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Obstetric History Questionnaire Patient Name: Date of Birth: Date: Are you currently pregnant: below**) Yes Height: #( ) No (If No, please skip to Pregnancy Information table Prepregnancy weight:.

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How to fill out the Ob History Form online

Filling out the Ob History Form online can be a straightforward process when you know how to navigate its components. This guide provides detailed instructions tailored to users, helping you complete the form accurately and efficiently.

Follow the steps to complete the Ob History Form with ease.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal details such as your name and date of birth in the specified fields. Ensure accuracy as this information identifies your medical records.
  3. Next, indicate if you are currently pregnant by selecting either 'Yes' or 'No.' If you select 'No,' proceed to the pregnancy information table.
  4. Fill in your height and pre-pregnancy weight. This information helps track your health and any potential concerns during pregnancy.
  5. Provide the first day of your last menstrual period. If you do not know the date, you can select 'Unknown date.'
  6. Enter your due date, which is vital for monitoring your pregnancy timeline.
  7. Indicate if this pregnancy resulted from fertility treatments. If 'Yes,' specify the type and other relevant details requested.
  8. List any problems you may be experiencing with your current pregnancy in the designated space to ensure your healthcare provider is informed.
  9. Document any blood work related to determining the baby's gender or for genetic testing by selecting 'Yes' or 'No.'
  10. In the pregnancy table, start filling in details for each of your previous pregnancies, including years, weeks, delivery type, and any complications. Begin with your first pregnancy and follow the format provided.
  11. Continue through the form filling all necessary sections, including any medications, allergies, medical history, and genetic/family history as requested.
  12. After completing all sections, review your entries for any errors or omissions. Once satisfied, you can save changes, download, print, or share the completed form as needed.

Start filling out your Ob History Form online today for a smoother experience!

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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.

The acronym GTPAL stands for gravida, term, preterm, abortion, and living. These words are used to describe a female patients' obstetrical history. This history helps physicians with pregnancy and how to create quality treatment plans for specific patients.

Follow this simple guide to edit Sss ob history form 2022 in PDF format online at no cost: Register and log in. Register for a free account, set a secure password, and proceed with email verification to start managing your templates. Add a document. ... Make changes to the sample. ... Get your documentation done.

GPA is the abbreviation for gravida, para, abortus. Sometimes, GPA terminology is combined with TPAL terminology. The patient is gravida 3, 3-0-0-3. Accompanied by Arabic numbers, G, P, and A (or Ab) describe the patient's obstetric history.

Register for a free account, set a secure password, and proceed with email verification to start managing your templates. Add a document. Click on New Document and choose the file importing option: add Sss ob history form 2022 from your device, the cloud, or a protected URL. Make changes to the sample.

An obstetric history involves asking questions relevant to a patient's current and previous pregnancies. Some of the questions are highly personal, therefore good communication skills and a respectful manner are absolutely essential.

The OB Record provides clinicians with a means for documenting and viewing comprehensive clinical data on obstetric patients within the LMR. The OB Record uses current LMR functionality such as medications and allergies combined with OB specific data collection screens and decision support.

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.

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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
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