Dear Parent:
It is as important for your child or teenager to get preventive care as it is to get treatment when he or she is sick. We want to make sure your child or teenager gets the tests, immunizations, and guidance needed to stay healthy. Our records indicate that, based on age, your child or teenager needs the types of preventive care indicated below.
Please:
____Call us to make an appointment (Phone # ____________).
____Keep your appointment on ______________.
Thank you.
____Hepatitis B (HBV)
____Diphtheria-Tetanus-Pertussis (DTaP)
____Haemophilus influenzae type b (Hib)
____Polio (IPV)
____Measles-Mumps-Rubella (MMR)
____Varicella (VAR)
____Pneumococcal Disease (Prevnar™)
____Tetanus-Diphtheria (Td)
____ __________________
____Hearing
____Vision
____Tuberculosis (TB)
____Lead
____Chlamydia
____Anemia
____ _________
____ __________
____ __________
Dear Patient:
It is as important to get preventive care as it is to get treatment when you are sick. We want to make sure you get the tests, immunizations, and guidance you need to stay healthy. Our records indicate that you are due for the types of preventive care indicated below.
Please:
____Call us to make an appointment (Phone # ____________).
____Keep your appointment on ______________.
Thank you.
____Tetanus-Diphtheria (Td) booster
____Pneumococcal vaccine
____Influenza vaccine
____ _________________
____ _________________
____ _________________
____Blood pressure
____Cholesterol
____Pap smear
____Mammogram
____Colorectal cancer screening
____Chlamydia
____Diabetes screening
(if you have high blood pressure or high cholesterol)
____Osteoporosis
____ _____________
Current as of April 2003
Internet Citation:
Patient Reminder Postcards. Text Version. Put Prevention into Practice, April 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/ppip/postcard.htm
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