A regularly scheduled Health Maintenance Evaluation at each of the following ages:

• 1, 2, 3, 6, 12 and 18 months
• 2, 3, 5, 7, 11, 13, 15 and 17 years
• Tuberculosis test may be required at 5 years depending on locality; optional at 12 months in areas of average risk for tuberculosis.
• Vision screening before 5 years of age.

SCREENING TESTS

• Depression screening: A formal screening at age 12
• Chlamydia/GC screening for sexually active women: Starting at age 15 annually
• Pap Test: Three years after first sexual contact and every three years thereafter

IMMUNIZATIONS

• X : Vaccine should be administered sometime during specified interval.
• O: The need for HIB dose at 6 mos. varies depending on product.
• Hep A: Hepatitis A (Children and adolescents not previously immunized should receive the Hepatitis A Vaccine series. Two doses delivered six to 12 months apart.)
• Hep B: Hepatitis B (Children and adolescents should receive the Hep B vaccine. Two doses delivered at least 6 months apart.)
• HIB: Haemophilus influenza type B (Need for HIB dose at 6 mos. varies depending on product.)
• MMR: Measles, Mumps and Rubella
• DTaP: Diphtheria, Tetanus and acellular Pertussis
• Tdap: Tetanus Diphtheria and low dose Pertussis (Recommended as a single dose for 11 through 64 years old otherwise, Td should be used.)
• VZV: Chickenpox (Varicella Zoster Virus) (Susceptible individuals born in 1980 or later should receive 2 doses at age appropriate intervals, 5-12 years - 3 month interval; at 13 years or over - one-month interval. Consider a single dose of age appropriate vaccine in children ages 24-59 months not previously vaccinated.)
• Pneu: Pneumococcal vaccination
• Flu: Influenza (Annual Fall vaccine is recommended for all children 6 months through 18 years of age. Initial vaccination requires two doses given 4 or more weeks apart through 8 years of age.)
• Men: Conjugated Meningococcal vaccine
• HPV: Human Papillomavirus. Given to females age 9-26 yrs. at 0, 2 and 6 mo. intervals. Routine vaccination at 11 to 12 yrs.
• Rota: Rotavirus vaccine. Not to be started after 14 wks and 6 days of age. Must be completed by 32 weeks of age.

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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.

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