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MEDICAL SERVICES
These tables provide schedules of preventive care guidelines that are recommended for healthy adults and children by leading health authorities. Talk with your doctor about these guidelines to determine what is appropriate for you and your family members.
0-12
SCREENING TESTS*
Newborn Screening
(PKU, sickle cell,
hemoglobinopathies,
hypothyroidism)
Once - Newborns
Head circumference
Periodically up to age 2
Height and weight
At each well visit for infants,
then at least annually
IMMUNIZATIONS**
Hepatitis A
2 doses - 1 dose 12-23 months;
1 dose at least 6 months later
Hepatitis B
3-4 doses - 1 dose at birth;
1 dose 1-2 months later;
1 dose 4 months+ and 1 dose
between 24 weeks-18 months
Diphtheria-tetanus-pertussis
(DTaP)
5 doses -
1 dose at 2, 4, and 6 months;
1 dose 15-18 months;
1 dose 4-6 years
Polio (IPV)
4 doses -
1 dose at 2 and 4 months;
1 dose 16-18 months;
1 dose 4-6 years
H. Influenzae type b (Hib)
3-4 doses - 1 dose
at 2, 4 and 6 months+;
1 dose between 12-15 months
Pneumococcal conjugate
4 doses - 1 dose at 2, 4, and 6
months;
1 dose between 12-15 months
Measles-mumps-rubella (MMR)
2 doses - 1 dose between 12-15
months;
1 dose between 4-6 years
Chicken pox (varicella)
1 dose between 12-18 months;
or any child after the first year
without history of chicken pox or
previous immunization
Influenza
Annually - between 6-23 months
Booster tetanus-diphtheria and pertussis (TdaP) 1 dose - 11-12 years Meningococcal 1 dose - 11-12 years
13-18
SCREENING TESTS*
Blood pressure
Periodically - 18 years and older
Height and weight/
Body mass index (BMI)
Periodically - 18 years and
older
Depression
Routinely - 18 years and older
Alcohol misuse screening;
behavioral health counseling
Routinely - 18 years and older
Chlamydia
If sexually active
Pap test
Every 1-2 years beginning at
age 21, earlier if sexually
active
Rubella titer or
vaccination history
For women of childbearing age
IMMUNIZATIONS**
Booster tetanus-diphtheria and pertussis (TdaP)
1 dose if not given between 11-12 years and/or
if already received the Td booster
Meningococcal
1 dose at the start of high school or college if
not given between 11-12 years old
19-39
SCREENING TESTS*
Blood pressure
Periodically
Height and weight/body
mass index (BMI)
Periodically
Cholesterol
Every 5 years -
Men 35 and older
Pap test
Every 1-2 years -
if 30 and older,
either a Pap smear
every 2-3 years after 3
consecutive normal results
or HPV DNA test
plus a Pap smear every
3 years if results of both
tests are negative.
Chlamydia
Annually - 25 and
younger and sexually active
Rubella titer or
vaccination history
Women of childbearing
age
Depression
Routinely
Alcohol misuse screening;
behavioral health
counseling
Routinely
IMMUNIZATIONS**
Tetanus-diphtheria (Td)
Every 10 Years
40-64
IMMUNIZATIONS**
Tetanus-diphtheria (Td)
Every 10 years
Influenza
Annually - 50 and older
Herpes zoster (shingles)
1 dose - 60 and older
SCREENING TESTS*
Blood pressure
Periodically
Height and weight/
Body mass index
(BMI)
Periodically
Cholesterol
Every 5 years -
Men 35 & older
Women 45 and older
Rubella titer or
vaccination history
Women of childbearing
age
Pap test
Every 2-3 years after 3
consecutive normal
results or HPV DNA test
plus a Pap smear every
3 years if results of both
tests are negative.
Mammogram
Every 1-2 years
Prostate
Annually - at 50, both
the prostate-specific
antigen (PSA) blood
test2 and digital rectal
examination (DRE)
should be offered.
Colorectal
Beginning at age 50,
yearly stool blood test
(FOBT), or flexible sigmoidoscopy
every 5
years, or yearly stool
blood test plus flexible
sigmoidoscopy every 5
years, or double contrast
barium enema
every 5 years, or
colonoscopy every 10
years.
Depression Routinely
Alcohol misuse
screening;
behavioral health
counseling
Routinely
65 & over
IMMUNIZATIONS**
Tetanus-diphtheria (Td)
Every 10 years
Influenza
Annually - 50 and older
Pneumococcal
1 dose - 65 and older
SCREENING TESTS*
Blood pressure Periodically
Height and weight/
Body mass index (BMI)
Periodically
Cholesterol
Every 5 years -
Men 35 & older
Women 45 and older
Pap test
Every 2-3 years after 3
consecutive normal results
or HPV DNA test plus a
Pap smear every 3 years if
results of both tests are
negative. Women 70 and
older may stop screening.
Mammogram
Every 1-2 years
Osteoporosis
(Bone density test)
Routinely - Women 65
years and older
Prostate
Annually - both the
prostate-specific antigen
(PSA) blood test2 and digital
rectal examination (DRE)
should be offered.
Colorectal
Beginning at age 50, yearly
stool blood test (FOBT),
or flexible sigmoidoscopy
every 5 years, or yearly
stool blood test plus flexible
sigmoidoscopy every 5
years, or double contrast
barium enema every 5
years, or colonoscopy every
10 years.
Depression Routinely
Alcohol misuse screening;
behavioral health
counseling
Routinely
* Based on the recommendations of the U.S. Preventive Services Task Force (USPSTF).
** Immunization schedules often change. The most current recommendations for
immunizations may be found on the Centers for Disease Control Web site at www.cdc.gov.
United States National Poison Hotline:
800-222-1222
24 hours a day, 7 days a week
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