Health Maintenance Guidelines: 50 to 74 

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

• Bone density: Checked starting at age 65
• Blood pressure: Your doctor will check your blood pressure annually
• 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 can get high-risk HPV testing with or without a Pap test every five years until age 65
• Colorectal Cancer:  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.
• Lung cancer: Adults age 50 to 80 who have a 20 pack-year smoking history AND currently smoke or have quit in the last 15 years should be screened annually

• 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 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
• Influenza (Flu): Yearly vaccine
• Measles, mumps and rubella (MMR): Adults ages 50 to 59 should have at least one dose of the vaccine recorded in their chart 
• Pneumococcal: Complete vaccine series with PCV20 only, PCV21 only, or PCV15 and PPSV23.
• Shingles: All adults age 50+ should receive a two-dose vaccine series
• Respiratory Syncytial Virus (RSV): Age 60 to 74 with certain underlying medical conditions should receive a single dose of RSV vaccine.

• Alcohol use
• Anxiety: Check through age 64.
• Depression
• Domestic violence  
• Preventing Falls: Start at age 65.
• Sexually transmitted infections  
• Skin cancer  
• Tobacco use and vaping
• Unhealthy drug use  

• Abdominal aortic aneurysm screening: Men ages 65 to 75 who have ever smoked should be checked once
• Prostate cancer screening: Checked ages 55 to 69