Preventive Care • Complete Checklist

The Ultimate Preventive Care Checklist

Stay healthy with regular screenings and check-ups. This comprehensive guide tells you exactly which tests you need at every age to catch diseases early and live your healthiest life.

USRad Healthcare Team

Preventive Medicine Experts

Updated August 2025 15 min read

✅ Why Preventive Care Matters

Regular preventive screenings can detect diseases years before symptoms appear, when they're most treatable and often curable. Early detection saves lives—and saves money.

Patient getting preventive health screening

Regular preventive screenings catch diseases early when they're most treatable

Preventive care is your best defense against serious illness. This comprehensive checklist outlines exactly which screenings, tests, and vaccinations you need at every stage of life—based on recommendations from the CDC, American Cancer Society, and major medical organizations.

💡 How to Use This Checklist

  1. 1. Find your age group below
  2. 2. Review recommended screenings and tests
  3. 3. Schedule appointments for any overdue screenings
  4. 4. Save this page as a reference for future check-ups
  5. 5. Discuss your personal risk factors with your doctor

1 Ages 18-39: Young Adults

Even if you feel healthy, establishing baseline health metrics now helps track changes over time and catch problems early.

📋 Annual Check-Up (Every Year)

Blood Pressure

Check annually; more often if elevated (>120/80)

BMI & Weight

Track healthy weight and discuss nutrition concerns

Skin Check

Self-exam monthly; doctor exam if high sun exposure

🩺 Periodic Screenings

Cholesterol Screening

Every 4-6 years starting at age 20; more often if at risk

⚠️ Test earlier if family history of heart disease

Diabetes Screening

Every 3 years if overweight/obese or at risk

Risk factors: family history, PCOS, sedentary lifestyle

Dental Exam

Every 6 months for cleaning and check-up

Eye Exam

Every 2 years, or annually if you wear glasses/contacts

More frequent if diabetes or family history of glaucoma

👩‍⚕️ Women's Health Screenings

Pap Smear

Every 3 years (ages 21-29) or Pap + HPV test every 5 years (30-39)

Clinical Breast Exam

Every 1-3 years starting at age 25; discuss with doctor

STI Screening

Annually if sexually active; discuss with doctor

💉 Recommended Vaccinations

Flu Shot

Annually, every fall

COVID-19

As recommended by CDC

Tdap Booster

Every 10 years

HPV Vaccine

Up to age 26 (3 doses)

2 Ages 40-49: Early Midlife

Your 40s are a critical decade for preventive care. Many chronic diseases begin developing now, but early detection dramatically improves outcomes.

⚠️ NEW Screenings Starting at Age 40

  • Mammogram: Annual breast cancer screening for women
  • Diabetes screening: Every 3 years for everyone
  • Cardiovascular risk assessment: Especially if risk factors present

✅ Continue All Screenings from Ages 18-39, Plus:

Blood pressure, cholesterol, BMI, dental, eye exams, Pap smear (women), vaccinations

🎗️ Mammogram (Women)

Starting at age 40: Annual mammograms for breast cancer screening

High Risk? Start earlier if family history of breast cancer. Consider genetic testing (BRCA1/BRCA2).

💰 USRad Pricing: Screening mammograms from $99

🩸 Diabetes Screening

Every 3 years: Hemoglobin A1C or fasting glucose test

Risk Factors: Overweight, sedentary lifestyle, family history, PCOS, gestational diabetes history

📊 Heart Health Assessments

Cholesterol Panel

Every 4-6 years; annually if high cholesterol or on medication

Blood Pressure

Annually; more often if elevated or on medication

Cardiovascular Risk Assessment

Discuss 10-year risk score with doctor if you have risk factors

3 Ages 50-64: Midlife

The 50s mark the beginning of age-related cancer screenings. These tests can save your life by catching cancers at their most treatable stages.

⚠️ CRITICAL New Screenings at Age 50

  • Colonoscopy: Colorectal cancer screening starting at age 45-50
  • Lung cancer screening: If you're a current or former smoker
  • Shingles vaccine: Starting at age 50

✅ Continue All Previous Screenings, Plus:

Blood pressure, cholesterol, diabetes, mammogram (women), dental, eye exams, vaccinations

🩺

Colonoscopy

Critical for colorectal cancer prevention

When to Start

Age 45 for average risk; earlier if family history or symptoms

Frequency

Every 10 years if normal; more often if polyps found

Alternative Tests

Cologuard (stool DNA test) every 3 years, or FIT test annually

📊 Impact: Colonoscopy reduces colorectal cancer deaths by 68%

👨‍⚕️ Men's Health: Prostate Screening

PSA Test (Prostate-Specific Antigen)

Discuss with doctor starting at age 50 (or age 40-45 if high risk)

High risk: African American men or family history of prostate cancer

Important: PSA screening has both benefits and risks. Discuss shared decision-making with your doctor.

