Get the free Sexual Health History Form - Princeton University - princeton

SEXUAL HEALTH HISTORY PRINCETON UNIVERSITY HEALTH SERVICES Social Security # Today s date Name Age Birth date Address Phone number yes E-mail: OK to e-mail results Married STATUS: (circle) Single

How to fill out sexual health history form

How to fill out sexual health history form:

1. Start by carefully reading the instructions provided on the form. It is important to understand what information is being asked and how it should be filled out.
2. Begin by providing your personal details such as your name, date of birth, and contact information. This will help identify your record accurately.
3. Fill in the sections related to your sexual history. This may include questions about your sexual partners, their genders, and any known sexually transmitted infections (STIs) or diseases.
4. Answer questions regarding your contraceptive methods used in the past or at present. This may include information about birth control pills, condoms, or any other methods.
5. Provide a detailed medical history related to any past or current reproductive health issues, surgeries, or treatments. This can contribute to a comprehensive assessment of your sexual health.
6. Remember to include any symptoms you may be experiencing or concerns you may have in the symptoms or comments section. This will help your healthcare provider better understand your situation.
7. Understand that your sexual health history is private and confidential. Be honest and truthful when filling out the form, as it will assist healthcare professionals in providing appropriate care and guidance.

Who needs sexual health history form:

1. Individuals seeking sexual or reproductive healthcare services, including routine check-ups, family planning, or treatment for STIs.
2. Individuals participating in research studies or clinical trials related to sexual health.
3. Patients seeking fertility treatments or consultations.
4. Individuals visiting a new healthcare provider who requires comprehensive medical information for an accurate assessment.
5. Individuals seeking counseling or advice regarding sexual health concerns or issues.

Note: While these are common situations where a sexual health history form may be required, the need for such a form may vary depending on healthcare providers or institutions.

For pdfFiller’s FAQs

What is sexual health history form?

The sexual health history form is a document that collects information about an individual's sexual health, including their past and current sexual activity, medical conditions related to sexual health, and any treatment or medications received.

Who is required to file sexual health history form?

The sexual health history form is typically required to be filled out by individuals who are seeking medical services related to sexual health, such as reproductive health clinics, STD clinics, or healthcare providers specializing in sexual health.

How to fill out sexual health history form?

To fill out the sexual health history form, individuals are usually required to provide accurate and detailed information about their sexual history, including the number of sexual partners, previous or current sexually transmitted infections, contraceptive methods used, and any sexual concerns or issues.

What is the purpose of sexual health history form?

The purpose of the sexual health history form is to gather comprehensive information about an individual's sexual health, which helps healthcare providers in assessing and addressing their reproductive and sexual health needs. This information aids in making accurate diagnoses, developing appropriate treatment plans, and providing counseling or education on sexual health-related matters.

What information must be reported on sexual health history form?

The information that must be reported on the sexual health history form may vary depending on the specific form and healthcare provider. However, common information includes personal demographics, sexual activity details, previous or current sexually transmitted infections, contraceptive methods, medical conditions or treatment related to sexual health, and any sexual concerns or issues.

How can I send sexual health history form to be eSigned by others?

When your sexual health history form is finished, send it to recipients securely and gather eSignatures with pdfFiller. You may email, text, fax, mail, or notarize a PDF straight from your account. Create an account today to test it.

How do I edit sexual health history form in Chrome?

Get and add pdfFiller Google Chrome Extension to your browser to edit, fill out and eSign your sexual health history form, which you can open in the editor directly from a Google search page in just one click. Execute your fillable documents from any internet-connected device without leaving Chrome.

How can I fill out sexual health history form on an iOS device?

Make sure you get and install the pdfFiller iOS app. Next, open the app and log in or set up an account to use all of the solution's editing tools. If you want to open your sexual health history form, you can upload it from your device or cloud storage, or you can type the document's URL into the box on the right. After you fill in all of the required fields in the document and eSign it, if that is required, you can save or share it with other people.