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How to use or fill out New Patient Intake Form - Obstetrics and Gynecology Weill Cornell - cornellobgyn with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information at the top of the form, including your name, MRN, and date of visit.
- Select your physician from the provided options and indicate who referred you.
- Fill out your menstrual history, including details about your last period and any related symptoms. Be sure to circle 'Yes' or 'No' for heavy periods, painful periods, etc.
- Complete the genetic history section by providing your ethnic background and any relevant family medical history.
- In the gynecologic history section, note any past Pap smears or mammograms and check any infections you may have had.
- Detail your contraception and pregnancy history, including total pregnancies and any complications experienced.
- List any allergies you have and provide a comprehensive list of medications you are currently taking.
- Finally, complete the social history section by indicating your occupation, marital status, smoking habits, alcohol consumption, and drug use.
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