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Aetna Better Health of Virginia 9881 Maryland Drive Richmond, VA 23233AETNA BETTER HEALTH OF VIRGINIA Maternity Notification and Risk Screenplay complete this form during the first prenatal visit

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How to fill out prenatal risk assessment form

01

Obtain the prenatal risk assessment form from the healthcare provider or hospital.

02

Fill out your personal information, including name, date of birth, and contact information.

03

Provide information about your medical history, including any existing health conditions or previous pregnancies.

04

Answer questions about your lifestyle and habits, such as smoking, drinking alcohol, or drug use.

05

Discuss any concerns or complications you may have during the current pregnancy.

06

Make sure to sign and date the form before submitting it to the healthcare provider.

Who needs prenatal risk assessment form?

01

Pregnant women are required to fill out a prenatal risk assessment form to assess any potential risks or complications during pregnancy.

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What is prenatal risk assessment form?

The prenatal risk assessment form is a document used to assess and identify potential risks to the health of a pregnant woman and her unborn child.

Who is required to file prenatal risk assessment form?

Healthcare providers, such as doctors or midwives, are typically required to file the prenatal risk assessment form.

How to fill out prenatal risk assessment form?

The prenatal risk assessment form should be filled out by providing accurate and detailed information about the pregnant woman's medical history, current health status, and any potential risk factors.

What is the purpose of prenatal risk assessment form?

The purpose of the prenatal risk assessment form is to identify any potential risks to the health of the pregnant woman and her unborn child, allowing healthcare providers to provide appropriate care and interventions.

What information must be reported on prenatal risk assessment form?

Information such as the pregnant woman's medical history, current health status, any existing medical conditions, medications being taken, and any risk factors for complications during pregnancy must be reported on the prenatal risk assessment form.

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