2015 PREVENTATIVE HEALTH GUIDELINES
CHILDHOOD IMMUNIZATIONS
AGE
>
Vaccine
Birth
1
month
Diphtheria,
Tetanus, Pertussis
Human
Papillomavirus
Meningococcal
2
months
4
months
DTap
DTap
6
months
12
months
15
months
18
months
19-23
months
2-3
years
4-6
years
DTap
7-10
years
11-12
years
DTap
13-18
years
DTap
HPV 3 Doses
MCV
Influenza
Influenza (yearly)
Pneumococcal
PCV
PCV
PCV
PCV
Hepatitis A
PPSV
Hep A 2 Doses
Hepatitis B
Hep B
Hepatitis AB
Inactivated
Poliovirus
Measles, Mumps,
Rubella
Hep B
Hep A Series
Hep B Series
Hep B Series
Hep AB
IPV
IPV
Varicella
Rotavirus
RV
RV
IPV
IPV
MMR
MMR
Varicella
Varicella
RV
Haemophilus
HIB
HIB
HIB
HIB
Influenzae Type B
Note: Preferred age for vaccine is indicated where specific vaccine is listed in colored box.
SERVICES FOR CHILDREN
Gonorrhea preventative, Medication for
eyes, Hearing Screening,
Hemoglobinopathies (sickle cell),
Congenital Hypothyroidism
Phenylketonuria (PKU)
Ht., Wt. and BMI
SERVICES FOR PREGNANT WOMEN
Newborns
Bacteriuria
Lab test
Through Age 17
Hepatitis B
Lab test
HIV Screening
All Children throughout
development
Children without fluoride in water
source.
Age 12 and above
Iron Deficiency Anemia
Screening
Gestational Diabetes Screening
(between 24 & 28 weeks)
Rh Incompatibility
Visual Acuity
Up to Age 5
Syphilis Screening
Lab test
Oral Dental Screening
During PHB visit
Breast Feeding Interventions
Counseling, Support & Supplies
Urinalysis
4-6 years & 12-16 years
Nicotine
Counseling
Developmental/Behavioral Assessment Autism
All Ages
Folic Acid
Women capable of becoming
pregnant
Hematocrit or Hemoglobin Screening
All Ages
Lead Screening
For children at risk of exposure
Tuberculin Testing
For children at high risk of exposure
Dyslipidemia Screening
Children at risk of lipid disorders
Iron Supplementation
6-12 months at high risk
Gonorrhea
Age 13-18 annually as clinically
indicated
Syphilis
Age 13-18 annually as clinically
indicated
Chlamydia
Age 13-18 annually as clinically
indicated
Medical History
Fluoride Supplement
1
Effective 4/24/15
Lab test
Lab test
Lab test
SERVICES FOR ALL WOMEN
Domestic Violence Screening and
Counseling
Annually
2015 PREVENTATIVE HEALTH GUIDELINES
Adult Immunizations
Tetanus,
Diphtheria,
Pertussis
Adult Labs
After age 18 - Substitute
1 time dose of DTap for
Td booster; then boost
with Td every 10 years
2 doses after age 18
Lipid Panel
Annually as clinically
indicated
Hgb A1C
Annually as clinically
indicated.
Influenza
Age 19 and older - 1
dose annually
FBS (Fasting Blood
Sugar)
Human
Papillomavirus
HPV2 or HPV4
Females - 3 doses
between the ages of 19
and 26 if not previously
vaccinated.
Males - 3 doses
between the ages of 19
and 26 if not previously
vaccinated.
Ages 19 to 64 - 1 time
dose as clinically
indicated.
Age 65 and older – 1
time dose.
Ages 19 - 64 1 or 2
doses as clinically
indicated.
Age 65 and older - 1
time dose
Age 19 and older -1 or
more doses as clinically
indicated
Once after age 19 - 1 or
2 doses
Age 60 and older – 1
dose
Human
Papillomavirus DNA
Testing
Every 3 years
beginning at age 30
Syphilis Screening
As clinically indicated
Chlamydia Infection
Screening
Gonorrhea
Screening
As clinically indicated
19 years of age and
older - 2 doses as
clinically indicated
19 years of age and
older - 3 doses as
clinically indicated
19 years of age and
older - 1 to 3 doses as
clinically indicated.
Hep C Antibody
1 time for adults born
between 1945 and
1965
Varicella
Human
Papillomavirus
HPV4
Pneumococcal 13valent conjugate
(PCV13)
Pneumococcal
polysacharide
(PPSV23)
Meningococcal
Measles, Mumps
and Rubella
Zoster
Hepatitis A
Hepatitis B
Haemophilus
influenzae type b
(Hib)
2
Effective 4/24/15
Adult Procedures/Services
Physical Exam
(including
documented BMI, BP
measurement)
Female Breast exam
Annually
Annually as clinically
indicated.
Bone Density Scan
Every 3 years age 60 or
older and as clinically
indicated.
PSA, men over 50
When clinically
indicated.
BRCA (letter of
medical necessity
required)
Women genetically at
high risk of breast
cancer
Pap Smear/Thin
Prep Pap Test for
Women
Age 21-65 every 3
years or every 5 years
if combined with HPV
testing.
Ages 18-65 and older
who are at increased
risk as clinically
indicated.
Mammogram
Every 1-2 years starting
at age 40 or 50 as
clinically indicated.
Colorectal Cancer
Screening
Ages 50-75 and as
clinically indicated r/t
family history
Colonoscopy - every 10
years
Flexible Sigmoid - every
5 years
Fecal Occult Stool
(FIT/iFOBT) - Annually
HIV Serology
Annually as clinically
Indicated
Every 3 years for ages
20-39 and annually
starting at age 40
2015 PREVENTATIVE HEALTH GUIDELINES
It is recommended that a preventive health visit include screenings and/or counseling for:
Depression
Obesity
Blood Pressure
Alcohol Misuse
Sexually Transmitted Infections
Healthy Diet
Tobacco Use
Breast Cancer Chemoprevention for Women at High Risk
Developmental/Behavioral Assessment/Autism
Balance/Risk for Falls - ages 65 and older
Urinary Concerns - ages 65 and older
Source : www.cdc.gov/vaccines/schedules/downloads/adult/adult-combined-schedule.pdf
Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunizations (ACIP, the American Academy of
Family Physicians (AAFP, the American College of Physician and United States Preventative Services Task Force
3
Effective 4/24/15