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Alberta Prenatal Record Last Name of Mother (Page 1) First Name Middle Initial Maiden Name Date of Birth YYYY/MM/DD Address/Reserve Name Affix patient label here Age Phone Number Postal Code Marital.

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How to fill out the Hs0001 125 online

The Hs0001 125 form, also known as the Alberta Prenatal Record, is an essential document for managing prenatal health. This guide provides clear and detailed instructions to help users complete the form efficiently and accurately.

Follow the steps to fill out the Hs0001 125 online:

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the last name, first name, and middle initial of the mother in the designated fields.
  3. Provide the mother’s maiden name and date of birth, formatted as YYYY/MM/DD.
  4. Fill in the mother’s address, including postal code, and phone number.
  5. Affix the patient label in the specified area.
  6. Record the mother’s age, marital status, highest education level, and occupation.
  7. Enter the name of the father of the child or the mother’s partner, along with their date of birth and ethnicity.
  8. Provide the emergency contact phone number and the name of the referring physician/midwife/nurse.
  9. Input details regarding the prenatal care provider, site of birth, gestational age, and delivery type.
  10. Identify any required interpreters and indicate the physician for the baby.
  11. List any relevant medical history for both mother and father, including previous conditions and any medications.
  12. Discuss lifestyle factors, substance use during pregnancy, physical examination results, and any prenatal testing results.
  13. Conclude by completing the risk assessment and adding any additional comments or plans for the pregnancy.
  14. Once all fields are filled, users can save changes, download, print, or share the form.

Complete your documents online today for a smoother process.

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