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There are so many check-ups we all should be doing but are often putting off. This list includes many of the routine suggested medical tests. Enter your doctor’s name and phone number to help facilitate making your next appointment. Keep track of your last exam and the date of your next scheduled visit.



Family Member Name: __________________________

Check-up Physician Phone number Date of last exam Date of next exam
Dental



Physical



Cholesterol




Blood pressure



Heart rate



Other blood tests



Skin test








Monthly breast exam



Pap smear



Mammogram








Bone density test



Colorectal cancer test



Colonoscopy



Carotid artery test








Hearing test



Vision test








Prostate/PSA test




Some great sites for more information include www.webmd.com, www.familydoctor.com, and www.medlineplus.gov.

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