🫁 Lung Cancer Screening

Low-Dose CT Scan

Annual screening for ages 50-80 if you meet criteria

Who Should Screen:

  • • 20+ year smoking history
  • • Current smoker or quit within past 15 years

💰 USRad Pricing: Lung cancer screening CT from $199

🔬 Additional Age 50+ Screenings

Bone Density (Women)

Consider at age 50 if risk factors; routine at 65

Hepatitis C Test

One-time screening for baby boomers (born 1945-1965)

Skin Cancer Screening

Annual full-body exam by dermatologist

Hearing Test

Baseline at age 50, then as needed

💉 Vaccinations Ages 50-64

Shingles Vaccine (Shingrix)

2 doses starting at age 50

Flu Shot

Annually

COVID-19

As recommended

Tdap Booster

Every 10 years

4 Ages 65+: Older Adults

Regular screenings remain important throughout your senior years. Focus shifts to maintaining quality of life and managing chronic conditions.

⚠️ NEW Screenings & Tests at Age 65

  • Bone density scan: Routine screening for osteoporosis
  • Abdominal aortic aneurysm screening: One-time for men who smoked
  • Fall risk assessment: Annually
  • Pneumonia vaccine: Two different vaccines

✅ Continue Age-Appropriate Screenings

Blood pressure, cholesterol, diabetes, colonoscopy, mammogram (women through age 75), vaccinations

Note: Some screenings may be stopped after age 75 depending on life expectancy and overall health. Discuss with your doctor.

🦴 Bone Density Scan (DEXA)

For Women

Routine screening at age 65; repeat every 2 years

For Men

Screening at age 70, or earlier if risk factors

Why Important: Detects osteoporosis to prevent fractures. Fractures in older adults can be life-threatening.

💰 USRad Pricing: DEXA bone density scans from $149

🫀 Abdominal Aortic Aneurysm (AAA) Screening

Ultrasound Screening

One-time screening for men ages 65-75 who have ever smoked

Also consider for women 65-75 who have smoked or have family history

Why Critical: AAA rupture is often fatal. Early detection allows for monitoring or preventive surgery.

👁️👂 Vision & Hearing

Eye Exam

Annually, including:

  • • Glaucoma screening
  • • Cataract check
  • • Macular degeneration screening
  • • Diabetic retinopathy (if diabetic)

Hearing Test

Annually or when changes noticed

Hearing loss affects 1 in 3 adults over 65

🏥 Functional Health Assessments

Fall Risk Assessment

Annually - includes balance, gait, and strength tests

Cognitive Screening

As needed if memory concerns

Medication Review

Annually - review all medications with doctor

💉 Vaccinations Ages 65+

Pneumonia Vaccines

PCV20 (one dose) OR PCV15 + PPSV23

High-Dose Flu Shot

Annually - stronger dose for seniors

Shingles (Shingrix)

If not done at age 50

COVID-19

As recommended for seniors

Tdap Booster

Every 10 years

RSV Vaccine

New recommendation - discuss with doctor

💰 Save on Preventive Screenings with USRad

Many preventive screenings like mammograms, CT scans, and DEXA scans are 70-80% cheaper at USRad compared to hospitals—with no insurance required.

Screening Mammogram

$99

vs $300-600 at hospitals

Lung Cancer CT Screening

$199

vs $800-1,200 at hospitals

DEXA Bone Density Scan

$149

vs $400-700 at hospitals

📋 Your Personal Screening Schedule

Print or save this checklist to track your preventive care

Annual Screenings

  • Blood pressure check
  • Flu vaccine
  • Dental cleaning
  • Eye exam (if needed)
  • Skin check

Age-Specific Screenings

  • Colonoscopy (age 45+)
  • Mammogram (women 40+)
  • Pap smear (women 21-65)
  • Bone density (women 65+)
  • PSA test (men 50+, discuss)

About the USRad Healthcare Team

This checklist was developed by our team of preventive medicine specialists, primary care physicians, and radiologists. We're committed to helping you stay healthy through evidence-based preventive care.

CDC Guidelines
USPSTF Recommendations
Evidence-Based

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