19 to 39 Years of Age

Age: 19-39 years

Frequency of Visits:
1 visit every 1-3 years

Examination to Include:

  • Interval history, Height at initial exam or once after age 22, weight & blood pressure
  • Testicular exam or Breast exam
  • Serum Chloesterol/HDL - once every 5 years
  • Pap Smear - annually
  • Mammography - once at 35-39 years

Immunizations & Counseling:

  • Tetanus-diphtheria (Td) booster: once every 10 years
  • MMR - if born after 1956 and less than 2 previous doses
  • Varicella (2 doses) - if no history of chicken pox nor previous immunization
  • Breast self-examination: teach to perform
  • Testicular self-examination: teach to perform
  • Alcohol, Tobacco, Substance Abuse: identify risk & counsel
  • Sexually Transmitted Diseases: identify risk & counsel