Coppell Associates in Family Medicine, P.A.

Serving the community since 1989!

Wellness Guidelines for Adults

These guidelines are for tests and procedures that should be performed for healthy adults without diseases or physical symptoms. If you have illnesses, symptoms or family diseases such as colon cancer, high cholesterol, breast cancer, etc., these tests may need to be performed more frequently.

If you are behind on these procedures, call 972-393-5559 to make an appointment today!

M	F	PROCEDURE	FREQUENCY	Age 20-34	Age 35-39	Age 40-44	Age 45-49	Age 50-64	Age 65+
X	X	COMPLETE Physical Exam & Health Counseling	Every 1-2 years	X	X
X	X	COMPLETE Physical Exam & Health Counseling	Every 1 year			X	X	X	X
X	X	Cancer Check-up¹	Every 1-2 years	X	X
X	X	Cancer Check-up¹	Every 1 year			X	X	X	X
X	X	Blood Pressure Check	Every 2 years	X	X	X	X	X	X
X	X	Blood Tests & Urinalysis	Every 1-2 years	X	X	X	X
X	X	Blood Tests & Urinalysis	Every 1 year					X	X
X	X	PSA² Prostate Cancer Blood test	Every 1-2 years					X	X
X	X	EKG	Baseline			X
X	X	EKG	Every 3-4 years				X	X	X
X	X	Stress Test (Treadmill test for heart)	Every 3-5 years depending on risk factor				X	X	X
X	X	Rectal Exam	Every 1 year				X	X	X
X	X	Hemoccult² (check stool for hidden blood)	Every 1 year					X	X
X	X	Colonoscopy (colon exam)	Every 5-10 years					X	X
	X	Pelvic Exam & Pap Smear (may be less frequent after 3 normal pap smears or after hysterectomy)	Every 1 year	X	X	X	X	X	X
	X	Breast Exam	Every 1 year	X	X	X	X	X	X
	X	Mammogram	Baseline		X
	X	Mammogram	Every 1 year			X	X	X	X
X	X	Tetanus Booster	Every 5-10 years	X	X	X	X	X	X
	X	Bone Density	Every 2-5 years					X	X
	X	Breast Self Exam	Monthly	X	X	X	X	X	X
X		Testicular Self Exam	Monthly	X	X
X	X	Skin Self Exam	Monthly	X	X	X	X	X	X
X	X	Flu (Influenza) Vaccine (if high risk³)	Every October	X	X	X	X	X	X
X	X	Pneumonia Vaccine (if high risk³)	2 shots 5 years apart	X	X	X	X	X	X
X	X	Hepatitis B Vaccine	3 shot series	Age 12-19

Based on individual risks, a patient may be advised to have an endometrial biopsy (womb lining biopsy) or screening for TB and sexually transmitted diseases.

¹To include exam for cancer of the thyroid, testicles, ovaries, lymph nodes, oral region and skin.

²Begin at age 40 if family history of prostate or colon cancer, African-American men need to begin testing PSA at age 40.

³High risk = 50 or older, anyone with chronic disease (asthma, heart disease, lung disease, anemia, diabetes, etc.), or household members of high risk patients.