The
Expat’s Annual Health-Check Checklist for Bali (2027)

Short answer: Your annual health check in Bali
should always include the same vital core — blood pressure, a metabolic
and lipid blood panel, weight and waist, and a clinical exam — then add
decade-specific screenings on top. In your 30s you build a baseline; in
your 40s you add cardiac and cancer-screening conversations; in your 50s
colorectal screening and bone health come in; and at 60+ you layer
condition-specific monitoring. Below is a practical, printable checklist
organised exactly that way, written for long-stay foreigners who want a
routine they can actually keep.

Living in Bali is wonderful for the soul and, if you’re not careful,
quietly taxing on the body — more social drinking, more eating out, heat
that hides dehydration, and the genuine risk of letting health admin
slide because everything feels like a holiday. A fixed annual checklist
is the antidote. As a preventive-medicine doctor who has built these
routines for hundreds of expats across Sanur and South Bali, here’s the
checklist I actually use.

The annual core —
everyone, every year

No matter your age, these belong in every yearly check. They’re
cheap, high-yield and catch the conditions that quietly do the most
damage:

• Blood pressure
  measured and recorded
• Weight, BMI and waist
  circumference
• Lipid panel
  (cholesterol — total, LDL, HDL, triglycerides)
• Fasting glucose and/or
  HbA1c
• Full blood count
  (CBC)
• Liver function
  (LFTs) and kidney function
  (eGFR/creatinine)
• Clinical exam
  including heart, lungs, abdomen and a skin check (vital
  in the tropics)
• Medication and supplement
  review
• Lifestyle review:
  sleep, alcohol, activity, stress, mood

Our preventive health
screening in Bali page explains the reasoning behind each core item.
Tick every box on this list and you’ve already done the most important
80% of prevention.

Your 30s: build the baseline

This decade is about capturing a healthy reference point so future
drift is visible. Add to the core:

• Baseline HbA1c
  (even if you feel perfectly well — know your number)
• Thyroid (TSH) if
  you have any fatigue, weight or mood symptoms
• Vitamin D —
  surprisingly often low even in sunny Bali (see our vitamin D testing
  guide)
• Cervical screening
  for women, on schedule (every 3–5 years per guideline)
• Sexual-health
  screening if relevant to your circumstances

A full annual battery isn’t strictly necessary every single year in
low-risk 30-somethings, but the yearly visit — and the baseline
bloods — are worth establishing now as a lifelong habit.

Your 40s:
cardiac and cancer conversations begin

Risk starts climbing, usually silently. On top of the core, add:

• ECG baseline
  (especially with any cardiac risk — see heart and metabolic
  screening)
• Cardiovascular risk
  score discussion with your doctor
• Mammography
  conversation for women (our breast screening guide
  covers when to start)
• Prostate (PSA)
  discussion for some men — a shared decision, not
  automatic
• hsCRP in selected
  metabolic-risk profiles

Your 50s:
colorectal screening and bone health

The menu expands meaningfully:

• Colorectal cancer
  screening — recommended start age is now 45 (FIT/stool test or
  colonoscopy depending on risk)
• Bone-density (DEXA)
  conversation, particularly post-menopausal women
• Mammography on its
  regular schedule
• Tighter glucose and lipid
  monitoring if any metabolic risk is present
• Eye and hearing
  checks as a baseline

60 and beyond:
condition-specific monitoring

A yearly comprehensive screen continues, now with more frequent
follow-up of anything being managed:

• All core tests
  annually
• Cancer screening
  continued per age-appropriate schedule
• Cardiac and metabolic
  monitoring at the interval your doctor sets
• Bone density, vision,
  hearing and cognitive check-ins
• Vaccination review
  (influenza, pneumococcal and others as advised)

Our health screening by age
guide goes deeper on each decade, including the differences between
men’s and women’s schedules.

What to do before
your annual visit

A little preparation makes your yearly check far more useful and
often cheaper, because nothing has to be repeated:

• Fast for 9–12 hours
  if a lipid or fasting-glucose panel is planned (water only; book a
  morning slot to make this painless).
• Write down your symptoms and
  questions in advance — the things you “always forget to
  mention.” Sleep quality, energy, mood, digestion, joint aches and any
  new lumps all belong here.
• List every medication and
  supplement, including doses. Supplements matter: high-dose
  biotin, for instance, can skew some lab results.
• Gather your previous
  results. A trend over years is far more informative than a
  single snapshot, and it stops you paying for tests you don’t need
  yet.
• Note your family
  history — heart disease, diabetes, and cancers in parents and
  siblings genuinely change which boxes we tick.
• Don’t do anything unusual
  the day before — no extreme exercise, no heavy drinking, no
  all-nighter — so your numbers reflect your real baseline, not a
  one-off.

This twenty-minute preparation routine consistently produces a
sharper, more personalised check. It’s the difference between a generic
screen and one that actually answers your questions.

A word on tropical-living
extras

Two items deserve special attention for expats specifically, because
Bali’s environment makes them easy to overlook. The first is the
skin check — relentless equatorial sun raises the
long-term risk of skin cancers, so an annual professional look at any
changing moles is worth more here than it was back home. The second is
hydration and kidney function: chronic mild dehydration
in the heat is common and shows up in kidney markers, so don’t skip the
kidney panel just because you feel well. Neither costs much, and both
catch issues that a “back home” checklist might underweight.

Make it stick: the
expat’s three habits

A checklist only helps if you use it. Three things keep my patients
consistent:

1. Pick a fixed month — your birthday month works well
   as an annual trigger.
2. Keep your records portable — request copies of
   every result so your history travels with you, something we stress in
   our pre-move
   health check guide.
3. Have one coordinating point of contact so you’re
   not re-explaining your history each year.

Medical disclaimer

This checklist is general health information for educational purposes
and reflects screening practice at the time of writing. It is
not medical advice and does not replace individualised
assessment by a licensed clinician. Which items apply to you, and at
what interval, depend on your personal and family history; guidelines
are revised periodically. Always consult a qualified doctor before
acting on any screening decision. Source: U.S. Preventive Services
Task Force (USPSTF) — uspreventiveservicestaskforce.org; World Health
Organization, healthy ageing and NCD prevention — who.int.

Turn this checklist into
a real screen

If you’d like us to translate this checklist into a screen booked,
prepped and interpreted for you, talk to our JHG
Medical Concierge team or message us on WhatsApp at wa.me/6281139414563. Start at the
Bali Health Checkup homepage to see how it all fits
together.

Related reading: How
often should expats get a health check in Bali? · What a full-body
check-up in Bali actually includes

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Medically reviewed by Dr. Saraswati Wijaya, MD,
Preventive & Lifestyle Medicine Physician and Medical Advisor to
Bali Health Checkup (operated by JHG Medical Concierge). Last reviewed
February 2027.

Sources: U.S. Preventive Services Task Force, A
& B Recommendations (the evidence-graded preventive screens that
anchor this checklist); World Health Organization, Noncommunicable
diseases.