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    Health Maintenance Guidelines
    Birth to 18 Years

    Special notice: Pneumococcal Conjugate Vaccine 13-valent (PCV-13)
    A regularly scheduled Health Maintenance Evaluation at each of the following ages:

    Check Up
    • 1, 2, 4, 6, 9, 15 and 18 months
    • Annually from ages 2-6; every other year from ages 6-17
    • Vision Screening and BMI: At or before age 5
    Screening Tests
    • Chlamydia: Yearly for sexually active women starting at 15
    • HIV: Routine discussion starting at 13
    • HPV: Females ages 9–26 and males 11–21 should receive the HPV series 0, 2 and 6 month intervals (optional for males).
    • Assessment of Risk for TB: To determine risk factors

    IMMUNIZATIONS
    Immunization Graph
    • Hepatitis B: Birth, 1 & 6 months
    • Haemophilus Influenza Type B: 2, 4, 6 & 12 months old
    • Polio: 2, 4, 6 months & 4-5 years old
    • Diphtheria, tetanus & acelluliar pertussis: 4-5 years old
    • Rotovirus: 2, 4, 6 months old
    • Pneumococcal: 2, 4, 6, 12 months old
    • Tdap/Td: 11 years old
    • Measles, mumps & rubella: 12 months & 4-5 years old
    • Varicella (chicken pox): 12 months & 4-5 years old
    • Hepatitis A: 12 & 18 months
    • Influenza (yearly): 6 & 18 months, 2, 4-5, 11, 16 years old
    • Conjugated meningococcal: 11 & 16 years old
    • Human Papillomavirus: 11 years old
    Folic Acid: Girls of child bearing age (15-18) should take a daily supplement (0.4-0.8mg) of folic acid.


    Vaccination Information Sheets from the CDC

    Health Maintenance Guidelines (.pdf, print brochure version)
    Download Acrobat Reader here.

    These guidelines may not pertain to patients on chronic medications or patients with personal or family health risks. In addition to the specific tests and immunizations listed here, health maintenance also includes regular monitoring of blood pressure, weight, height, vision, hearing, and risk factor screening for coronary artery disease, depression, diabetes, hypertension, memory change, sexually transmitted diseases, and for tobacco, alcohol and dietary concerns.

    Last reviewed: January 2013