Annual OB/GYN Exam for Returning Patients. GYN history update form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your visit date and personal information, including your name, confidential phone number, date of birth, and medical record number.
3. Indicate the reason for your visit by selecting either 'Annual Exam' or providing details for any other complaint.
4. Update your GYN history by filling in the last menstrual period and indicating whether your periods are regular, irregular, or if you have no periods.
5. Provide details about your last pap test and any changes to your periods. Also, indicate if you've had a colonoscopy and if you're currently taking hormone therapy.
6. Answer questions regarding sexual activity, mammograms, contraception methods, and any history of abuse.
7. Update your surgical/medical history by noting any new problems or surgeries since your last visit.
8. Complete the family medical history section by noting any new illnesses in your family.
9. Review the symptoms checklist and mark any that apply to you before signing the form.

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