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Health Screenings and Interventions

More Wellness. More Well Informed.

At Southcoast Health, we’re focused on keeping you well. We want to help you and your family stay healthy and avoid major illness or injury. Please use this list of recommended health screenings, immunizations and interventions as a guideline and discuss these preventive screenings and vaccines with your primary care provider.

Download the guideline as a PDF

 Birth to 2 YearsAges 3 – 10Ages 11 – 21Ages 22 and older
Alcohol misuse  Those at riskAll adults
Autism18, 24 months   
Blood Pressure At each visitOnce a yearEvery 2 years or as doctor advises
Cholesterol/Lipid DisordersScreening of children and adolescents at risk due to known family history; or with personal risk factors Ages 20 and older if risk factorsAll men ages 35 and older, or ages 20-35 if risk factors. All women ages 45 and older, or ages 20-45 if risk factors
Colon Cancer Screening  Ages 50 and older


  • Fecal occult blood test annually
  • Flexible sigmoidoscopy every 5 years
  • Double-contrast barium enema (DCBE) every 5 years
  • Colonoscopy every 10 years
  • Virtual colonoscopy every 5 years
Congenital Hypothyroidism ScreeningNewborns   
Depression Screening  Ages 12-18All adults
Developmental Screening7, 18 months30 months  
Developmental SurveillanceNewborn 1, 2, 4, 6, 12, 15, 24 monthsAt each visitAt each visit 
Diabetes Screening   Ages 45 and older, or at any age if asymptomatic with sustained BP greater than 135/80, every 3 years
Oral Health Evaluation12, 18, 24 months   
Hearing Screening (not complete hearing examination)30 months, 3, 6 yearsAll newborns by 1 month  
Healthy Diet / Nutrition Counseling   Adults with hyperlipidemia, those at risk for cardiovascular disease or diet-related chronic disease
Hemoglobin or Hematocrit12 months Once a year for females after menarche 
HIV Screening  Adolescents at riskAdults at risk
Iron Supplementation6-12 months for children at risk   
Lead Screening12, 24 months   
Metabolic/Hemoglobinopathies (according to state law)Newborns   
Obesity Screening Ages 6 and olderAges 6 and olderAll adults
PKU ScreeningNewborns   
Prophylactic Ocular (Eye) Medication to Prevent BlindnessNewborns   
Prostate Cancer Screening   Once a year for men ages 50 and older or any age with risk factors
Sexually Transmitted Infections (STI) Screening  All sexually active adolescentsAll adults at risk
Sickle Cell Disease ScreeningNewborns   
Syphilis Screening  Individuals at riskAdults at risk
Tobacco use / cessation interventions   All adults
Tuberculin testChildren at riskChildren at riskAdolescents at risk 
Ultrasound Aortic Abdominal Aneurysm Screening   Men ages 65-75 who have ever smoked
Vision Screening (not complete eye examination) 3, 4, 5, 6, 8 & 10 or as doctor advises12, 15 & 18 or as doctor advises 

Wellness Exams and Immunizations

 Birth to 2 YearsAges 3 – 10Ages 11 – 21Ages 22 and older
Well-baby / Well-child/ Well-person examsBirth, 1, 2, 4, 6, 9, 12, 15,18, 24 & 30 monthsOnce a yearOnce a yearOnce a year
Diphtheria, Tetanus Toxoids and Acellular Pertussis (DTaP)2, 4 & 6 months, 15-18 monthsAges 4-6Tetanus, diphtheria, acellular pertussis (Tdap) given once, ages 11-64Tetanus and diphtheria toxoids booster (Td) every 10 years
Haemophilus Influenzae type b conjugate (Hib)2, 4 & 6 months, 12-15 months   
Hepatitis A (HepA)12-23 months  Persons at risk
Hepatitis B (HepB)At birth, 1-4 months, 6-18 monthsAges 3-10 if not previously immunizedAges 11-18 if not previously immunizedPersons at risk
Human Papillomavirus (HPV) Ages 9-10, as doctor advisesAges 11-12, catch-up, ages 13-26Catch-up, through age 26
Influenza VaccineAnnually 6 months and olderAnnuallyAnnuallyAnnually
Measles, Mumps and Rubella (MMR)Ages 12-15 monthsAges 4-6 or 11 & 12If not already immuneRubella for women of childbearing age if not immune
Meningococcal (MCV)  All persons ages 11-18 
Pneumonia2, 4 & 6 months, 12-15 months  Ages 65 & older, once (or younger than 65 for those with risk factors)
Poliovirus (IPV)2 & 4 months, 6-18 monthsAges 4-6  
RotavirusAges 6-24 weeks   
Varicella (Chickenpox)Ages 12-18 monthsAges 4-6Second dose catch-up or first dose if neededSecond dose catch-up or first dose if needed
Zoster   Ages 60+

Women’s Health

Screenings and InterventionsWho is most affected
Discussion/Referral for Counseling Related to BRCA1/BRCA2 testWomen at risk
Discussion About Potential Benefits/Risk of Breast Cancer Preventive MedicationsWomen at risk
Breast Cancer Screening (Mammogram)Women ages 40 and older, annually
Cervical Cancer Screening (Pap test);Within 3 years of sexual activity; or ages 21-64, at least every 3 years
Chlamydia ScreeningSexually active women ages 24 and under and older women at risk
Folic Acid SupplementationWomen planning or capable of pregnancy
Gonorrhea ScreeningSexually active women at risk
Hepatitis B Screening, Rh Incompatibility Test, Syphilis ScreeningPregnant women
Osteoporosis ScreeningAge 65 or older (or 60 for women at risk)
Tobacco Use/Cessation InterventionsPregnant women

These preventive health services are based on recommendations from the U.S. Preventive Services Task Force (A and B recommendations), the Advisory Committee on Immunization Practices (ACIP) for immunizations, and the American Academy of Pediatrics’ Periodicity Schedule of the Bright Futures Recommendations for Pediatric Preventive Health Care. For additional information on immunizations, visit the immunization schedule section of This document is a general guide. Always discuss your particular preventive care needs with your doctor.