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OMEN S CLINIC USE ONLY VGH Women s Clinic Gordon and Leslie Diamond Health Care Centre 6th Floor - 2775 Laurel Street, Vancouver PATIENT DETAILS Name: Address: Date of Birth: Telephone Home: Work: Referring MD Name: Billing #: Referring MD Telephone: Fax: PHN #: Cytology Lab ID Number: Patient referred for: assessment only assessment and management Was Colposcopy recommended by BCCA?: Yes No If yes, FAX CYTOLOGY REPORT WITH THIS FORM PATIENT HISTORY REASON FO.

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How to fill out the Colposcopy Reporting Format online

Filling out the Colposcopy Reporting Format online is a crucial step in ensuring that patients receive the appropriate assessment and management for their gynecological care. This guide provides detailed and user-friendly instructions tailored to help you navigate each section effectively.

Follow the steps to accurately complete the Colposcopy Reporting Format online.

  1. Click ‘Get Form’ button to obtain the Colposcopy Reporting Format and open it in your preferred online editor.
  2. Begin by entering patient details, including their name, address, date of birth, and telephone numbers (home and work) in the designated fields.
  3. Fill in the referring medical doctor's name, billing number, telephone number, and fax number.
  4. Enter the patient's health number (PHN) and the cytology lab ID number in the appropriate sections.
  5. Indicate the purpose of the referral by selecting either 'assessment only' or 'assessment and management.' If applicable, specify if Colposcopy was recommended by BCCA and ensure to fax the cytology report with the completed form.
  6. Document the patient's history, including the reason for referral if Colposcopy is not recommended, and if relevant, attach any pathology reports.
  7. Answer the questions regarding the patient's pregnancy status, allergies, disabilities, and fluency in English. If the patient requires assistance or speaks a different language, provide the necessary details.
  8. List any other physicians requiring copies of the results by entering their names and billing numbers.
  9. Review all sections to ensure the form is completed in full, as failing to do so may delay the appointment.
  10. Once all information is accurately entered, save the changes, and then download, print, or share the completed form as needed.

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CPT® Code 57420 in section: Colposcopy of the entire vagina, with cervix if present.

A colposcopy is a test to take a closer look at your cervix. The cervix is the opening to your womb from your vagina. A colposcopy is often done if cervical screening finds changes to your cells that are caused by certain types of human papillomavirus (HPV). These changed cells can turn into cervical cancer cells.

A colposcopy is an examination to check whether there are abnormal cells on your cervix, and if so, how serious they are. This is a follow-up to your cervical screening test. Colposcopy usually takes place in an outpatient hospital clinic.

A colposcopy is a procedure to find out whether there are abnormal cells on or in a woman's cervix or vagina. The cervix is the part of the womb that sits in the vagina. Abnormalities tend to occur at the opening of the cervix to the birth canal, where it enters the womb.

The colposcopic findings should be documented using the nomenclature of the International Federation of Cervical Pathology and Colposcopy (2011 IFCPC nomenclature):... Total score 0–4: normal/CIN1. Total score 5–6: CIN2/CIN3. Total score 7–10: CIN3/cancer.

A colposcopy is used to find cancerous cells or abnormal cells that can become cancerous in the cervix, vagina, or vulva. These abnormal cells are sometimes called “precancerous tissue.” A colposcopy also looks for other health conditions, such as genital warts or noncancerous growths called polyps.

Colposcopy is a diagnostic procedure in which a colposcope (a dissecting microscope with various magnification lenses) is used to provide an illuminated, magnified view of the cervix, vagina, vulva, or anus (picture 1) [1].

Colposcopy is a diagnostic procedure in which a colposcope (a dissecting microscope with various magnification lenses) is used to provide an illuminated, magnified view of the cervix, vagina, vulva, or anus (picture 1) [1].

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232