Late Adolescence Visit Name:____________________
Date Of Visit:____________________
Weight:____________________
Height:____________________
Things your doctor will do at today’s visit: - Ask for an update on your health
- Do a physical exam
- Check your blood pressure and possibly your hearing and/or vision
- Show you how to do a testicular self-exam or breast self-exam
- If you are sexually active, you may be checked for sexually transmitted diseases (STDs). Females may need to have a pelvic exam
- Ask about your family’s history of heart disease and test cholesterol levels if indicated
- Ask about possible exposure to tuberculosis (TB) and test you if indicated
- Discuss your risk of anemia (iron-poor blood) and test for it if indicated
- Make sure your immunizations are up to date, including tetanus (Td); hepatitis B; chicken pox; and measles, mumps, rubella (MMR). Your doctor may also recommend a meningococcal vaccine.
- Give you an opportunity to ask questions
Things you should discuss at this visit: - Dating and having sex
- How you feel about your body (size, shape and weight)
- Your diet (nutrition) and exercise habits
- Concerns about violence, tobacco, alcohol or drugs
- Your plans for the future, such as school, work or travel
- Issues about living on your own and being more independent
- Any other concerns you may have
Things for you to keep in mind: - Always use a seat belt and follow speed limits.
- Be sure to exercise at least three times a week and learn good techniques for athletic conditioning and weight training.
- Do not use tobacco, alcohol or drugs.
- Do not use guns or other weapons.
- Learn how to recognize and deal with stress, anger or sadness.
- Eat three meals and healthy snacks each day, including plenty of fruits and vegetables, breads, cereals, and other whole-grain products, low-fat (calcium-rich) dairy products, and lean (iron-rich) meats.
- Educate yourself about sex, birth control and STDs.
- If you are having sex, talk with your doctor about necessary exams and ways to protect yourself
- Learn how to use the adult health-care system and take responsibility for your healthy lifestyle.
- Make plans for your future, such as college, job-training or the military, paying attention to your interests and skills.
Schedule an appointment for your next visit, usually in one year. Date:_________________________
Time:_________________________ Based on health supervision guidelines from the American Academy of Pediatrics and from Bright Futures, which is funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau. Last updated March 11, 2008 |
