plantar grasp",   status: "Present",  note: "Pressure at the ball of the foot curls the toes down. Fades 9–12 mo." },
+      { name: "Stepping",        status: "Present",  note: "Held upright with feet on a surface → reciprocal stepping movements. Fades by ~2 mo." },
+      { name: "Galant",          status: "Present",  note: "Stroking paravertebrally on one side → trunk curves toward the stroked side. Fades 4–6 mo." },
+      { name: "Tonic neck (fencing)", status: "Emerging", note: "Head turned to one side → arm/leg extend on that side, flex on the opposite. Becomes most prominent at 1–2 mo, fades by 4–6 mo. An obligate, fixed response is abnormal." },
+      { name: "Tongue protrusion (tongue thrust)", status: "Present", note: "Touch to the lips/tongue or a solid in the mouth causes the tongue to push forward. Protects from choking before swallowing is mature; its disappearance at 4–6 mo is the key signal that purees can begin. Persistence in older kids causes dental open bite, lisps, and messy eating." },
+      { name: "Babinski",        status: "Up-going (normal)", note: "Stroking the lateral sole → big toe dorsiflexes, toes fan. Normal up to ~12–24 mo. A positive Babinski after age 2 is an upper-motor-neuron sign." }
+    ]
+  },
+  "1mo": {
+    intro: "All primitive reflexes remain fully present and symmetric.",
+    reflexes: [
+      { name: "Rooting / Sucking", status: "Present",  note: "Strong and reliable; feeding should be well-coordinated." },
+      { name: "Moro",              status: "Present",  note: "Full symmetric response. Asymmetry still warrants eval (brachial plexus, clavicle fracture, hemiparesis)." },
+      { name: "Palmar / Plantar grasp", status: "Present", note: "Strong; the baby may lift slightly off the surface when pulling up on your fingers." },
+      { name: "Tonic neck",        status: "Present",  note: "Becoming more visible; should not be obligate." },
+      { name: "Galant, Stepping",  status: "Present",  note: "Still easily elicited." },
+      { name: "Tongue thrust",     status: "Present",  note: "Still fully present — do not start solids." },
+      { name: "Babinski",          status: "Up-going (normal)", note: "Normal at this age." }
+    ]
+  },
+  "2mo": {
+    intro: "Primitive reflexes still strong; social smile and visual tracking emerging alongside.",
+    reflexes: [
+      { name: "Moro",           status: "Present",  note: "Still easily triggered. Should peak around this age then begin to wane." },
+      { name: "Tonic neck",     status: "Peak",     note: "Most visible at 1–2 mo. Should not be obligate or prolonged." },
+      { name: "Rooting / Sucking / Palmar / Plantar", status: "Present", note: "All remain strong." },
+      { name: "Stepping",       status: "Fading",   note: "Typically gone by 2 mo." },
+      { name: "Tongue thrust",  status: "Present",  note: "Solids still contraindicated." },
+      { name: "Babinski",       status: "Up-going (normal)", note: "Normal at this age." }
+    ]
+  },
+  "4mo": {
+    intro: "Transition visit — primitive reflexes are beginning to integrate as cortical control takes over. Readiness for solids depends partly on loss of the tongue-thrust reflex.",
+    reflexes: [
+      { name: "Moro",            status: "Fading",    note: "Noticeably weaker than at 2 mo. Persistence past 6 mo is abnormal." },
+      { name: "Rooting",         status: "Fading",    note: "Becoming voluntary." },
+      { name: "Palmar grasp",    status: "Fading",    note: "Weaker; voluntary release begins." },
+      { name: "Tonic neck",      status: "Fading",    note: "Should be diminishing; obligate response is abnormal." },
+      { name: "Galant, Stepping", status: "Absent",   note: "Should be gone by now." },
+      { name: "Tongue thrust",   status: "Fading / Gone", note: "Disappearance (4–6 mo) is the readiness sign for pureed solids. If a spoon still gets pushed out, wait." },
+      { name: "Landau",          status: "Emerging",  note: "Held prone in the air, baby extends head, spine, and legs. Integrates by 1–2 y." },
