Preventive care checklist for a healthier you.

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Staying on top of preventive care is one of the most important ways to maintain your health.

We’ve created a simple checklist you can bring to your next appointment to track screenings, vaccines, and wellness visits you may be due for.

Use this tool to:

  • Take this form with you to your next visit with your primary care provider (PCP).
  • Ask IF and WHEN you might need each screening/exam.
  • Write down the date you received, or will receive, each needed item.

This printable form makes it easy to review your care needs with your primary care provider.

Download the Preventive Care Checklist