Get Wa Swedish Urology Group Patient History Form - Female

Completing the WA Swedish Urology Group Patient History Form - Female is a crucial step in ensuring effective medical care. This guide offers clear, step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to fill out the form online.

1. Press the ‘Get Form’ button to obtain the form and access it in your editing tool.
2. Start by entering your name and today's date in the designated fields. Ensure that your date of birth and age are filled out correctly.
3. Indicate if you were referred to the office by another physician by selecting 'Yes' or 'No'. If 'Yes', include the referring physician's name and phone number.
4. Next, describe your current problem in detail. Clearly explain your symptoms, including when you first noticed them and their location in your body.
5. Discuss the severity and frequency of the symptoms. Indicate whether they are continuous, variable, or occasional, and detail any factors that might worsen or alleviate them.
6. Proceed to the past medical history section. List all relevant illnesses, treatments, and any medications you are currently taking, including their dosages and frequency.
7. Document any known allergies to medications along with your reactions to them.
8. In the family medical history section, record any major illnesses in your family, including age specifics for relatives.
9. Fill out the social history section by providing information about your occupation, marital status, living situation, and any information regarding smoking, alcohol, or recreational drug use.
10. Complete the female urologic symptoms/history section by checking the appropriate boxes for any relevant conditions experienced in the last six months.
11. Finally, review your entries. Once satisfied, save your changes, and select options to download, print, or share the form as necessary.

Complete your patient history form online today for a smooth appointment experience.