Employee & Community Health

Adult Schedule

The recommended healthcare preventive needs are constantly changing.  For example, an annual physical/medical examination is not always recommended or necessary.  Although your personal health could impact these recommendations, the schedules below can help recommend the services that should be considered based upon your age.

  • Screening Recommendations for Females: 18-39 Years

    Screening, immunization, and prevention schedule for asymptomatic average-risk women: 18-39 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Alcohol abuse Every year
    Breast Cancer ---
    Cervical cancer

    Ages 21 to 29 years: every 3 years

    Ages 30 to 39 years: every 3 to 5 years

    Colorectal cancer Consider if increased risk
    Depression Every year
    Diabetes Every 3 years if hypertension, BMI > 25, or history of gestational diabetes
    Fall risk ---
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Screen initially at age 20 years, then resume no later than age 40 years unless screening is abnormal or coronary disease risks develop
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia ---
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis)

    Age < 25 years: Every year if sexually active

    Age > 25 years: Every year if increased risk

    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) ---
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) Offer at ages 9 to 26 years and complete series at any age; HPV vaccination is not recommended in pregnant women
    Herpes zoster or shingles (HZV) ---
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Females: 40-49 Years

    Screening, immunization, and prevention schedule for asymptomatic average-risk women: 40-49 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Alcohol abuse Every year
    Breast Cancer Every year
    Cervical cancer Every 3 to 5 years
    Colorectal cancer Consider if increased risk
    Depression Every year
    Diabetes Every 3 years beginning at age 45 years
    Fall risk ---
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Every 4 to 6 years
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia ---
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis)

    Every year if increased risk

    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) ---
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) Offer at ages 9 to 26 years and complete series at any age; HPV vaccination is not recommended in pregnant women
    Herpes zoster or shingles (HZV) ---
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Females: 50-64 Years

    Screening, immunization, and prevention schedule for asymptomatic average-risk women: 50-64 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Alcohol abuse Every year
    Breast Cancer Every year
    Cervical cancer Every 3 to 5 years
    Colorectal cancer Initiate average-risk screening
    Depression Every year
    Diabetes Every 3 years
    Fall risk ---
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Every 4 to 6 years
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia Screening if increased risk
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis) Every year if increased risk
    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) ---
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) --- 
    Herpes zoster or shingles (HZV) 2 doses at age > 50 years unless contraindicated
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Females: 65 and older

    Screening, immunization, and prevention schedule for asymptomatic average-risk women: 50-64 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Alcohol abuse Every year
    Breast Cancer Ages 65 to 75 years: every year
    Cervical cancer No screening if adequate negative prior screening and patient not high risk
    Colorectal cancer

    Ages 65 to 75 years (life expectancy > 10 years): Continue screening

    Ages 76 to 85 years (life expectancy > 10 years): Screen patients who have never been screened; continued screening of other patients has uncertain benefit

    Depression Every year
    Diabetes Every 3 years
    Fall risk Every year
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Ages 65 to 75 years: Consider every 4 to 6 years
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia Screening bone density measurement at age 65 years
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis) Every year if increased risk
    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) 1-time dose of PCV13 and 1-time dose of PPSV23
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) --- 
    Herpes zoster or shingles (HZV) 1-time dose if not yet given, unless contraindicated
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Males: 18-39 Years

    Screening, immunization, and prevention schedule for asymptomatic average-risk men: 18-39 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Abdominal aortic aneurysm ---
    Alcohol abuse Every year
    Colorectal cancer Consider if increased risk
    Depression Every year
    Diabetes Every 3 years if hypertension or BMI > 25
    Fall risk ---
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Screen initially at age 20 years, then resume no later than age 40 years unless screening is abnormal or coronary disease risks develop
    Hypertension Every 2 years if average risk; every year if increased risk
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia ---
    Prostate cancer ---
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis) Every year if increased risk
    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) ---
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) Offer at ages 9 to 26 years and complete series at any age
    Herpes zoster or shingles (HZV) ---
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Males: 50-64 Years

    Screening, immunization, and prevention schedule for asymptomatic average-risk men: 50-64 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Abdominal aortic aneurysm ---
    Alcohol abuse Every year
    Colorectal cancer Initiate average-risk screening
    Depression Every year
    Diabetes Every 3 years beginning at age 45 years
    Fall risk ---
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Every 4 to 6 years
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia Screen if increased risk
    Prostate cancer Consider shared decision-making, including discussion of risks and benefits
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis) Every year if increased risk
    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) ---
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) Offer at ages 9 to 26 years and complete series at any age
    Herpes zoster or shingles (HZV) 2 doses at age > 50 years unless contraindicated
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Males: 40-49 Years

    Screening, immunization, and prevention schedule for asymptomatic average-risk men: 40-49 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Abdominal aortic aneurysm ---
    Alcohol abuse Every year
    Colorectal cancer Consider if increased risk
    Depression Every year
    Diabetes Every 3 years beginning at age 45 years
    Fall risk ---
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
    Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Every 4 to 6 years
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia ---
    Prostate cancer ---
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis) Every year if increased risk
    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) ---
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) Offer at ages 9 to 26 years and complete series at any age
    Herpes zoster or shingles (HZV) ---
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)
  • Screening Recommendations for Males: 65 and older

    Screening, immunization, and prevention schedule for asymptomatic average-risk men: 50-64 Years

    These screening recommendations are driven by Mayo Clinic consensus and incorporate — but do not exactly replicate — screening guidelines from the U.S. Preventive Services Task Force and other organizations. 

    Screening Recommendations
    Abdominal aortic aneurysm 1-time screen between ages 65 and 75 if smoking history and beyond if life expectancy > 10 years
    Alcohol abuse Every year
    Colorectal cancer

    Ages 65 to 75 years (life expectancy > 10 years): Continue screening

    Ages 76 to 85 years (life expectancy > 10 years): Screen patients who have never been screened; continued screening of other patients has uncertain benefit

    Depression Every year
    Diabetes Every 3 years
    Fall risk Every year
    Hepatitis B Screen all patients at high risk of infection, including those previously vaccinated
     Hepatitis C One-time screen for all adults born from 1945 to 1965
    HIV At least one lifetime screen for all age groups; may offer additional screening for adolescents and adults at high risk of HIV infection
    Hyperlipidemia (coronary artery disease) Ages 65 to 75 years: Consider every 4 to 6 years
    Hypertension Every year
    Intimate partner violence Every year
    Obesity Every 2 years
    Osteoporosis and osteopenia Screen at age 70 years, if increased risk
    Prostate cancer Consider shared decision-making, including discussion of risks and benefits
    Sexually transmitted infections (chlamydia, gonorrhea, syphilis) Every year if increased risk
    Tobacco use Every year
    Vaccinations for healthy women
    Influenza (IIV, LAIV, and RIV) Every year
    Pneumococcus (PCV13 and PPSV23) 1-time dose of PCV13 and 1-time dose of PPSV23
    Tetanus diphtheria acellular pertussis (Tdap and Td) Substitute 1-time dose of Tdap for Td booster, then boost with Td every 10 years
    Human papillomavirus (HPV) ---
    Herpes zoster or shingles (HZV) 1-time dose if not yet given, unless contraindicated
    Other adult vaccinations Consider varicella, hepatitis A, hepatitis B, and measles-mumps-rubella vaccines depending on age and risk factors
    Meningococcal B (MenB) Preferred at ages 16 to 18 years but optional at ages 16 to 23 years (when using Bexsero, administer 2 doses at least 1 month apart)