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

• 1, 2, 4, 6, 9, 12 and 18 months
  
• 2, 3, 5, 7, 9, 11, 13, 15 and 17 years

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Tuberculosis test may be required at 5 years depending on locality; optional at 12 months in areas of average risk for tuberculosis.

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Vision screening at 5 years of age.

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Screening Tests

For sexually active females:
Chlamydia screening -- Starting at age 15 annually
Pap Test -- Three years after first sexual contact and every 3 years thereafter

Immunizations

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Immunization notes:

• |----| : 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 given six to 12 months apart.)
  
• Hep B: Hepatitis B (Children and adolescents should receive vaccine series at 0, 1 and 4 mo. intervals.)
  
• 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
  
• VZV: Chickenpox (Varicella Zoster Virus) (Susceptible individuals born in 1980 or later should receive 2 doses at age appropriate intervals.)
  
• Pneu: Pneumococcal vaccination
  
• Flu: Influenza (Initial vaccination for children up to 9 yrs. of age requires 2 shots given 4 wks. apart.)
  
• 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 12 wks 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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