
Get the free PHUSC-12685 USC OBGYNPrenatal Medicine Referral.indd. 9/20/17
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Prenatal Referral and records to 8034347756
For questions call 8035455700DateReferring PractitionerContactPhoneFaxPatient Information
Name Date of biosocial Security NumberAddressCity/State/ZIP
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Start by opening the form named 'phusc-12685 usc obgynprenatal medicine'.
02
Read through each section of the form carefully.
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Fill in your personal information in the designated fields, including your name, date of birth, and contact details.
04
Answer the questions about your medical history and any previous pregnancies.
05
Provide information about your current pregnancy, including the estimated due date and any prenatal care you have received.
06
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Who needs phusc-12685 usc obgynprenatal medicine?
01
Pregnant women who are seeking or receiving prenatal care at the USC OB/GYN department may need to fill out the 'phusc-12685 usc obgynprenatal medicine' form. This form is specific to patients under the care of USC OB/GYN for prenatal medicine and helps gather necessary information about the patient's medical history, current pregnancy, and any medications being taken.
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What is phusc-12685 usc obgynprenatal medicine?
The phusc-12685 usc obgynprenatal medicine is a form used for reporting prenatal medical information.
Who is required to file phusc-12685 usc obgynprenatal medicine?
Medical professionals and healthcare providers attending to prenatal patients are required to file phusc-12685 usc obgynprenatal medicine.
How to fill out phusc-12685 usc obgynprenatal medicine?
Phusc-12685 usc obgynprenatal medicine can be filled out by providing accurate and detailed prenatal medical information in the designated sections of the form.
What is the purpose of phusc-12685 usc obgynprenatal medicine?
The purpose of phusc-12685 usc obgynprenatal medicine is to assess and monitor prenatal care and outcomes for patients.
What information must be reported on phusc-12685 usc obgynprenatal medicine?
Information such as prenatal visit dates, test results, medications prescribed, and maternal/fetal health status must be reported on phusc-12685 usc obgynprenatal medicine.
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