Health Maintenance Guidelines: 18 to 39 

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

• Blood pressure: Check every three to five years or annually if you're high risk.
• Chlamydia and gonorrhea: Check yearly for sexually active females ages 16 to 24 years.
• Diabetes: Screening depends on risk factors.
• Hepatitis C: Check at least once between ages 18 to 79.
• HIV: Check at least once between ages 15 to 65.
• Obesity: Monitor periodically throughout adulthood.
• Syphilis: Check at least once between ages 15 and 44.

• 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, CDPH, WCHA, AAP and AAFP 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 unvaccinated adults ages 19 to 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.
• HPV (human papillomavirus): Unvaccinated people ages 15 to 26 should receive a three-dose series.
• Influenza (flu): Yearly vaccine.
• MMR (Measles, mumps and rubella): 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 age 50 and older as well as 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.

• Alcohol use
• Anxiety
• Depression
• Domestic violence
• Sexually transmitted infections  
• Skin cancer  
• Tobacco Use, including Vaping Electronic Cigarettes
• Unhealthy drug use  

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