Get L&d History And Physical Form P

This guide provides users with a clear, step-by-step approach to filling out the L&D History and Physical Form P online. By following these instructions, individuals can ensure they complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to obtain the document and open it in your online editor.
2. Begin by entering the date and time at the top of the form. This information establishes when the examination took place.
3. Fill in the allergies section, listing any known allergies the patient may have.
4. Document the chief complaint and present illness, providing a brief description of the patient's condition.
5. Record important details regarding the pregnancy, including the pregnancy age (G, P, AB, LMP, EDC) and gestational age.
6. Complete the sections on past pregnancies, past medical history, and past surgical history by inputting relevant information.
7. Fill out the family history, review of body systems, and smoking history, as applicable.
8. Indicate laboratory test results, including rubella, serology, blood type and Rh, gluclose screen, antibody screen, and HIV status.
9. List current medications being taken by the patient, ensuring to note dosages when applicable.
10. Document the vital signs including fetal heart tones (FHT), blood pressure (BP), temperature (T), pulse (P), and respiratory rate (R).
11. Complete the review of systems, detailing findings in several relevant categories such as HEENT, cardiac, pulmonary, abdominal, and pelvic.
12. Input the provisional diagnosis and plan of care, detailing the intended treatment and follow-up plans.
13. Have the physician sign the document and enter the date and time of the signature.
14. After completing all necessary sections, review the document for accuracy, then save changes, download, print, or share the completed form.

Start completing your L&D History and Physical Form P online today.