Health Maintenance Guidelines: 18 to 39 

Your provider will check your blood pressure, screen for healthy weight and assess your overall health.

• Blood pressure: Checked every three to five years or annually if you're high risk 
• Diabetes: Screening depends on risk factors
• Hepatitis C: Checked once between ages 18 to 79
• HIV: Checked between ages 15 to 65
• Obesity: Monitored periodically throughout adulthood
• Chlamydia and gonorrhea: Pap test should be performed every 3 years or a high-risk HPV test with or without a Pap test should be done every five years

• Cervical cancer screening: A Pap test should be performed every three years starting at age 21. People age 30+ can get high-risk HPV testing with or without a Pap test every five years

• COVID-19: All eligible ages should receive the recommended vaccine dose and schedule per CDC guidelines
• Diphtheria, tetanus and pertussis (Tdap or Td): Adults younger than age 65 should receive one dose Tdap and then a Td or Tdap booster every 10 years 
• Hepatitis B: All adults ages 19 to 59 years with risk factors for HBV should receive two, three or four doses of Hepatitis B vaccine depending on vaccine or condition
• Human papillomavirus (HPV): Ages 15 to 26 should receive a three-dose series 
• Influenza (flu): Yearly vaccine 
• Measles, mumps and rubella (MMR): Adults ages 19 to 39 should have at least one dose of the vaccine recorded in their chart 
• Pneumococcal: For patients 19-49 years with certain underlying medical conditions, complete vaccine series with PCV20 only, PCV21 only, or PCV15 and PPSV23.
• Shingles: All adults ages 19 to 49 with immunocompromising conditions should receive a two-dose vaccine series
• Varicella (chickenpox): A vaccine for adults born in 1980 or later

• Alcohol use
• Anxiety
• Depression
• Domestic violence
• Sexually transmitted infections  
• Skin cancer  
• Tobacco use and vaping
• Unhealthy drug use  

• HPV vaccine: Can be given from ages 27 to 45
• Meningococcal B vaccine: Can be given from ages 16 to 23