Health Maintenance Guidelines 18 to 39

Annual Wellness Check
Regular visits to your doctor for preventive care and routine screening tests may help detect and prevent diseases. A checkup with your doctor is also a good time to get a flu shot or other vaccinations and to address any changes in your health.

Blood Pressure
Check annually.

Obesity
Monitor periodically throughout adulthood.

Diabetes
Screen every 3 years if overweight.

Hepatitis C
Check once between ages 18 to 79.

HIV
Check between ages 15 to 65.

Hepatitis B
All adults ages 19-59 years and age 60 years or older with risk factors for HBV should receive 2, 3, or 4 doses of Hepatitis B vaccine depending on vaccine or condition.

HPV (Human Papillomavirus)
Ages 15 to 26 should receive a three-dose series.
Ages 27 to 45.

Influenza (Flu)
Yearly flu vaccine.

Meningococcal B Vaccine
Ages 16 to 23.

MMR (Measles, Mumps and Rubella)
Adults ages 19 to 39 should have recorded in their chart at least one dose of the vaccine.

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

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

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.

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

Chlamydia and Gonorrhea
Check yearly for sexually active females ages 15 to 24 years.

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

Pregnancy
If you are pregnant or able to get pregnant, take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about more steps for a healthy pregnancy.