Get Ob Gyn History Form

Filling out the Ob Gyn History Form online is an important step in providing your healthcare provider with the necessary information for your gynecological care. This guide offers step-by-step instructions to help you efficiently complete the form with accuracy and confidence.

Follow the steps to complete your Ob Gyn History Form online.

1. Click the ‘Get Form’ button to access the form and open it in your online document editor.
2. Begin by entering the date of your visit in the format MM/DD/YYYY.
3. Provide your age at menarche, the date you started menstruating.
4. Fill in your age at menopause, if applicable. If this does not apply to you, check the N/A option.
5. Indicate whether you have ever been pregnant. If this is your sixth visit, respond with ‘Yes’ or ‘No’ and proceed accordingly.
6. If applicable, enter the number of pregnancies and number of deliveries. Include the dates for each delivery.
7. Report any stillbirths, abortions, or miscarriages in the relevant fields.
8. If you experienced any pregnancy-related complications, check the appropriate boxes provided in the section and specify details if necessary.
9. Complete the hormone exposure section by indicating past use of contraception, including oral contraceptives, injections, patches, or the .
10. If you have had fertility treatment, document the specifics including the number of treatments, dates, and medication used.
11. For perimenopausal hormone therapy, provide relevant treatment details if applicable.
12. Address the gynecologic surgery section by checking ‘Yes’ or ‘No’ regarding any past surgeries and provide details as needed.
13. Ensure to fill out the information about the staff member completing the form and the date of completion.
14. Finally, review all entered information for accuracy before saving changes or sharing the document.

Complete your Ob Gyn History Form online today for a smoother healthcare experience.