Needham #BeSeen Campaign

Should you be seen?

Preventive care is a very important part of staying healthy and strong.

That's why we're encouraging everyone, men and women, to talk to their doctor about Adult Preventive Care Guidelines with the #BeSeen campaign. If you see us with a #BeSeen photo frame, come snap a pic with us and post it on our page Facebook page  or email it to!

When conditions are found early, they are oftentimes easier to manage and treat. The foundation of staying healthy is your annual exam with your primary care physician (PCP). If you need a PCP, visit

The below guidelines are based on the Massachusetts Health Quality Partners recommendations.

Adult Preventive Care Guidelines

Well Visit

19–21 years

22–26 years

27–49 years

50–59 years

60–64 years

65+ years

Includes personal history; blood pressure; body mass index (BMI); physical exam; preventive screening; and counseling

Annually for ages 19–21  






Every 1–3 years, depending on risk factors

Cancer Screenings

Colorectal Cancer

Not routine except for patients at high risk

Colonoscopy at age 50 and then every 10 years; or annual fecal occult blood test (FOBT) plus sigmoidoscopy every 5 years; or sigmoidoscopy every 5 years

Skin Cancer

Periodic total skin exams every 3 years at discretion of clinician

Annual total skin exam at discretion of clinician

Breast Cancer (Women)

Annual clinical breast exam


Mammography every two years age 50–74; Mammography before age 50 done under individual context after discussing risks, benefits and harms.

After age 75, discuss benefits and limitations

Cervical Cancer (Women)

Cytology (pap smear) every 3 years age 21–65, or Cytology with HPV every 5 years for age 30–65

Testicular and Prostate Cancer (Men)

Clinical testicular exam at each health maintenance visit Informed decision making regarding PSA Screening starting at age 45-50 depending on risk

Infectious Disease Screening

Body Mass Index (BMI)

Regular screening for all adults


Blood Pressure (Hypertension)

At every medical encounter perform blood pressure screening for hypertension—once every two years for blood pressure less than 120/80 mm Hg, and every year for systolic blood pressure of 120 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg


Sensory Screenings

Eye Exam

Up to age 39 years at discretion of clinician

Every 1–2 years

Hearing Assessment

Unnecessary if asymptomatic


Tetanus, Diphtheria (Td)

1 dose: Tdap; TD booster every 10 years


1 dose annually during flu season


PCV13 1 dose PPSV23 1-2 doses

Once after age 65, even if previously vaccinated


1–2 doses if unvaccinated and born after 1957

Meningococcal (Meningitis)

1 or more doses if not previously immunized, depending on risk factors and other indicators

Varicella (Chicken Pox)

2 doses 4–8 weeks apart without evidence of immunity

Shingles Zoster





1 dose

HPV (Human papillomavirus)

3 doses if not previously immunized for women and men

For men who are immunocompromised through age 26 if not vaccinated previously





Hepatitis A

2 doses if not previously immunized if requested or at risk

Hepatitis B

3 doses if not previously immunized

Haemophilus Influenza type B

1 or 3 doses if not previously immunized for patients with asplenia, sickle cell anemia or stem cell transplant and other risk factors