+      { name: "Babinski",        status: "Up-going (normal)", note: "Normal at this age." }
+    ]
+  },
+  "6mo": {
+    intro: "Most primitive reflexes should now be integrated. Protective (parachute) reflexes begin emerging — these persist for life.",
+    reflexes: [
+      { name: "Moro, Rooting, Tonic neck, Galant", status: "Absent / Integrated", note: "Persistence at 6 mo warrants neurologic evaluation." },
+      { name: "Tongue thrust",   status: "Absent",   note: "Should be gone — prerequisite for safe spoon-feeding of solids." },
+      { name: "Palmar grasp",    status: "Integrated", note: "Replaced by voluntary raking grasp." },
+      { name: "Plantar grasp",   status: "Present",  note: "Still present; fades 9–12 mo." },
+      { name: "Parachute",       status: "Emerging (6–9 mo)", note: "Held prone and tilted head-down, arms extend protectively. Persists for life — absence is concerning." },
+      { name: "Landau",          status: "Present",  note: "Full response by ~6 mo." },
+      { name: "Babinski",        status: "Up-going (normal)", note: "Normal at this age." }
+    ]
+  },
+  "9mo": {
+    intro: "Primitive reflexes should be absent. Protective reflexes present and reliable.",
+    reflexes: [
+      { name: "All primitive reflexes (Moro, grasp, rooting, tonic neck, Galant)", status: "Absent", note: "Persistence is a red flag for CP, hypoxic injury, or genetic/metabolic disease." },
+      { name: "Plantar grasp",   status: "Fading",   note: "Usually gone by 9–12 mo — allows independent standing." },
+      { name: "Parachute",       status: "Present",  note: "Should be fully present and symmetric." },
+      { name: "Protective extension (sideways)", status: "Present", note: "Arm extends to catch self when tipped — needed for safe sitting." },
+      { name: "Babinski",        status: "Up-going (may still be normal)", note: "Still acceptable; expect resolution by ~2 y." }
+    ]
+  },
+  "12mo": {
+    intro: "Protective and postural reflexes drive standing and cruising. Any lingering primitive reflex is abnormal.",
+    reflexes: [
+      { name: "Primitive reflexes", status: "Absent", note: "Residual Moro, grasp, or tonic neck at 1 y warrants neurologic eval." },
+      { name: "Plantar grasp",      status: "Absent", note: "Should be gone — needed for weight-bearing and first steps." },
+      { name: "Parachute",          status: "Present (lifelong)", note: "Symmetric protective arm extension." },
+      { name: "Protective extension (forward/sideways/backward)", status: "Present", note: "All directions present by ~12 mo; essential for safe walking." },
+      { name: "Babinski",           status: "Up-going still acceptable", note: "Normal until ~2 y. Asymmetry is always abnormal." }
+    ]
+  },
+  "15mo": {
+    intro: "Postural reflexes mature alongside walking.",
+    reflexes: [
+      { name: "Primitive reflexes", status: "Absent", note: "Any re-emergence or persistence warrants evaluation." },
+      { name: "Parachute / Protective extension", status: "Present", note: "Symmetric in all directions." },
+      { name: "Babinski", status: "Up-going still acceptable", note: "Transitioning toward down-going over the next 6–12 mo." },
+      { name: "Deep tendon reflexes (patellar, biceps, Achilles)", status: "Present (2+)", note: "Become easier to elicit as tone normalizes. Symmetric and brisk but not clonic." }
+    ]
+  },
+  "18mo": {
+    intro: "Near-adult reflex pattern; Babinski response nearing transition.",
+    reflexes: [
+      { name: "Primitive reflexes", status: "Absent", note: "Persistence is abnormal." },
+      { name: "Parachute / Protective extension", status: "Present", note: "Fully developed." },
+      { name: "Babinski", status: "Transitioning", note: "May still be up-going but should be down-going (normal plantar flexion) by age 2." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Biceps, patellar, Achilles. Asymmetry suggests cord, root, or peripheral nerve pathology." }
+    ]
+  },
+  "24mo": {
+    intro: "Adult-pattern reflex exam expected from age 2.",
+    reflexes: [
