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Get ND SFN 51862 2009-2024

Last Menstrual Period Was it normal? Yes Most Recent Method(s) of Birth Control Used No Symptoms: Nausea Fatigue Breast Tenderness Pelvic Pain Vomiting Urinary Frequency Complexion Changes Other Bloating Appetite Changes Vaginal Bleeding Number of Pregnancies Number of Miscarriages/Abortions Number of Deliveries Plans if Pregnant Do you use the following? Tobacco Yes No Do you desire a pregnancy now? No Yes Unsure Alcohol Yes No Plans if Not Pregnant Street Drugs Yes N.

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