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PT AGE
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G AND P STATUS
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LMP
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PROBLEMS
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OTHER PROBLEMS
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PAST FERTILITY W/U AND RX
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COMMENTS ON PAST FERTILITY W/U AND RX
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PMHX
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ADDITIONAL PMX:
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SOCIAL HX
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ADDITIONAL FAMILY HX:
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MEDS
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GENERAL EXAM
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ADDITIONAL COMMENTS ON THE EXAM
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ULTRASOUND - UTERINE POSITION
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COMMENTS ON THE UTERINE POSITION
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ULTRASOUND - UTERUS
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COMMENTS ON THE UTERUS
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ULTRASOUND - ENDOMETRIAL LINING
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COMMENTS ON ENDOMETRIAL LINING
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OVARIES
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ADDITIONAL COMMENTS ON THE OVARIES
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OVARIAN LOCATION
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MORE ON THE OVARIAN LOCATION
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OVARAN MOBILITY
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MORE ON THE MOBILITY OF THE OVARIES
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FREE FLUID IN THE CUL DE SAC
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MORE ON THE FREE FLUID IN HE CUL-DE-SAC
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ASSESSMENT
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ADDITIONAL ASSESSMENT
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PLAN
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ADDITIONAL PLAN
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ADDITIONAL COMMENTS
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VISIT CPT
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VISIT ICD-9
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ADDITIONAL CPT/ICD9
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ADDITIONAL ASSESSMENT
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FOLLOW UP VISIT
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