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LFMCUTI assessment form for pharmacy FEMALES AGED 1664 Please complete this if you are a female aged 1664 and think you may have a urine infection (UTI). Named.o.BGPAddressContact number Symptoms
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How to fill out uti assessment form for
How to fill out uti assessment form for
01
Obtain the UTI assessment form from the healthcare provider or facility.
02
Fill in personal information such as name, date of birth, and contact information.
03
Provide details about symptoms experienced and any previous history of UTIs.
04
Answer any additional questions on the form related to UTI diagnosis and treatment.
05
Review the completed form for accuracy and make sure all necessary information is included.
Who needs uti assessment form for?
01
Individuals who are experiencing symptoms of a urinary tract infection (UTI) and are seeking medical evaluation and treatment.
02
Healthcare providers who are assessing patients for possible UTIs and need a standardized form for documentation.
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