Health Maintenance Guidelines Age 40 to 49

Check blood pressure, screen for healthy weight and assess overall health. 

Cholesterol: Check every five years.

HIV: Check between ages 15-65.

Hepatitis C: Check once between ages 18 to 79.

Obesity: Monitor periodically throughout adulthood.

Diabetes: Screen depending on risk factors.

Colon Cancer: Preferred Screening Options – Starting at age 45, a colonoscopy every 10 years, a stool Fecal Immunochemical Test (FIT) every year or a sigmoidoscopy every 10 years with annual FIT testing. Other Options – A CT colonography every five years or a FIT/DNA test every three years.

Blood Pressure: Check annually. 

COVID: All eligible ages should receive the recommended vaccine dose and schedule per CDC guidelines.

Influenza (Flu): Yearly flu vaccine.

Hepatitis B: All adults ages 19-59 years and age 60 years or older with risk factors for HBV should receive two, three or four doses of Hepatitis B vaccine depending on vaccine or condition.

Shingles: All adults age 50 and older and ages 19-49 with immunocompromising conditions should receive a two-dose vaccine series.

MMR (Measles, Mumps and Rubella): Adults ages 40 to 49 should have recorded in their chart at least one dose of the vaccine.

Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive one dose Tdap and then a Td or Tdap booster every 10 years.

Pneumococcal: For patients with certain underlying medical conditions, complete vaccine series with Pneumococcal-15 and Pneumococcal-23 or Pneumococcal-20 only. 

Alcohol Use

Tobacco Use, Including Vaping Electronic Cigarettes

Depression

Domestic Violence

Unhealthy Drug Use

Sexually Transmitted Infections

Skin Cancer 

Cervical Cancer Screening Options: Pap test every three years or high risk HPV with or without a Pap test every five years.

HPV Vaccine: Ages 27 to 45.

Breast Cancer Screening: Ages 40 to 49.