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Get the free PATIENT PREGNANCY STATUS DECLARATION FORM

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Osteoporosis Screening Center, 17 Fair Street, Dropped, Co South Tel: 041 9803703 / Fax: 041 9842996 email: info@dexaprotection.iePATIENT DETAILS:PLEASE NOTE NEW HIA GUIDELINES (2019) FOR DEXA SCAN
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A patient pregnancy status declaration is a formal document that indicates whether a patient is currently pregnant or has been pregnant within a specified time frame.
Patients undergoing certain medical procedures or treatments, especially those that may affect pregnancy, are typically required to file a patient pregnancy status declaration.
To fill out a patient pregnancy status declaration, patients need to provide personal information, confirm their pregnancy status, and possibly include the date of the last menstrual period or relevant medical history.
The purpose of the patient pregnancy status declaration is to ensure that healthcare providers are aware of a patient's pregnancy status to provide safe and appropriate medical care.
Information that must be reported includes the patient's name, contact information, pregnancy status (pregnant, not pregnant, or unsure), and any relevant medical history.
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