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    Health Maintenance Guidelines
    Birth to 17 Years

    Special notice: Pneumococcal Conjugate Vaccine 13-valent (PCV-13)

    Wellness Check

    • 1, 2, 4, 6, 9, 12, 15 and 18 months
    • Annually from ages 2-6; every other year from ages 6-17
    • Vision Screening and BMI: At or before age 5

    Screening Tests

    • Chlamydia/Gonorrhea: Yearly for sexually active women starting at 15
    • HIV: Between ages 15-65
    • Obesity: Monitor periodically throughout childhood starting at age 6
    • Vision: At or before age 5

    Discussion Topics

    • Alcohol Misuse: Discuss with your provider
    • Tobacco Use: Routine discussion starting at age 11
    • Prevention of Sexually Transmitted Infections: Discuss with your provider starting at age 11

    Immunizations

    Two-month series of vaccines can be given as early as six weeks.Immunization Chart

    • Hepatitis B: Birth, 1 & 6 months old
    • Haemophilus Influenza Type B: 2, 4, 6 & 12 months old
    • Polio: 2, 4 & 6 months and 4-5 years old
    • Diphtheria, tetanus & acelluliar pertussis: 2, 4, 6 & 18 months and 4-5 years old
    • Rotovirus: 2, 4 & 6 months old
    • Pneumococcal: 2, 4, 6 & 12 months old
    • Tdap/Td: 11 years old
    • Measles, mumps & rubella: 12 months and 4-5 years old
    • Varicella (chicken pox): 12 months and 4-5 years old
    • Hepatitis A: 12 & 18 months old
    • Influenza (yearly): 6 & 18 months, 2, 4-5, 11 & 16 years old
    • Conjugated meningococcal: 11 & 16 years old
    • Human Papillomavirus: Females ages 11-26 and males 11-21 should receive the HPV series 0, 2 and 6 month intervals.
    • Folic Acid: All girls planning or capable of pregnancy take daily supplement containing 0.4-0.8mg of folic acid

    Vaccination Information Sheets from the CDC

    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.

    Last reviewed: January 2016

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