Health Maintenance Guidelines
Ages 19 to 39

Check Up

Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

Screening Tests

• HIV: Routine discussion
  
• Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
  
• Assessment of Risk for TB: To determine risk factors

Women's Health

• Chlamydia: Yearly through age 24 for sexually active women
  
• Pap Test: Every 3 years starting from age 21 (between ages 21–30, may be more often). At age 30, may switch to every 5 years with HPV screening.
  
• Folic Acid: Women of child bearing age (15-45) should take a daily supplement (0.4-0.8mg) of folic acid.

Men's Health

• Lipid Test: At age 35

Immunizations

• Influenza: Yearly
  
• Varicella (Chicken Pox) Vaccine: Individuals born in 1980 or later should receive a second vaccine.
  
• HPV: Females age 9–26 and males 11–21 should receive the HPV series 0, 2 and 6 month intervals (optional for males).
  
• Tdap/Td: Tdap required once in a lifetime. Then, Td is required every 10 years.

Vaccination Information Sheets from the CDC

These guidelines may vary for patients on chronic medications or for patients with personal or family health risks.

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