+      { name: "Babinski (plantar response)", status: "Down-going (normal)", note: "After age 2, an up-going toe is an upper-motor-neuron sign (stroke, CP, spinal cord lesion, demyelination)." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Biceps, triceps, brachioradialis, patellar, Achilles. Hyperreflexia or clonus → UMN lesion; hyporeflexia → LMN / neuropathy / myopathy." },
+      { name: "Parachute / Protective extension", status: "Present (lifelong)", note: "Absence would be abnormal." },
+      { name: "Primitive reflexes", status: "Absent", note: "Any re-emergence is abnormal." }
+    ]
+  },
+  "30mo": {
+    intro: "Adult-pattern exam.",
+    reflexes: [
+      { name: "Plantar response",     status: "Down-going", note: "Up-going Babinski after age 2 is abnormal." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Biceps, patellar, Achilles. Asymmetry, clonus, or hyperreflexia warrants workup." },
+      { name: "Protective / postural reflexes", status: "Present", note: "Intact balance reactions support running, climbing, jumping." }
+    ]
+  },
+  "3y_to_5y": {
+    intro: "Standard adult-pattern neurologic reflex exam.",
+    reflexes: [
+      { name: "Plantar response",     status: "Down-going", note: "Positive Babinski is always abnormal at this age." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Biceps, triceps, brachioradialis, patellar, Achilles. Grade 0–4; asymmetry is the most clinically meaningful finding." },
+      { name: "Gait-related reflexes", status: "Intact", note: "Smooth tandem walk, heel-toe, hopping on one foot by age 4–5 — integrate cerebellar and corticospinal function." }
+    ]
+  },
+  "6y_to_10y": {
+    intro: "Focused adult-pattern exam — any primitive reflex (snout, grasp, glabellar) re-emerging is a frontal release sign and abnormal.",
+    reflexes: [
+      { name: "Plantar response",     status: "Down-going", note: "Up-going = UMN lesion." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Screen for asymmetry, hyperreflexia (MS, cord lesion), or loss (neuropathy, myopathy — e.g., Duchenne's). Loss of Achilles reflex can be an early sign of Charcot-Marie-Tooth." },
+      { name: "Abdominal reflexes",   status: "Present",    note: "Stroking each quadrant contracts the umbilicus toward it. Loss is an early clue to UMN/cord pathology or scoliosis with cord involvement." },
+      { name: "Cremasteric reflex (males)", status: "Present", note: "Stroking medial thigh elevates the ipsilateral testis. Absent in testicular torsion." }
+    ]
+  },
+  "11y_to_14y": {
+    intro: "Adult neurologic exam. Sports-participation exams should include a reflex screen.",
+    reflexes: [
+      { name: "Plantar response",     status: "Down-going", note: "Up-going is always abnormal." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Hyperreflexia/clonus in a teen → think MS, myelopathy, spinal cord tumor, B12 deficiency. Hyporeflexia → Guillain-Barré, neuropathy, hypothyroidism." },
+      { name: "Abdominal / cremasteric", status: "Present", note: "Same significance as in younger children." }
+    ]
+  },
+  "15y_to_21y": {
+    intro: "Full adult neurologic exam.",
+    reflexes: [
+      { name: "Plantar response",     status: "Down-going", note: "Positive Babinski = UMN lesion (stroke, MS, cord pathology)." },
+      { name: "Deep tendon reflexes", status: "2+ symmetric", note: "Include biceps, triceps, brachioradialis, patellar, Achilles. Asymmetry or pathologic spread is the main flag." },
+      { name: "Primitive / frontal release signs (grasp, snout, palmomental, glabellar)", status: "Absent", note: "Presence suggests frontal lobe pathology, neurodegenerative disease, or severe TBI — rare but important in post-concussion / substance-use contexts." }
+    ]
+  }
+};
+
 // ─── BMI / WEIGHT CLASSIFICATION (AAP 2023 CPG + CDC Extended BMI) ──────────
 // Source: AAP Clinical Practice Guideline for Evaluation and Treatment of
 // Children and Adolescents with Obesity (Pediatrics 2023;151(2):e2022060640)
@@ -1955,6 +2114,7 @@ if (typeof module !== "undefined" && module.exports) {
     DYSLIPIDEMIA_SCHEDULE,
     NEWBORN_SCREENING,
