| Choose Type of Pt | Annual Problem Choices• • • | 
|  |  | 
| OB History |  | 
| Gravida | Para | 
| Last Child Born | Delivery Choices | 
| Gyn History | Select Gyn History• • • | 
| Comments |  | 
| Medical History | Comments | 
| Allergies | Drug Allergies• • • | 
| Comments |  | 
| Surgical History | Surgical treatments• • • | 
| Comments |  | 
| Family History | Family History Selections• • • | 
| Comments |  | 
|  |  | 
| HEENT | HEENT / Neck Selection | 
| Comments |  | 
| Heart | Heart Selection• • • | 
| Comments |  | 
| Lungs | Lung Selections• • • | 
| Comments |  | 
| Breasts | Breast choices• • • | 
| Comments |  | 
| Abdomen | Abdomen Selections• • • | 
| Comments |  | 
| Pelvic | Pelvic Choices• • • | 
| Comments |  | 
| Vagina Normal | Vagina• • • | 
|  | Vagina Comments | 
| External Genitalia | External Genitalia• • • | 
|  | External Genitalia Comments | 
| Cervix Normal | Cervix• • • | 
|  | Cervix Comments | 
| Adnexa Normal | Adnexa• • • | 
|  | Adnexa Comments | 
| Rectal | Rectal• • • | 
|  | Rectal Comments | 
| Anus/Perineum | Anus/Perieum• • • | 
|  | Anus/Perineum Comments | 
|  |  | 
| Impression | Impression Choices• • • | 
| Comments |  | 
|  |  | 
| Plan | Comments | 

