Routine health maintenance visits during the adolescent years can affirm therapeutic clinician-patient relationships, provide helpful screening evaluation, implement preventive strategies, and guide adolescents toward successful entry into adult life. Growth monitoring and regular use of standardized screening forms for depression (the PHQ-9), anxiety (the GAD-7), and social relationships (HEADS assessment) can be helpful in identifying issues for which intervention could be beneficial. Relevant vaccinations should be given, according to regional and travel-related guidelines. Further evaluation and care should be provided for adolescents with unusual changes in height and weight and for those with concerns for inadequate nutritional intake. Focused discussions can help ensure the patient is making good progress toward establishment of a personal identity, growth toward appropriate independence, and acceptance of individualized importance. The clinician can help manage health concerns, especially those related to pubertal changes, and guide healthy adolescent psychosocial development. There is nothing routine about routine care of adolescents. In some settings, children aged ten to 20 years only connect with the medical system in the event of serious illness or injury. Check-ups and health maintenance visits are not always routine. But, with everything going on in the body and life of an adolescent, there can be a valuable role for routine check-ups.