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 Routinely screens for and prevents problems based upon preventive guidelines.

​We are open for both In Person and Telehealth (portal, telephone, video) visits.

U.S. Preventive Task Force Guidelines

depending upon your age and risk factors



Unhealthy Drug

..opioid, cannabis, stimulant, sedative hypnotic



Depression (Lifeline 800.273.8255, text 998)


Healthy Diet + Physical Activity


Hypertension (annually: age 40+, African, hypertension, overweight/obese; otherwise age 18-39 every 3-5 yrs)


Lipid (age 35+ male, risk factors)

Abdominal Aortic Aneurysm (age 65-75 if ever smoker)

Statin for cardiovascular disease 10 year risk 10+%)


Sexually Transmitted Infection Prevention (safe sex: limit partner, verify status, use condom)

HIV (exposure, age 15-65 x 1+, pregnant, Man Sex with Man HIV+ partner, IV drug use, or transactional/commercial sex, inconsistent condom use when not in a mutually monogamous relationship, every 3-6 mo)

..Pre-Exposure Prophylaxis (PrEP): Man Sex with Man, HIV+ partner, inconsistent condom use, syphilis/gonorrhea/chlamydia within 6 mo)

    PrEP reduces relative risk by 54% (73% if compliance is >=70%) so still limit partners, verify status, and use condom

Hepatitis B (exposure, born Asia/Africa, IV Drug Abuse, Men having Sex with Men, pregnant)

Syphilis (exposure, Man Sex with Man, prostitute, HIV+ living partner)

Hepatitis C (age 18-79 x 1+, exposure, born 1945-65, transfuse/transplant, IV Drug Abuse, liver disease)

Chlamydia + Gonorrhea (exposure, female sexually active age <=24 or age 25+ with new/multiple partner(s), symptoms)

Latent Tuberculosis (former resident in country at risk, homeless, prison)

Immunizations (may obtain at pharmacy)

.. Pediatric


  COVID x 2+ when to get a booster

  flu: annual (LIVE VERSION NOT RECOMMENDED FOR PREGNANT or IMMUNOCOMPROMISED), inactive version recommended for immunocompromised)

  TDaP: every 10 years


  VAR x 2 if no history of vaccination or disease (NOT RECOMMENDED FOR PREGNANT OR IMMUNOCOMPROMISED)

  HepB x 3 (if

  PCV15 or PCV20 (if age >=age65 and no history of any pneumococcal vaccination, new CDC recommendation)

..Additional Immunizations for Specific Populations

  Pregnant: 1 TDaP each pregnancy week 27-36  (CONTRAINDICATED: LIVE FLU, MMR, VAR, HPV SO DO NOT GET)

  Immunocompromised: shingles RZV, pneumococcal (CONTRAINDICATED: LIVE FLU, MMR, VAR SO DO NOT GET)

  Chronic Liver Disease: hepA

  Healthcare Personnel: shingles RZV

  Men who have Sex with Men : shingles RZV age 50+, HPV <=age26, monkeypox if exposure


Breast Cancer

..mammogram (biennial age 50-74) +/- annual age 40+ (preferred)

  if silicone implants, in addition to mammogram with additional views also post-operatively MRI or ultrasound at 5-6 years then every 2-3 years (implant rupture risk during mammography s 1%)

..BRCA gene (also for Ovarian Cancer)

  known family BRCA mutation

  Ashkenazi Jewish woman: breast or ovarian cancer in 1st degree relative or two 2nd degree relatives

  1st degree relative(s) with breast cancer: two relatives or one relative with bilateral

  1st or 2nd degree relatives: three with breast cancer or comorbid breast and ovarian cancers or two with ovarian cancer

  male family member with breast cancer

..endocrine Rx new including for

   age 65+ with 1 first-degree relative with breast cancer

   age 45+ with more than 1 first-degree relative with breast cancer or 1 first-degree relative who developed breast cancer before age 50

   age 40+ with a first-degree relative with bilateral breast cancer

   presence of atypical ductal or lobular hyperplasia or lobular carcinoma in situ on a prior biopsy

Cervical Cancer (every 3 yrs age 21-65; every 5 yrs age 30-65 if Pap and HPV normal)

  please reschedule if menstruating and ideally abstain from sex 48 hours prior to pap

Colon Cancer (newly lowered age 45-75, especially black/native, family history, male, obese, diabetes, smoker, alcohol)


   high-sensitivity guaiac fecal occult blood test (HSgFOBT) or FIT fecal immunochemical test annually

   stool DNA-FIT (ColoGuard) every 1 to 3 years

   virtual colonoscopy (computed tomography colonography) every 5 years

   flexible sigmoidoscopy every 5 years

   flexible sigmoidoscopy every 10 years + annual FIT

   colonoscopy screening every 10 years (preferred)

     risk of perforation is 1%

Lung Cancer (updated: age 50-80 + 20 pack yrs + smoker <=15 yrs)

Prostate Cancer (age 55-69) option for annual blood/exam age 50+ (age 35+ if African or family history)


Intimate Partner Violence (childbearing age female)


Diabetes (age 35-70 overweight/obese, Family History, ethnicity: African, Native, Asian, Hispanic, Pacific Islanders)

Osteoporosis (age 65+ female)


Skin Cancer if fair skinned (shade 10AM-4PM, cover, SPF 30+)

  inform doctor if any suspicious lesions including using ABCDE pneumonic:

  Asymmetry, Border irregular, Color black or varying, Diameter >5mm, Evolving/Enlargement/Elevation


folic acid 400-800ug daily

Guideline Clearinghouse

Prevention and Wellness

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