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Screening History Log

This list is intended as a guide. Talk to your doctor about the specific things you need based on your health history. You can also click on the go button to find more information about SCAN recommended screenings and a prevention guide.


Screening History


Checks Date/Results Date/Results Date/Results

Blood Pressure
Weight
Height
Stool Blood Test or
Colonoscopy
Cholesterol, Total
LDL Cholesterol
HDL Cholesterol
Pap Test [Women]
Clinical Breast Exam [Women]
Mammogram [Women]
Prostate Exam [Men]
Vision
Hearing
Dental
Bone Density
TB Screen

Prevention History

Checks Date/Results Date/Results Date/Results

Smoke Detector Test and
Battery Replacement
Water Heater Check
Set to less than 120 degrees F
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Last updated on 11/9/2010