Health Maintenance Guidelines 18 to 39

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

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. 

Blood Pressure: Check every three to five years (annual if risk factors). 

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. 

Varicella (Chickenpox): A vaccine for adults born in 1980 or later. 

HPV (Human Papillomavirus): Ages 15 to 26 should receive a three-dose series. 

MMR (Measles, Mumps and Rubella): Adults ages 19 to 39 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 Pneumoccal-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

Anxiety: Check at age 18

Chlamydia and Gonorrhea: Check yearly for sexually active females ages 16 to 24 years. 

Cervical Cancer Screening Options: Pap test every three years starting at age 21. Women 30 and older have the option for high risk HPV testing with or without a Pap test every five years.

Meningococcal B Vaccine: Ages 16 to 23 years. 

HPV Vaccine: Ages 27 to 45.