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PERSONAL INFORMATION HMC NUMBER Legal First Name: Marital Status (First) (MI) (Last) (Maiden) Address: City: State: Zip: Home Phone:() Cell Phone:() Birth Date: Social Security #: / / Driver's License
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How to fill out over - advanced obstetrics:
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Start by gathering all necessary documents and information related to the patient and their pregnancy history.
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Begin by filling out the patient's personal information, including their name, date of birth, contact details, and emergency contact information.
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Provide details about the patient's medical history, including any previous pregnancies, complications, or medical conditions.
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Indicate the current gestational age of the patient and any relevant information about the current pregnancy, such as the estimated due date or any high-risk factors.
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Document any prenatal care that has already been provided, including dates of appointments, tests, and procedures.
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Include a comprehensive list of medications taken by the patient, both prescription and over-the-counter, including vitamins and supplements.
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Note any allergies or adverse reactions the patient may have experienced in the past.
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Fill out the obstetric examination section, detailing the findings from physical examinations and diagnostic tests conducted during the pregnancy.
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Overall, over - advanced obstetrics is designed for pregnant individuals who require specialized care and monitoring due to complex medical conditions, previous pregnancy complications, advanced maternal age, or other risk factors.
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