How to use or fill out ewbc portal with our platform
- Click ‘Get Form’ to open the EWBC Medical History Form in the editor.
- Begin by filling in your M.R.# at the top of the form. Ensure you sign the back using ink as instructed.
- In the 'Purpose of today’s visit' section, clearly state your reason for the appointment.
- For medication history, indicate if you use hormones, oral contraceptives, or anti-estrogen medications by selecting 'Yes' or 'No' and providing details such as brand and dosage.
- Answer questions regarding breast implants and any current medications, allergies, or health issues by checking the appropriate boxes.
- Complete the social history section by selecting your marital status, occupation, and alcohol/smoking habits.
- Finally, review your medical and family history carefully. Check 'None', 'Self', or 'Family' for each condition listed.
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