OBGYN.net: The Universe of Women's Health

Going to see the gynecologist every year is more than just a pap smear, breast exam, and pelvic exam.  This is a great opportunity for your doctor to ensure your medical well-being.  Today's medical environment puts a premium on time.  If you have not already noticed there is pressure on today's practitioner to see more  patients in less time.  This shortchanges the patient from getting a complete examination. I have created a form for use in my office that helps gather information about a patient's medical history that is complete and well organized.  It asks for a great deal of information, but is designed in such a way that a health care provider can quickly skim the answers to identify areas in need of additional attention.  Patients are screened for various conditions including domestic violence, alcoholism, depression, genetic abnormalities, urinary incontinence, osteoporosis, and medical planning.  The form includes areas  for a complete family history, medical and surgical history, obstetric history, review of systems, medications, and allergies.  A comprehensive gynecologic questionnaire is included.  The patient is queried regarding the need for additional screening examinations and vaccinations.    I am interested in optimizing this form, so your suggestions are greatly appreciated.

I would hope that patients and providers alike could benefit from this form, so I am sharing it with everyone to use. Hope you like it.

Download the Ultimate Annual Exam Office Form: annual.pdf

The form is in Adobe Acrobat form

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