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GYNECOLOGIC HISTORY QUESTIONNAIRE Name: DOB: Date: Chief reason for today's visit: First day of last menstrual period: Date of last pap smear: Results: Type of birth control currently using: (including

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What is gynecologic history questionnaire?

The gynecologic history questionnaire is a form used to gather information about a patient's gynecological health history.

Who is required to file gynecologic history questionnaire?

Patients visiting a gynecologist or healthcare provider are generally required to fill out a gynecologic history questionnaire.

How to fill out gynecologic history questionnaire?

Patients can fill out the gynecologic history questionnaire by providing accurate and detailed information about their past gynecological health experiences.

What is the purpose of gynecologic history questionnaire?

The purpose of the gynecologic history questionnaire is to help healthcare providers understand a patient's gynecological health history, which can aid in diagnosis and treatment.

What information must be reported on gynecologic history questionnaire?

Information such as menstrual history, pregnancies, STI history, contraceptive use, pelvic pain, and gynecological surgeries must be reported on the gynecologic history questionnaire.

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