     GROWTH_REFERENCE,
+    REFLEXES_REFERENCE,
     BMI_CLASSIFICATION,
   };
 }
diff --git a/public/js/wellVisit.js b/public/js/wellVisit.js
index 8b505da..a485306 100644
--- a/public/js/wellVisit.js
+++ b/public/js/wellVisit.js
@@ -229,6 +229,41 @@
     return key ? GROWTH_REFERENCE[key] : null;
   }
 
+  // ─── Map visit ID to REFLEXES_REFERENCE key ───────────────────────────────
+  function getReflexDataForVisit(visitId) {
+    if (typeof REFLEXES_REFERENCE === 'undefined') return null;
+    if (REFLEXES_REFERENCE[visitId]) return REFLEXES_REFERENCE[visitId];
+    var mapping = {
+      'newborn': 'newborn', '3-5d': 'newborn',
+      '1mo': '1mo', '2mo': '2mo', '4mo': '4mo', '6mo': '6mo', '9mo': '9mo',
+      '12mo': '12mo', '15mo': '15mo', '18mo': '18mo',
+      '24mo': '24mo', '30mo': '30mo',
+      '3y': '3y_to_5y', '4y': '3y_to_5y', '5y': '3y_to_5y',
+      '6y': '6y_to_10y', '7y': '6y_to_10y', '8y': '6y_to_10y', '9y': '6y_to_10y', '10y': '6y_to_10y',
+      '11y': '11y_to_14y', '12y': '11y_to_14y', '13y': '11y_to_14y', '14y': '11y_to_14y',
+      '15y': '15y_to_21y', '16y': '15y_to_21y', '17y': '15y_to_21y', '18y': '15y_to_21y',
+      '19y': '15y_to_21y', '20y': '15y_to_21y', '21y': '15y_to_21y'
+    };
+    var key = mapping[visitId];
+    return key ? REFLEXES_REFERENCE[key] : null;
+  }
+
+  // ─── Color a reflex status chip ───────────────────────────────────────────
+  function reflexStatusColor(status) {
+    var s = (status || '').toLowerCase();
+    if (s.indexOf('absent / integrated') !== -1 || s === 'absent' || s.indexOf('integrated') !== -1) return '#059669'; // green — expected integration
+    if (s.indexOf('present') !== -1 && s.indexOf('lifelong') !== -1) return '#059669';
+    if (s.indexOf('present') !== -1) return '#2563eb'; // blue — present and expected
+    if (s.indexOf('peak') !== -1) return '#2563eb';
+    if (s.indexOf('emerging') !== -1) return '#7c3aed'; // purple
+    if (s.indexOf('fading') !== -1) return '#d97706'; // amber — in transition
+    if (s.indexOf('transition') !== -1) return '#d97706';
+    if (s.indexOf('down-going') !== -1) return '#059669';
+    if (s.indexOf('up-going') !== -1) return '#d97706';
+    if (s.indexOf('2+') !== -1) return '#2563eb';
+    return '#475569';
+  }
+
   // ─── BY VISIT panel ───────────────────────────────────────────────────────
   function renderVisitPanel(visitId) {
     var data = (typeof PERIODICITY !== 'undefined') ? PERIODICITY[visitId] : null;
@@ -350,6 +385,29 @@
       html += '</div>';
     }
 
+    // ── Expected Reflexes ──
+    var reflexData = getReflexDataForVisit(visitId);
+    if (reflexData && reflexData.reflexes && reflexData.reflexes.length) {
+      html += '<div class="wv-section">';
+      html += '<h4 class="wv-section-title"><i class="fas fa-hand-sparkles"></i> Expected Reflexes</h4>';
+      if (reflexData.intro) {
+        html += '<div style="font-size:12px;color:var(--g600);margin-bottom:8px;line-height:1.5;">' + esc(reflexData.intro) + '</div>';
+      }
+      html += '<div class="wv-growth-box">';
+      reflexData.reflexes.forEach(function (r) {
+        var color = reflexStatusColor(r.status);
+        html += '<div class="wv-growth-item" style="flex-direction:column;align-items:stretch;gap:4px;">';
+        html += '<div style="display:flex;gap:8px;align-items:center;flex-wrap:wrap;">';
+        html += '<span class="wv-growth-label" style="min-width:0;">' + esc(r.name) + '</span>';
+        html += '<span style="font-size:11px;font-weight:600;padding:2px 8px;border-radius:10px;background:' + color + '1a;color:' + color + ';border:1px solid ' + color + '66;">' + esc(r.status) + '</span>';
+        html += '</div>';
+        html += '<div style="font-size:12px;color:var(--g700);line-height:1.5;">' + esc(r.note) + '</div>';
+        html += '</div>';
+      });
+      html += '</div>';
+      html += '</div>';
+    }
+
     // ── BMI / Weight Classification (ages 2+) ──
     if (growthData && growthData.bmiClassification && typeof BMI_CLASSIFICATION !== 'undefined') {
       html += '<div class="wv-section">';