Adult Health Maintenance Guidelines (not a complete listing)

Screening Test/Exam

18-25 years

26-39 years

40-49 years

50-64 years

65 and older

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Physical Exam	every 5 years	every 5 years	every 2-3 years	every 1-2 years	every 1-2 years
Pap and pelvic exam	every 1-3 years*	every 1-3 years*	every 1-3 years*	every 1-3 years*	every 1-3 years**
Breast Exam	every 1-3 years	every 1-3 years	annually	annually	annually
Mammography		if indicated	annually	annually	annually
Blood tests	once	every 5 years	every 5 years	every 1-3 years	every 1-2 years
Colorectal cancer
Fecal Occult Blood				annually	annually
Colonoscopy				every 10 years	every 10 years
Bone Density				baseline exam	baseline exam
PSA/Rectal Exam			every 3-4 years	annually	annually
Influenza Vaccine	annually	annually	annually	annually	annually
Pneumonia Vaccine					every 10 years
HPV Vaccine	3 doses
Zostavax (shingles vaccine)					one dose

*Patients who have had hysterectomy for cancer continue to have screening vaginal pap/pelvic exam. Women who have had total hysterectomy without cancer may discontinue screening pap/pelvic exam. **Screening may be discontinued at age 70, or when life expectancy is < 10 years