Prevention
   13 to 20 years
Screenings  Frequency/Age
Blood pressure, height and weight  Annually
Hemoglobin/hematocrit  Every two years
PPD/high risk patients  Every two years
Evaluate sexual activity, 
test for sexually transmitted diseases including chlamydia  Annually
Total cholesterol and HDL  Every two years
Pap test, sexually active women  Annually
Urinalysis; first morning specimen  Every two years
Vaccines  Frequency/Age
Discuss immunization schedule with your physician.
Hepatitis B  Check if series complete.
Varicella; evaluate status, 
immunize if indicated  Two doses, 4 weeks apart
Influenza  Annually
Pneumococcal (PPV-23)   High-risk patients
Td (Tetanus/Diphteria)  14 years, booster every 10 years
Advice
  • Evaluate school performance 
  • Educate on sexual maturation process, puberty and development
  • Counsel about HIV and sexually transmitted diseases/condom use/contraception
  • Teenage girls and women should take folic acid and vitamins if sexually active, prior to pregnancy 
  • Emphasize accident prevention
  • Stress importance of seat belt use
  • Counsel on use of protective gear for bicycles, skates, motorcycles, scooters and other
  • Avoid driving under the influence of alcohol or drugs 
  • Maintain a smoke-free environment and avoid second-hand smoke; quit or don't start smoking
  • Promote regular exercise (at least three times per week) 
  • Maintain a healthy diet low in fat, cholesterol and salt, and rich in fruits and vegetables (five portions per day), include breads, rice, beans, cereal and pasta, low-fat milk and cheese products, and fish (two servings per week). 
The Wheel of Health offers general guidelines for general health care and prevention.  It does not, in any way, substitute medical criteria resulting from a thorough and individual evaluation.  The guide also offers recommended frequency of tests and vaccines, but this will ultimately depend on each patientÂ’s particular risk factors and condition.  PLEASE CONSULT WITH YOUR PHYSICIAN.