The tests worth having, at the age worth having them
Preventive screenings
Cancer screening, cardiovascular risk assessment, diabetes and cholesterol testing, bone density, depression and anxiety screening, and a written schedule of what you are due for and when.

What this covers
Screening only helps when it is matched to the person. Riverbend builds a written screening schedule for every adult patient based on age, sex, family history and personal risk, and the portal reminds you when something is due. That covers colorectal cancer screening, mammography referral, cervical cancer screening, lung cancer screening for people with a significant smoking history, prostate cancer discussion, skin checks, bone density, hepatitis C and HIV testing, and cardiovascular risk scoring.
We also screen for the things that are easy to miss in a short appointment: depression and anxiety, alcohol use, fall risk in older adults and cognitive change. These are asked routinely so that nobody has to raise them unprompted.
Where a screening test is genuinely a judgement call, such as prostate specific antigen testing, we say so and give you the numbers rather than deciding for you.
What is included
Everything below is part of this service at all Riverbend clinics that offer it.
A written screening schedule
What you are due for this year and next, with the reasoning, saved to your portal.
Cancer screening
Colorectal, breast, cervical and lung screening arranged with Spokane imaging and endoscopy partners.
Cardiovascular risk
Blood pressure, lipids, a ten-year risk score and a plan to lower it.
Metabolic testing
A1c, fasting glucose, kidney and liver function, thyroid where indicated.
Bone and fall risk
DEXA referral, vitamin D, balance and fall risk assessment for older adults.
Mood and lifestyle
Routine screening for depression, anxiety and alcohol use, asked at every annual visit.
How a visit runs
Risk review
We go through family history, past results and personal risk factors, once, properly.
Build the schedule
You leave with a list of what is due now, what is due later and what you can skip.
Testing
Blood work happens in our lab. Imaging and endoscopy are booked with a Spokane partner and tracked by us.
Results explained
Every result gets a note in plain language, including the normal ones.
Why patients choose this here
- A schedule written down rather than remembered
- Portal reminders when something comes due
- Blood work drawn on-site at the same visit
- Referrals tracked so nothing quietly falls through
- Honest guidance where the evidence is genuinely mixed
Sample costs
- Annual preventive visitCovered at no cost by most plans
- Lipid panel$32 self-pay (sample)
- A1c$28 self-pay (sample)
- Colorectal screening kitCovered by most plans
Sample self-pay figures for illustration. Most preventive screening is covered in full by insurance plans under federal preventive care rules, though follow-up tests may not be.
Providers for this service
Any of these providers can see you for preventive screenings.
Preventive screenings questions
It depends on your age, sex, family history and habits. The point of the annual visit is to turn that into a short, specific list rather than a generic one.
Most preventive screening is covered in full by insurance plans. If a screening test finds something and a follow-up test is needed, that follow-up is usually billed normally. We will tell you when that line is about to be crossed.
Not in the clinic. We arrange stool-based screening here and refer to a Spokane gastroenterology practice for colonoscopy, then track the result.
Results are posted to the portal with a note from your provider. Anything abnormal gets a phone call, not just a message.
Related care
Book preventive screenings
Request a time online and the front desk confirms by text the same business day, or call and talk it through with a person.
Most major Washington plans accepted. Sample self-pay rates published for every visit type.


