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Click ‘Get Form’ to open the INITIAL EVALUATION SUBJECTIVE HISTORY WORKSHEET in our editor.
Begin by entering the patient’s name, date of birth, and evaluation date at the top of the form. This information is crucial for accurate record-keeping.
In the 'SUBJECTIVE' section, fill in details about the patient's age, symptom onset, and previous gynecological exams. Encourage patients to describe their current issues thoroughly.
Proceed to document any testing that has been done and its results. Use checkboxes for clarity on past symptoms and treatments, ensuring all relevant information is captured.
In the 'CURRENT COMPLAINTS' section, have patients indicate their pain levels and mark pain locations on the provided diagram. This visual aid helps in understanding their condition better.
Continue through sections on work history, functional abilities, medical history, bowel and bladder habits, medications, and therapy goals. Each section is designed to gather comprehensive insights into the patient's health.

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