| Health Care Services |
When |
| Physical exam |
Ages 19 to 21: One visit every two to three years; annually if desired
Ages 22 to 39: One visit every 24 months; annually if desired |
Clinical Screenings
|
When |
| Depression screening |
During physical exam |
| Tobacco/drug use |
During each visit |
| Alcohol misuse |
During each visit |
| Chlamydia and gonorrhea screening (STIs) |
All sexually active women to be screened for STIs |
| HIV screening |
Annually for adolescents and adults at high risk |
| Cervical cancer screening (women) |
Start screening within three years of beginning sexual activity or at age 21, whichever is first. Annual screening up to age 30. For ages 30 and older, screening every two to three years. |
| Height, weight, BMI and blood pressure |
During physical exam; nutrition and physical activity counseling for those identified as high risk |
| Dyslipidemia screening (risk assessment based on family history and physical exam) |
Assessment annually through age 21. For all adults ages 20 and older, a fasting lipoprotein profile (total cholesterol, LDL, HDL and triglyceride) should be obtained once every five years. |
| Hemoglobin and hematocrit |
Once every two years |
Tuberculin skin test (PPD)
|
For those identified as high risk |
Family and intimate partner violence, breast self exam, etc.
|
Anticipatory guidance at physician discretion
|
Immunizations
|
When |
Td/Tdap
Tetanus, diphtheria and pertussis |
Every 10 years
One dose of Tdap if pertussis booster was not received previously |
MMR
Measles, mumps and rubella |
One to two doses if not vaccinated previously or no history of disease |
HepA
Hepatitis A |
For high risk groups |
HepB
Hepatitis B |
For high risk groups |
Var
Varicella (chickenpox) |
Two-dose series at least 4 weeks apart if no history of varicella and no previous vaccination
|
Flu
Influenza |
Annually |
Pneumonia
Pneumococcal |
For high-risk groups
|
| Meningococcal |
Ages 19-24: One dose if not vaccinated previously. |
HPV
Human papillomavirus |
Three-dose series for ages 19-26 on a zero, two-months and six-months schedule
if no previous vaccination. Minimum spacing: 4 weeks between #1 and #2;
12 weeks between #2 and #3. Must be 24 weeks between doses #1 and #3. |