Preventive Guidelines for Healthy Children and Teens

Hill Physicians recommends the following screenings and exams for healthy children and teens. These guidelines are general in nature and the judgment and experience of your physician, informed by these standards of care and as applied to your specific case, are the final determinants of patient care.

Recommended Screenings

Screening/Procedure	Age Range	Frequency
Health assessment or “physical”	1 to 12 months	7 visits
	13 to 24 months	3 visits
	3 to 6 years	Annually
	6 to 10 years	Every other year
	11 to 21 years	Annually
Hemoglobin/hematocrit	Before 12 months At school entry During adolescence	One time
Urinalysis	Before 12 months At school entry During adolescence	One time
Vision screening	All ages	With every health assessment
Hearing screening	All ages	With every health assessment
Tuberculosis screening	1 year and older	As indicated for at-risk populations
Blood pressure	3 years and older	With every health assessment
Cholesterol	At-risk individuals only	As needed
Immunization history	All ages	At every opportunity
Substance abuse screening	Pre-teens and older	Periodically
Mental health evaluation	All ages	Periodically
Pap smear/pelvic exam (girls/women only)	11 years and older	As needed
Sexually transmitted diseases screening	At onset of sexual activity	Annually
Chlamydia screening	At onset of sexual activity or age 16 to 25 years	Annually

See recommended childhood and adolescent immunization schedule from the Centers for Disease Control and Prevention.
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Print a blank childhood and adolescent immunization record for your child.