McFarland Clinic PC
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Obstetrics & Gynecology

 

Patient Forms

Prenatal Database Form

This form collects information about your current pregnancy, past pregnancies and family medical history.

Please print off this form and fill it out prior to your provider's appointment with the Ob-Gyn department if it is requested.

 
Electronic Medical Record Information

This is the Obstetrics-Gynecology Electronic Medical Record Information form that collects medical history and lifestyle information to place in your electronic medical record with the department.

Please print off this form and fill it out prior to your provider's appointment with the Ob-Gyn department if it is requested.

 
Menstrual Record Chart

Use this form to keep track of your menstrual record.

 
3 Hour Glucose Tolerance Test Diet

The 3 hour glucose tolerance test diet instructions outline the types of food needed to obtain an accurate test of how well your body burns carbohydrate. It is very important that you eat at least the amounts shown on the diet; however, you may eat more than these amounts, or additional types of food, if desired. Just be certain you eat everything listed on the diet. Snacks are permitted.