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Lynn E. Frame M. D. Daran L. Parham M. D. Melissa A. Dietz M. D. Obstetrics and Gynecology Gyn History Name Date of Birth Address City Your Phone Numbers c State h Zip w Insurance Emergency Contact Relationship Phone Numbers c First Day of Last Menstrual Cycle CURRENT PRESCRIPTIONS and OVER THE COUNTER MEDICATIONS Name of Medication Dosage total mg Number per day Prescribing Doctor Reason for Surgeries in the Past Year Hormonal Related Issues Family History Changes Any additional changes to...

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