| Universal Screening | Action |
| Depression: Adolescent (beginning at 12 year visit) | Depression Screening* |
| Dyslipidemia (Once between 9 and 11 year visits and once between 17 and 21 years visits) | Lipid Profile |
| Hearing
once between 11 and 14 year visits once between 15 and 17 year visits once betwee 18 and 21 year visits |
Audiometry, including 6,000 and 8,000 Hz high frequencies |
| HIV (once between 15 and 18 year visits) | HIV test |
| Tobacco, Alcohol, or Drug Use | Tobacco, alcohol, or drug use screen |
| Vision (12 year and 15 year visits) | Objective measure with age-appropriate visual-acuity measurement using
HOTV or LEA symbols, Sloan letters, or Snellen letters |
| Cervical Dysplasia (all young women at the 21 year visit) | Pap smear |
*If depression screen is positive, further evaluation should be considered during the visit. Suicide risk and the presence of firearms in the home must be considered.
| Selective Screening | Risk Assessment | Action if Risk Assessment Positive (+) |
| Anemia | + on risk screening questions | Hematocrit or hemoglobin |
| Dyslipidemia | + on risk screening questions and not previously screened with normal results | Lipid profile |
| HIV | + on risk screening questions | HIV test |
| Oral Health | Primary water source is deficient in fluoride. | Oral fluoride supplementation |
STIs
|
Sexually active girls
Sexually active boys + on risk screening questions
Sexually active girls Sexually active boys + on risk screening questions
Sexually active and + on risk screening questions |
Chlamydia test
Gonorrhea test
Syphilis test |
| Tuberculosis | + on risk screening questions | Tuberculin skin test |
| Vision (11, 13, 14, 16, and 17 year visits) | + on risk screening questions | Objective measure with age-appropriate visual-acuity measurement using HOTV or LEA symbols, Sloan letters, or Snellen letters |
Tables Retrieved from: https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_AdolescenceVisits.pdf
