Get Cervical History And Exam Documentation Worksheet

This guide provides clear and supportive instructions for completing the Cervical History And Exam Documentation Worksheet online. By following these steps, users can efficiently fill out the form to ensure accurate and comprehensive documentation of cervical health.

Follow the steps to complete the Cervical History And Exam Documentation Worksheet online.

1. Click ‘Get Form’ button to access the Cervical History And Exam Documentation Worksheet and open it in your designated editor.
2. Begin with the 'Patient Name' and 'DOB' fields. Enter the patient's full name and date of birth to ensure accurate identification.
3. Fill in the 'Exam Date' field with the date of the examination. This is crucial for record-keeping.
4. Proceed to the 'Gynecologic Health History' section. Document pertinent personal medical history that may affect the examination.
5. Select the purpose of the visit by checking the appropriate box under 'Previous Pap Test'. Choose from options such as routine screening or patient complaints.
6. Input the date of the most recent Pap test and indicate if it occurred within the last five years by selecting 'Yes,' 'No,' or 'Unknown'.
7. Report any history of abnormal Pap tests by selecting 'Yes' or 'No,' and specify the type if applicable.
8. Complete the 'Menstrual/Pregnancy History' section by providing the last menstrual period information and checking the corresponding boxes.
9. Document sexual history, including age of first intercourse and number of sexual partners. Report any pain with intercourse or post-coital bleeding.
10. Address any other risk factors by checking relevant boxes, such as smoking or personal history of cancer.
11. Indicate if a pelvic exam was performed today and document any abnormalities found during the examination.
12. In the 'Care Plan' section, outline the follow-up recommendations based on the Pap test results, along with any referrals necessary.
13. Finally, review the entire form for completeness and accuracy. Save your changes, download, print, or share the form as needed.

Start filling out the Cervical History And Exam Documentation Worksheet online today to ensure comprehensive health management.