Health Maintenance

Screening Guidelines (this means you have not been diagnosed with these conditions):

• Blood Pressure - should be checked at least every 2 years with a goal of <120/80 mmHg.

• Lipid Screening - every 5 years or more frequently if risk factors are present. 

• Diabetes Screening - fasting blood glucose should be checked every 5 years or every 2 years if risk factors or present.  

• Cervical cancer screening - should begin at age 21 and continue every 3-5 years until age 65.

• Breast cancer screening with Mammography - should at a minimum begin at age 50 through age 74 biennially; women 40-49 may choose screening based on risk factors.  

• Colorectal cancer screening - should at minimum begin at age 50 and continue to 75 with at risk groups beginning much earlier. 

• Osteoporosis screening - recommended for women aged 65 and older. 

• Prostate cancer screening - individualized for men aged 55-69 years. 

• One time screening for abdominal aortic aneurysm is recommended for those 65-75 who have ever smoked. 

Immunization Schedule:

• Influenza - yearly for all adults.

  
  

• Tetanus, Diphtheria, Pertussis (TDAP) - one dose of Tdap, then a Td or Tdap booster every 10 years. 

  
  

• Measles, Mumps, Rubella (MMR) - one or two doses for adults born in 1957 or later without evidence of immunity. 

  
  

• Varicella (Chickenpox) - two doses for adults without evidence of immunity. 

  
  

• Zoster (Shingles) - two doses of recombinant zoster vaccine for adults aged 50 years and older. 

  
  

• Human Papillomavirus (HPV) - two or three doses depending on age at initial vaccination for adults up to age 26 years, and shared clinical decision making for adults aged 27-45 years. 

  
  

• Pneumococcal vaccines - PCV15 or PCV 20 for adults aged 19-64 years with certain underlying conditions and all adults aged 65 years and older. PPSV23 given at least one year after PCV15 if PCV15 was used.  

  
  

• Hepatitis A - two or three doses for adults at risk or who want protection. 

  
  

• Hepatitis B - two or three doses for all adults aged 19-59 years, and for adults aged 60 years and older based on risk. 

  
  

• Meningococcal Vaccines - MenACWY or MenB for adults with certain risk factors. 

  
  

• COVID-19 - initial vaccination with boosters as per current and ever changing guidelines. 

  
  

• Haemophilus Influenzae type b (Hib) - for adults with certain high risk conditions.  

At Rooted Health, we believe that true wellness begins with prevention.  By taking proactive steps today - through regular screenings, healthy lifestyle choices, and personalized care - we empower our patients to build a foundation for lifelong health.  Your well-being is our priority, and we’re here to support you every step of the way.