What to do, by age.

• Well-child visits on the routine schedule (1, 2, 4, 6, 9, 12, 15, 18, 24 months, then yearly)
• Full childhood immunization schedule + yearly flu / updated COVID
• Newborn hearing + vision & hearing at every visit
• Blood lead level at 12 and 24 months, or anytime with risk factors
• Developmental screens at 9, 18, 30 months; autism screen at 18 and 24 months
• First dental visit by age 1

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Yearly well-child visit — growth, development, and mental health
• Blood pressure checked yearly (from age 3), read against age/sex/height percentiles
• Vision and hearing at each well-child visit; dental every 6 months
• Catch-up immunizations; HPV series can start as early as 9
• Scoliosis check once between 10 and 14 — a shared decision, not a routine screen
• Talk about sleep, screen time, and physical activity

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Yearly teen well visit with confidential HEEADSSS conversation
• HPV series (2 doses if started before 15, 3 if after)
• MenACWY at 11–12 and booster at 16; MenB shared decision at 16–18
• Depression & anxiety screening (PHQ-A / GAD-7) at every visit
• Confidential contraception, STI testing, and emergency-contraception access
• Sports / pre-participation physicals as needed

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Lipids from 20, blood pressure, and a one-time hepatitis C test. Routine CBC, CMP, TSH and vitamin D aren't recommended without symptoms — see the Bloodwork guide.
• Blood pressure at every visit
• HIV once for every adult; STI screening every 3–6 months if you have multiple partners, are on PrEP, or are a man who has sex with men
• Cervical screening every 3 years from 21 if you have a cervix
• HPV vaccine catch-up through 26 (all genders)
• PrEP conversation if at risk for HIV
• Mental health check-in yearly

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Repeat lipid panel; A1c from 35, every 3 years — annually with overweight or family history
• HPV testing every 5 years if you have a cervix
• Skin: self-check monthly; clinician check when a spot changes — no routine interval
• Tdap booster if 10 years since last
• One-time Hepatitis C test if never done
• Anal Pap conversation if HIV+ or history of receptive anal sex

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Blood pressure at every visit; lipids every 1–2 years from 40
• A1c every 3 years
• Mammogram every 1–2 years from 40–74 if you have breast tissue (includes trans women on estrogen 5+ years)
• Colorectal screening at 45
• Discuss PSA at 40–45 if you have a prostate and are Black or have family history

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Colonoscopy every 10 years or yearly FIT
• Shingrix vaccine (2 doses)
• Discuss PSA with a clinician if you have a prostate — USPSTF frames this as a shared decision for ages 55–69, not a routine test.
• Yearly low-dose CT from 50 if you have a 20+ pack-year history
• Hearing baseline at 50

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• Pneumococcal vaccine at 65; flu every fall; updated COVID every 6 months from 65
• RSV vaccine (60–74 with risk factors, everyone at 75)
• One-time AAA ultrasound if you've ever smoked
• Atrial fibrillation check — pulse check or ECG from 65, or sooner with palpitations
• Bone density (DEXA) if you're post-menopausal, on long-term HRT, or living with HIV
• Baseline cognitive screen; yearly fall-risk assessment
• Medication review — flag Beers-list drugs
• Continue colon and mammogram screening through 74–75

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.

• RSV vaccine (once)
• Yearly fall-risk assessment; strength & balance work
• Medication review yearly, and after any new prescription
• Advance care planning + substitute decision-maker on file
• Track weight, nutrition, and grip strength (sarcopenia prevention)
• Hearing every 3 years; cognitive screening repeated if there are concerns

Sourcing for these items: Bloodwork · Screenings — each recommendation there carries its own citation and check date.