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SHS Women s Health History 1 Center for Student Health & Counseling Student Health Services Women s Health History Form. Patient Information: Name: Today s date: / / PSU ID#: Birth Date / / Age: Address:
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How to fill out shs womens health history

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To fill out the SHS Women's Health History, follow these steps:

01
Start by gathering all relevant medical information. This includes any past surgeries, medications, allergies, and chronic conditions that you may have.
02
Fill in your personal information accurately at the top of the form. This includes your name, date of birth, address, and contact information.
03
Provide detailed information about your reproductive health. This includes menstrual history, any pregnancies, childbirths, miscarriages, or abortions you may have had.
04
Specify any contraceptive methods you have used or are currently using. This includes birth control pills, condoms, intrauterine devices (IUDs), or any other methods you have utilized.
05
Mention any history of sexually transmitted infections (STIs) or HIV/AIDS. Include the details of the diagnosis, treatment, and current status if applicable.
06
Provide information about your family history of diseases such as breast cancer, ovarian cancer, uterine cancer, or any genetic conditions that may impact your reproductive health.
07
Document any history of gynecological conditions like polycystic ovary syndrome (PCOS), endometriosis, or pelvic inflammatory disease (PID).
08
Mention any surgeries or procedures related to women's health, such as hysterectomy, breast augmentation, or mastectomy.
09
Include details of any significant mental health issues or psychological conditions that impact your overall well-being.
10
Finally, sign and date the form to confirm the accuracy of the provided information.

Who needs SHS Women's Health History?

The SHS Women's Health History is typically required for women visiting healthcare professionals such as gynecologists, obstetricians, or primary care physicians. It helps medical practitioners gain a comprehensive understanding of a woman's medical background, reproductive health, and any potential risk factors for certain diseases or conditions. This information is crucial in providing accurate and effective healthcare services tailored to the individual's needs.
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SHS Women's Health History is a document that collects information about the medical history and reproductive health of women.
All women are encouraged to fill out the SHS Women's Health History form to provide important information about their health.
To fill out the SHS Women's Health History form, you can visit the official website of the SHS Health Department and download the form. Then, provide the required information accurately and submit the form through the designated channels.
The purpose of SHS Women's Health History is to collect and maintain important health information of women for research, analysis, and to ensure accurate medical care.
The SHS Women's Health History form requires information such as personal and contact details, medical conditions, previous surgeries, medication usage, menstrual history, pregnancy history, and family medical history.
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