Texas Health and Human Services / Texas Health Steps
Interactive Anticipatory Guidance Provider Guide
Late Adolescence icon

19-Year Checkup

  • Family Well-Being
    • Support youth when they need help
  • Keeping Adolescent Safe
    • Enroll in gun safety class if interested
    • Lock up guns for safety of others in household
    • Do not drive or ride in a car if use of alcohol or drugs is involved
    • Know how to stay safe in stalking, abusive relationship and bullying
    • Always use lap and shoulder safety belt. When driving ensure others are buckled up
    • Wear helmet when using bicycle, skateboard or other mobility equipment
  • Healthy Eating
    • Eat nutritious meals and snacks each day
    • Focus on healthy weight
    • Limit sweets, sodas and high-fat foods
    • Make healthy food decisions
  • Regular Care and Routines
    • Continue two times a day teeth-brushing routine plus daily flossing
    • Engage in physical activity for one hour a day
    • Perform breast or testicular self-exam
    • Recognize signs of depression, anxiety, or other behavioral health issues and discuss with parents, trusted adult or doctor if needed
    • Be aware of pregnancy, STD and STI prevention
  • Healthy Development
    • Transition to adulthood for health, social and work matters
    • Avoid use of alcohol, drugs, tobacco and steroids
    • Manage conflict resolution in constructive and nonviolent manner
    • Before becoming sexually active, obtain information on protection against STDs, STIs and pregnancy
    • Adhere to agreed-on curfew and after-school and work activities
    • Attend school and work on time
    • Continue chores as participant in family support
    • Make decisions about education and work training with help of family
    • Practice independent decision skills and problem solving, including making decision to engage in sexual activity
    • Sign consents for health and legal matters
    • Stay connected with family and discuss questions and fears with them as needed