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  • Ob Gyn History Form

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Gynecology & Obstetrics of DeKalb P.C. GYNECOLOGY/OBSTETRICAL HISTORY 2801 N. DECATUR RD., SUITE 190, DECATUR, GA 30033 TELEPHONE (404) 2999307 FACSIMILE 404) 2999309 1805 PARKE PLAZA CIRCLE,.

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How to fill out the Ob Gyn History Form online

Completing the Ob Gyn History Form online is an important step in ensuring your healthcare needs are met effectively. This guide aims to provide clear and supportive instructions for filling out the form to facilitate accurate medical assessments.

Follow the steps to fill out the Ob Gyn History Form online.

  1. Press the ‘Get Form’ button to access the Ob Gyn History Form and open it in your preferred online editor.
  2. Begin by entering the date and your birth date accurately in the designated fields at the top of the form.
  3. Fill in your patient number, if applicable, and provide details regarding any known allergies or drug reactions.
  4. In the habits/environmental factors section, indicate your consumption of coffee, tea, and other caffeinated beverages. Please specify the number of cups or servings consumed per day.
  5. Answer questions related to your exercise routine, use of hot tubs, and exposure to pets, ensuring to specify the type and amount as instructed.
  6. List any current medications, including prescription drugs and contraceptives you have used, along with the dates they were utilized.
  7. Document your pregnancy history by providing details about each pregnancy, including birth weight and gestational weeks.
  8. In the menstrual section, indicate the date of your last menstrual period and note if there are any abnormalities.
  9. Complete the medical and familial history sections by marking 'yes' or 'no' to various health conditions as applicable.
  10. After completing all fields, verify your entries for accuracy. You can save changes, download, print, or share the completed form as required.

Begin filling out your Ob Gyn History Form online today to ensure your health needs are met promptly.

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Antenatal period: pre-eclampsia, gestational diabetes, gestational hypertension, placenta praevia and shoulder dystocia. Postnatal period: post-partum haemorrhage, perineal/rectal tears during delivery and retained products of conception.

Obstetric History Gravidity. Number of times pregnant. Parity. Number of live births. Miscarriages. Terminations. Previous Pregnancies. Length, mode of delivery. Length of Pregnancy. Gestational age at delivery. Induction. Spontaneous / induced. Mode of Delivery. Vaginal, forceps, suction, elective / emergency caesarean.

Obstetric history No. of previous pregnancies. Date (month / year) Mode (vaginal / caesarian) Outcome (live birth, still birth, preterm, abortion, ectopic, vesicular mole)

For the gynecologic history, doctors ask about the problem prompting the visit, past and present menstrual periods, past pregnancies, sexual activities, and gynecologic symptoms, disorders, and treatments that the woman has had in the past.

Presenting complaint Last menstrual period (LMP) - date of first day of bleeding. Cycle length and frequency - eg, 5/28, five days of bleeding every 28 days. Heaviness of bleeding. ... Presence or absence of intermenstrual bleeding (IMB). Presence or absence of postcoital bleeding (PCB). Age of menarche/menopause.

History taking of an ante-natal woman includes Recording LMP. Asking for symptoms. Obstetric history. Any current / past systemic illnesses or allergies. Family history of systemic illness. History of Intake of drugs, alcohol, tobacco etc. History of domestic violence.

A gynaecological history is an assessment of the female reproductive system. It can be a delicate subject for some women, and it is important to treat any information divulged with sensitivity and respect.

® G3P1011-a woman who is currently pregnant, had one full term delivery and one abortion or. miscarriage and one living child. ® G2P1002- a woman who is currently pregnant. and had twins in her first pregnancy.

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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
airSlate WorkFlow
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