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Susan Marian, MD Eric Pulses, MD Thomas Earle, MD Kelly Ago, MD Barbara Member, CNM Amy Loughlin, CNM Elizabeth Meadows, CNM Christa Sierpinski, CNM Lorraine Earle, CNM 300 Health Park Blvd., Ste.
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Start by gathering all the necessary information, including your personal details, medical history, and any current symptoms or concerns you may have.
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Begin by providing your full name, date of birth, and contact information, including address, phone number, and email.
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Move on to the medical history section, where you will be asked about any previous surgeries, allergies, medications, and any known medical conditions.
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If applicable, provide details about your menstrual cycle, including the start date of your last period and the regularity of your cycles.
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Answer any questions related to your sexual history honestly and accurately, including the number of partners, contraceptive use, and any previous sexually transmitted infections.
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Inquire about any current symptoms or concerns you may have, such as pelvic pain, abnormal bleeding, or any other issues you wish to discuss during your appointment.
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Finally, review the completed form for any errors or missing information before submitting it to your healthcare provider.

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Women of reproductive age who want to monitor their reproductive health and address any concerns related to their genitals, breasts, or reproductive system.
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Patients with a known medical condition that may affect their reproductive health, such as polycystic ovary syndrome or endometriosis.
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Individuals with a family history of reproductive health issues or genetic conditions that may require gynecological evaluation or counseling.
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Women in need of routine screenings, such as cervical cancer screenings (Pap smears), mammograms, or breast examinations.
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Pregnant women who require prenatal care and monitoring throughout their pregnancy.
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Those experiencing menopause or perimenopause and desire guidance on managing associated symptoms or concerns.
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Women seeking reproductive health education and guidance on topics such as contraception, sexual health, and menstrual health.

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