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End-of-Year Health Checklist: Are You Up to Date?

December 08, 2025

The calendar’s running low on pages, and you’re busy with shopping lists, holiday parties and family dinners. But before the year slips away, have you caught up on your health?

An annual check-in isn’t just about feeling good today — it’s about making sure you’re set up for a healthy start in the new year.

That’s why we asked Michael O’Neill, MD, a primary care provider with Hartford HealthCare Medical Group, to share a few key things to cross off your end-of-year health checklist.

1. Annual physical

Your annual visit is more than a routine box to check. It’s a full review of your health that helps spot changes early, even ones you may not feel yet.

“Your annual exam is one of the most important tools for catching problems early — before they become more serious,” says Dr. O’Neill. “It’s also a chance to talk about lifestyle changes, stress or any concerns that you might have – no matter how small they seem.”

Most adults should schedule a physical every year, especially if they have chronic conditions like diabetes, high blood pressure or asthma. Think of it as your yearly tune-up.

> Related: 3 Ways Your Primary Care Provider Keeps You Healthy 

2. Blood pressure and cholesterol checks

Your heart health deserves your attention, especially as you age, and these simple checks are the easiest places to start.

“High blood pressure and high cholesterol don’t typically cause obvious symptoms,” Dr. O’Neill says. “But they’re two of the biggest risk factors for heart disease.”

Blood pressure checks should be done at least once a year for most adults, and more often if your numbers run high.

Guidelines generally recommend:

• Blood pressure check: at least once a year for most adults, and more often if your numbers run high.
• Cholesterol screening: every 4 to 6 years starting at age 20, but annually if you’re over 40 or have heart disease, diabetes or a family history of early cardiac issues.

> Related: 3 Health Numbers Everyone Should Know

3. Vaccinations

Vaccines don’t end after childhood, and staying up to date helps protect you through the winter and beyond.

“Adults need regular vaccines too, especially during the winter months. Flu, COVID and pneumonia vaccines are all available. Talk to your doctor to see which ones are right for you,” says Dr. O’Neill. “Vaccines help protect you and the people around you from severe illness.”

Can’t remember the last time you had a booster? You’re probably due.

4. Cancer screenings

These are the tests that can truly save lives, especially when done on time.

“Screenings for colon, breast, cervical and prostate cancer are some of the most important tools we have in medicine,” Dr. O’Neill notes. “The guidelines depend on your age, gender and risk factors, but your doctor can help guide you through the process. These really can save your life.”

Here’s a simple breakdown for most adults:

• Colon cancer: start at age 45, earlier with family history.
• Breast cancer: mammograms every year or two starting at age 40-45, earlier for high-risk women.
• Cervical cancer: Pap test every 3 years from 21 to 29, then Pap plus HPV test every 3-5 years from 30 to 65.
• Prostate cancer: discuss PSA testing with your doctor starting around age 50, or earlier if you’re Black or have a family history.

If you’ve been putting it off, now is the time to get it scheduled.

> Related: 7 Health Screenings You Should Never Skip

5. Skin and eye exams

Your skin and eyes can reflect your overall health long before symptoms show up.

“Regular eye exams can catch vision changes and early glaucoma, while a skin check helps spot warning signs of skin cancer,” says Dr. O’Neill.

Most people benefit from:

• A yearly eye exam, especially after age 40 or if you wear glasses or contacts.
• A yearly skin exam, or more frequent checks if you’ve had abnormal moles, lots of sun exposure or a family history of melanoma.

Even if you feel fine, book the appointment. It’s always easier to address issues before they become noticeable.

6. Mental health check-in

Your emotional well-being deserves the same attention as your physical health.

“Mental health affects everything – your relationships, work and even physical health,” says Dr. O’Neill. “If you’ve been struggling with anxiety, depression or burnout, don’t wait until the new year to reach out for help.”

If you’ve noticed changes in mood, sleep, focus or your ability to handle stress, bring it up with your doctor. A short conversation can open the door to counseling, coping tools or treatment that helps you feel more like yourself.

> Related: Feeling Stuck? Here’s When to Consider Therapy

7. Medication and supplement review

A quick review now can prevent interactions, duplications or dosing issues down the road.

“Bring a list of everything you’re taking — prescriptions, over-the-counter meds, even vitamins and supplements,” Dr. O’Neill suggests. “Your doctor can make sure they’re all safe together, and that you’re not missing anything important.”

It’s a simple step that keeps your care streamlined, especially if you see multiple specialists.

Start the new year off healthier

Crossing off a few items from your end-of-year health checklist can set you up for a stronger, healthier start next year.

The end of the year is hectic — but your health should still top the list.

“A few quick check-ins now can help you start the new year healthier,” says Dr. O’Neill.

Think of it as one last box to check before you ring in the new year. You’ll be glad you did.