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Preventive Health Tracking Forms

To help your practice achieve its own preventive health goals, we are happy to provide updated versions of our Preventive Health Tracking Forms and Recommended Immunization Schedules based on the Center for Disease Control and Prevention (CDC) 2006 – 2007 Immunization Schedule. These tracking forms are a reminder to health care providers to provide the appropriate age and gender-specific preventive counseling, screening services, and immunizations.

Preventive Health Tracking Forms are available below:

• Preventive Health Tracking Forms — Ages Birth to 18 years
• Preventive Health Tracking Forms — Adult Women & Men

Download the Recommended Childhood and Adolescent Immunization Schedule.

Download the Recommended Adult Immunization Schedule.

Preventive medicine is most effective when health care professionals, administrative staff, and patients work as a team. Our goal is to assist your preventive care efforts by simplifying the administrative work for you and your staff.

If you have any questions about our preventive health services, please contact Provider Services at 215-567-3590 or 1-800-227-3119 (outside Philadelphia).

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