Health Maintenance Guidelines: 40 to 49 

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

• Blood pressure: Your doctor will check your blood pressure every 3-5 years, or annually if you’re high risk for hypertension.
• Cholesterol: Checked every five years
• 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

• Breast cancer: Mammography should be performed annually
• Cervical cancer screening: A Pap test should be performed every three years. Patients age 40+ can get high-risk HPV testing with or without a Pap test every five years.
• Colorectal cancer: Starting at age 45, a colonoscopy should be done 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. 

• 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 should receive two, three or four doses of Hepatitis B vaccine depending on vaccine or condition
• Influenza (flu): Yearly vaccine
• Measles, mumps and rubella (MMR): Adults ages 19 to 49 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

Alcohol use

Anxiety

Depression

Domestic violence

Sexually transmitted infections  

Skin cancer  

Tobacco use and vaping

Unhealthy drug use  

HPV Vaccine: Can be given ages 27 to 45