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Prevention Center
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Personal Health Guide

Preventive Care for Women

Use this record to keep track of how often you need each type of preventive care and how often you receive care in the future. Write in the date and other information (such as results of tests and health care provider's or clinic's name) when you receive care.

Type of Preventive Care       Enter Dates, Results, and Other Information

Mammogram                     _________   _________   _________   _________   

Every _____ years             _________   _________   _________   _________   


Pap smear                     _________   _________   _________   _________   

Every _____ years             _________   _________   _________   _________   

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