Gynecological Health Pre-Visit Form - wesleyan 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your preferred name and legal name at the top of the form. This ensures that your healthcare provider can address you correctly.
  3. Fill in your date of birth, age, and pronouns. This information is crucial for personalizing your care.
  4. Complete the health history section by checking any allergies and listing medications you are currently taking, including birth control pills.
  5. In the medical history section, check any relevant boxes regarding family medical history. Be honest; this helps in assessing potential risks.
  6. Provide details about your pregnancy history and past Pap tests. This information is vital for your clinician's evaluation.
  7. Answer lifestyle questions honestly to give a complete picture of your health habits.
  8. Review all sections before submitting to ensure accuracy. You can save and return later if needed.

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