Preventive Screening Schedule For All Patients

Dear Patient,

In accordance with Victory Physicians’ attempts at making sure that 100% of our primary care patients are up to date on preventive screening, we are publishing the criteria that we are using for this determination. We do so because we believe it is the patient’s responsibility to be sure they remain up to date on these screening tests and vaccines. This serves as primary notification of what things you need to have done and how often to have them done with regard to recommended preventive screening modalities. We try to remind patients at their appointment. We do not call patients out of the blue to remind them they are due for a certain modality. Were a patient not to come in for an appointment for a long time, they could easily fall behind on their preventive screening. Early diagnosis could be missed or a disease process failed to be prevented because they failed to keep up with recommended preventive screening. This web document serves to prevent any miscommunication between doctor and patient and makes it the patient’s final responsibility of staying current on preventive screening. We recommend that you print this document and use it to determine when it is time for you to come in for your various preventive screening tests and vaccinations. Please understand that there are different recommendations from the various committees and colleges and we have chosen the ones that we believe are most appropriate and likely to be reimbursed by your payor source. This is NOT however a guarantee that these tests and vaccines WILL be covered and paid for by your payor source(s). You the patient are responsible for any and all charges not covered by your payor source. Also understand that prevention of disease and good outcomes are not guaranteed. All of these screening modalities have limitations in detecting and preventing disease. You have the right to refuse any or all of these and must sign refusal(s) should that be your decision. You also have the right to request us to order any test or vaccine should you desire but understand you will have to pay for them if it falls outside accepted screening parameters. We are available to answer all your questions. Thank you in advance for helping us to help you.

Schedule for Preventive Screening Tests, Studies, Vaccinations:

  • Complete skin examination: yearly
  • Fasting labs: yearly
  • Chest X-ray: one time baseline for all smokers and COPD patients then as needed
  • EKG: one time baseline for all diabetics then as needed
  • Blood pressure: yearly minimum, more frequent as needed
  • Colonoscopy: every 10 years starting at age 50. Black Americans start age 45. If family history in one first degree relative or two second degree relatives, screening starts 10 years before the earliest age of first diagnosis. All screening stops at age 85. From 76-85 only with risk factors or symptoms. Prior colonoscopies where polyps were found have different intervals for the next study. Ask your doctor.
  • Stool Blood Smear: yearly starting age 40
  • PSA (Prostate-specific antigen): yearly starting age 50 for all expected to live another 10 years at least; black men start at age 40; any male with a family history of prostate cancer start age 40
  • Pap smears: start 3 years after their first sexual encounter then annually under age 30; after age 30 the interval is annually until 3 negative Paps in a row then every 2 years, or every 3 years if 3 are negative in a row with a negative HPV screen; stop Pap screening age 65 if 3 negative Paps are in a row within 10 years; if history of total hysterectomy performed for cervical or uterine cancer, Paps are needed and OB/GYN is consulted
  • Bone density scan: start age 65 all women; if postmenopausal before age 65 with at least one risk factor (heavy alcohol user, smoker, past family history of osteoporosis, less than 127 pounds in weight, chronic steroid therapy, family history of a hip fracture). For men scan only if risk factors are present (loss of 1.5 inches in height, long term steroid therapy, hyperparathyroidism, intestinal disorders, hypogonadism, history of a fracture with minimal trauma, osteopenia on any x-ray). Repeat Interval Bone Density Scan: women with no risk factors and normal scan every three to five years. Women with risk factors and normal scan every two years. Men with risk factors every two years. Any person with osteoporosis every two years.
  • Breast exam: yearly starting at age 40. With family history of breast cancer yearly starting at age 25
  • Mammogram: every two years starting the age of 40. Every year starting at age 50. With family history of breast cancer yearly starting at age 25. After the age of 70 only with minimum 10 year life expectancy
  • Prostate examination: annually starting age 40
  • Tetanus vaccine: every 10 years; age 22 is when the first one is due after the childhood series; if childhood series is in question you need 3 doses – the first dose today, then the second dose in one month and last dose in six to twelve months from date of the original dose
  • Influenza vaccine: annually for all with medical conditions, history of premature birth, pregnant, or age greater than 65
  • Pneumonia vaccine: If age 19-64 with medical problems get vaccine. If one of the medical problems is immune compromise get a second booster 5 years later. If no medical problems, start age 65.
  • Shingles vaccine: given one time after age 60 if the patient has had no history of shingles and is not immune compromised
  • HPV (human papillomavirus) vaccine: all boys and girls ages 9 to 26 years old
  • Hepatitis A and B vaccines: all high risk populations such as men who have sex with men or prostitutes or other high risk sex, intravenous drug users, history of incarceration
  • Sexually transmitted disease panel: yearly in high risk populations; more often as necessary

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