What is the J1 check-up?

The J1 examination is a comprehensive medical check-up for adolescents, carried out by a paediatrician or a family doctor. It focuses on:

• physical development

• sexual development and puberty

• mental and social well-being

• health habits and nutrition

• prevention of addiction and risky behaviour

When does the J1 take place?

• Between the ages of 12 and 14.

• The J1 check-up is fully covered by all statutory health insurance funds (GKV) in Germany.

There is no automatic invitation. The appointment must be actively arranged by the parents or by the adolescent themselves.

What exactly is examined?

1. Physical aspects

Typically includes:

• height and weight

• blood pressure

• examination of bones, muscles and posture

• assessment of sexual maturation/puberty stage (if necessary and appropriate)

2. Psychological aspects

Discussion topics may include:

• emotional well-being (mood, anxiety, stress)

• social relationships (family, friends, classmates)

• school problems, bullying, exam stress

3. Health counselling

Possible topics:

• diet and eating habits

• sleep and daily routine

• sports and physical activity

• prevention of smoking, alcohol, drugs and other addictive behaviours

• use of digital media, online risks, gaming and social media (if relevant)

4. Vaccinations

• Review of the vaccination record (Impfpass)

• Advice about recommended vaccines for adolescents

• Administration of missing vaccines when needed

5. One-on-one talk with the adolescent

If they wish, the adolescent can have a private conversation alone with the doctor, without their parents present.
This is a safe space to talk about sensitive topics such as:

• puberty and body changes

• sexuality and relationships

• mental health, worries and fears

• substance use, peer pressure, risky behaviour

Everything discussed is protected by medical confidentiality (Schweigepflicht).
Only if there is a serious risk to the adolescent’s life or to others may the doctor be obliged to involve the parents.

For teenagers: Why is the J1 important?

• To understand your body and your development during puberty.

• To ask questions about very personal or embarrassing issues in a confidential environment.

• To receive medical advice tailored to your age, including prevention of illness, accidents and mental health problems.

The J1 is your chance to speak openly with a doctor who is there just for you.

For parents: What is your role?

• Encourage your child to attend the J1 check-up.

• Accept and support the idea that your son or daughter may have private time with the doctor, without you in the room.

• Remember to bring:

  • the yellow check-up booklet (Gelbes Heft), if still available

  • the vaccination card (Impfpass)

  • the child’s health insurance card

Summary

The editorial team of this website aims to provide accurate information based on thorough research and a range of sources. However, errors or incomplete data may still occur. The information in this article should be regarded as an initial general guide only. For binding and personalised medical advice, always consult doctors, counselling centres and competent authorities.