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Medical History First Name: MI: Last Name: Date: Health History Main Reason for Today's Visit: Are you pregnant or trying to get pregnant? YesNoPast Medical History Select any of the following medical
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Start by opening the 'Are You Pregnant?' form.
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Read each question carefully and understand what information is being asked.
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Provide accurate and honest answers to each question.
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If you are pregnant, select the appropriate option or enter the required details.
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If you are not pregnant, select the option indicating that you are not pregnant.
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Are you pregnant or refers to a form or questionnaire used to gather information about a person's pregnancy status.
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The purpose of are you pregnant or form is to collect data on pregnancy status for various purposes such as medical records or statistics.
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