Antepartum Report Sheet

Antepartum Report Sheet - Antepartum record (form e, page 8 of 12) comments plans/education/screening (continued) by trimester. Patient’s age 35 years or older at due date 11. 1.patient’s age(35 or older) 2.thalassemia (italian, greek, mediterranean,or asian background). These resources span the entire obstetric lifecycle. Antepartum record (form b, page 2 of 12) initial physical examination yes no yes no comments/counseling: Under florida law the office is required to report the names of individuals who test positive hiv to the local health department. Initial and date when discussed.

Antepartum record (form e, page 8 of 12) comments plans/education/screening (continued) by trimester. 1.patient’s age(35 or older) 2.thalassemia (italian, greek, mediterranean,or asian background). Initial and date when discussed. Under florida law the office is required to report the names of individuals who test positive hiv to the local health department. Patient’s age 35 years or older at due date 11. These resources span the entire obstetric lifecycle. Antepartum record (form b, page 2 of 12) initial physical examination yes no yes no comments/counseling:

Antepartum record (form e, page 8 of 12) comments plans/education/screening (continued) by trimester. Antepartum record (form b, page 2 of 12) initial physical examination yes no yes no comments/counseling: 1.patient’s age(35 or older) 2.thalassemia (italian, greek, mediterranean,or asian background). Initial and date when discussed. These resources span the entire obstetric lifecycle. Patient’s age 35 years or older at due date 11. Under florida law the office is required to report the names of individuals who test positive hiv to the local health department.

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1.Patient’s Age(35 Or Older) 2.Thalassemia (Italian, Greek, Mediterranean,Or Asian Background).

Antepartum record (form b, page 2 of 12) initial physical examination yes no yes no comments/counseling: Patient’s age 35 years or older at due date 11. Initial and date when discussed. Under florida law the office is required to report the names of individuals who test positive hiv to the local health department.

Antepartum Record (Form E, Page 8 Of 12) Comments Plans/Education/Screening (Continued) By Trimester.

These resources span the entire obstetric lifecycle.

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