Antepartum Report Sheet

Antepartum Report Sheet - 1.patient’s age(35 or older) 2.thalassemia (italian, greek, mediterranean,or asian background). These resources span the entire obstetric lifecycle. Patient’s age 35 years or older at due date 11. Initial and date when discussed. 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. 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 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). Under florida law the office is required to report the names of individuals who test positive hiv to the local health department. These resources span the entire obstetric lifecycle. Initial and date when discussed. Antepartum record (form e, page 8 of 12) comments plans/education/screening (continued) by trimester.

These resources span the entire obstetric lifecycle. 1.patient’s age(35 or older) 2.thalassemia (italian, greek, mediterranean,or asian background). Initial and date when discussed. 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.

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These Resources Span The Entire Obstetric Lifecycle.

Antepartum record (form e, page 8 of 12) comments plans/education/screening (continued) by trimester. 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.

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).

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