Antepartum Report Sheet

Antepartum Report Sheet - 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. Antepartum record (form e, page 8 of 12) comments plans/education/screening (continued) by trimester. Under florida law the office is required to report the names of individuals who test positive hiv to the local health department. 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.

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. These resources span the entire obstetric lifecycle. 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). 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.

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: 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). 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. These resources span the entire obstetric lifecycle.

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These Resources Span The Entire Obstetric Lifecycle.

1.patient’s age(35 or older) 2.thalassemia (italian, greek, mediterranean,or asian background). 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. 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.

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