Recommended Childhood Vaccination and Screening Schedule
(Click here for a PDF version)
Birth Hepatitis B
2 Months Pediarix, Hib, Prevnar, RotaTeq
4 Months Pediarix, Hib, Prevnar, RotaTeq
6 Months Pediarix, Prevnar, RotaTeq
12 Months MMRV, Prevnar, Hepatitis A
Labs-Hemoglobin, Lead
15 Months Hib
18 Months DTaP, Hepatitis A
24 Months Labs - Hemoglobin, Lead (optional)
4-6 Years DTaP, IPV, MMRV
Labs-Vision Test, UA
11-18 Years Tdap, Menactra or Menomune, Varicella dose #2
11-26 Years Gardasil - 3 doses over a 6 month period
Dose 1
Dose 2 - 2 months after first dose
Dose 3 - 6 months after first dose
DTaP: Diphtheria, Tetanus, Acellular Pertussis- less than age 7
Havrix: Hepatitis A
Hepatitis B: Hepatitis B
Hib: Haemophilus Influenza b
IPV: Polio (injectable)
Menactra: MCV4 - Meningitis conjugate vaccine ages 11-55; (lasts 10 years)
Menomune: MPSV4 - Meningitis polysaccharide vaccine ages 2 - 80 years; (lasts 3 years)
MMR: Measles, Mumps, Rubella
MMRV: Measles, Mumps, Rubella, Varicella
Pediarix: Diphtheria, Tetanus, Acellular Pertussis, Hepatitis B, Polio
Prevnar: Pneumococcal Conjugate vaccine (PCV)
RotaTeq: Rotavirus Vaccine (oral)
TD: Tetanus, Diphtheria (Pediatric) - less than age 7
Td: Tetanus, Diphtheria - 7 years of age or older
Tdap: Boostrix - ages 10-18 years (use only as one time dose)
Varicella: Chickenpox vaccine - if over age 13, 2 doses 1 month apart
NOVEMBER 2006: The above guidelines are the current recommendations of Monroe Clinic Pediatrics Department based on information supplied from: American Academy of Pediatrics, Immunization Action Coalition and the State of Wisconsin. There are variations in the number of suggested doses by brand names and the age of the child. This schedule has been developed in cooperation with the Green County Health Department.
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Health Maintenance Guidelines for Adult Women, 18 Years and Older
Procedure Frequency
Complete Physical Exam: Every 1-2 years
Height and Weight: Weight every visit, height every year
Blood Pressure: Every visit
Lipid Panel/Cholesterol: Every 5 years if 20 or older
Breast Exam: Self exam monthly and by health care clinician every year
Mammogram: Every 1-2 years starting at age 40
Pap Smear and Pelvic Exam: All sexually active females and women 18-65 years of age should have this performed every 1-3 years.
Bone Density: Within 1 year of menopause.
Stool for Blood AND Sigmoidoscopy AND Colonoscopy: Annually starting at age 50. Every 5 years starting at age 50. Every 10 years starting at age 50.
Immunizations
Vaccine Frequency
dT Booster (Diptheria/Tetanus): Every 10 years
Flu Vaccine: Yearly starting at age 65
Pneumococcal Vaccine: Every 10 years starting at age 65
*Note: All recommendations assume an adult female at average risk. If you have a family history or other increased risk, screenings should commence at an earlier age or occur more frequently. Even though these are recommended screenings, not all insurance companies may cover them. Please review your benefits policy for details.
Physical Activity
- Consult your doctor to help you find an exercise program to meet your needs and physical condition.
- Choose an activity you enjoy, which involves repetitive motion of your arms and legs, and builds muscle and cardiovascular endurance.
Nutrition
- Ensure adequate calcium intake to help reduce the risk of osteoporosis.
- Menopausal and postmenopausal women should talk with their regular clinician.
- Limit fat, cholesterol and added sugar in your diet.
Injury Prevention
- Wear a seatbelt when riding in a car.
- Have a plan of escape in case of a fire.
- Install smoke detectors and change batteries regularly.
- Ensure safe storage and/or removal of firearms.
- Wear a helmet when on a bicycle, motorcycle, dirt bike, ATV, or snowmobile.
- Substance and/or Physical Abuse
- Avoid drug and excessive alcohol use.
- Discuss with your health care provider how to stop the use of tobacco products.
- Report if you are being abused or injured in any way.
- If you, yourself, find you are being abusive, seek the help of a professional.
Sexual Behavior
- To help avoid sexually transmitted diseases, avoid high-risk sexual behavior and use condoms.
Advanced Medical Directives
- If you don’t have something like this in place or would like to know more about this, contact your health care provider.
These guidelines were developed by Monroe Clinic Medical Staff and reflect nationally recognized current practice and guidelines. References Include: The U.S. Preventative Task Force, National Cancer Institute, The Clinician’s Guide to Preventative Services, and others. Contact Monroe Clinic at (877) 865-1462.
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Health Maintenance Guidelines for Adult Men, 18 Years and Older
Procedure Frequency
Complete Physical Exam: Every 2-5 years starting at age 40.
Height and Weight: Weight every visit, height every year
Blood Pressure: Every visit
Lipid Panel/Cholesterol: Every 5 years starting at age 20
PSA: If indicated by your health care clinician.
Testicular Exam: Do self exam every month and have every 1-2 years with clinician.
Prostate Exam: Every 1-2 years starting at age 50.
Stool for Blood AND Sigmoidoscopy AND Colonoscopy: Annually starting at age 50. Every 5 years starting at age 50. Every 10 years starting at age 50.
Immunizations
Vaccine Frequency
dT Booster (Diptheria/Tetanus): Every 10 years
Flu Vaccine: Yearly starting at age 65
Pneumococcal Vaccine: Every 10 years starting at age 65
*Note: All recommendations assume an adult male at average risk. If you have a family history or other increased risk, screenings should commence at an earlier age or occur more frequently. Even though these are recommended screenings, not all insurance companies may cover them. Please review your benefits policy for details.
Physical Activity
- Consult your doctor to help you find an exercise program to meet your needs and physical condition.
- Choose an activity you enjoy, which involves repetitive motion of your arms and legs, and builds muscular and cardiovascular endurance.
Nutrition
- Ensure adequate calcium intake to help reduce the risk of osteoporosis.
- Limit fat, cholesterol and added sugars in your diet.
Injury Prevention
- Wear a seatbelt when riding in a car.
- Have a plan of escape in case of a fire.
- Install smoke detectors and change batteries regularly.
- Ensure safe storage and/or removal of firearms.
- Wear a helmet when on a bicycle, motorcycle, dirt bike, ATV, or snowmobile.
Substance and/or Physical Abuse
- Avoid drug and excessive alcohol use.
- Discuss with your health care provider how to stop the use of tobacco products.
- Report if you are being abused or injured in any way.
- If you, yourself, find you are being abusive, seek the help of a professional.
Sexual Behavior
- To help avoid sexually transmitted diseases, avoid high-risk sexual behavior and use condoms.
Advanced Medical Directives
- If you don’t have something like this in place or would like to know more about this, contact your health care provider.
These guidelines were developed by Monroe Clinic Medical Staff and reflect nationally recognized current practice and guidelines. References Include: The U.S. Preventative Task Force, National Cancer Institute, The Clinician’s Guide to Preventative Services, and others. Contact Monroe Clinic at (877) 865-1462.
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