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1739-44 (08/2013) The personal health information is collected under the authority of the Personal Health Information Protection Act, s.36 (1)(c)(iii) for the purpose of clinical laboratory testing.
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How to fill out prenatal requisition
How to fill out prenatal requisition:
01
Obtain the prenatal requisition form from your healthcare provider or prenatal clinic.
02
Carefully read through the instructions provided on the form to ensure you understand the information required.
03
Begin filling out the form by providing your personal details such as your name, date of birth, address, and contact information.
04
If applicable, provide your healthcare provider's information, including their name, clinic or hospital name, and contact details.
05
Indicate the date of your last menstrual period (LMP), which is important for calculating your estimated due date.
06
Provide details about any previous pregnancies you may have had, including the number of previous pregnancies, the outcomes (live birth, miscarriage, abortion), and any complications.
07
Answer questions about your medical history, including any pre-existing conditions, allergies, medications you are currently taking, and any family history of genetic diseases or conditions.
08
Fill in the details of your current pregnancy, including the estimated date of conception, the number of fetuses, any known medical conditions or complications, and the results of any prenatal screenings or tests conducted so far.
09
Lastly, sign and date the prenatal requisition form to confirm that the information provided is accurate and complete.
Who needs prenatal requisition?
01
Pregnant women planning to receive prenatal care from a healthcare provider or prenatal clinic require a prenatal requisition.
02
Prenatal requisition forms are necessary for healthcare professionals to gather essential information about the mother and the pregnancy, ensuring appropriate prenatal care can be provided.
03
Prenatal requisitions are also beneficial for tracking and monitoring the progress of the pregnancy, identifying any potential risks or complications, and ensuring the well-being of both the mother and the baby.
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What is prenatal requisition?
Prenatal requisition is a form that needs to be filled out by pregnant women to inform healthcare providers about their medical history, current health status, and any prenatal care they have received.
Who is required to file prenatal requisition?
Pregnant women are required to file prenatal requisition.
How to fill out prenatal requisition?
Prenatal requisition can be filled out by providing accurate information about medical history, current health status, and prenatal care received.
What is the purpose of prenatal requisition?
The purpose of prenatal requisition is to ensure that healthcare providers have accurate information about the pregnant woman's health status and history to provide appropriate prenatal care.
What information must be reported on prenatal requisition?
Information such as medical history, current health status, and prenatal care received must be reported on prenatal requisition.
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