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ACOG Adolescent Visit Record and ACOG Adolescent Visit and Parent Questionnaire Item #AA414 Designed specifically for adolescent patients, these tools will help every busy clinician. The adolescent visit questionnaire gathers important information about the adolescent's health and about risky behaviors. Select Price: Price: $45 Qty:  ACOG Antepartum Record NCR Version Item #AA129 The ACOG Antepartum Record is a must-have for all of your obstetric patients' files. It uses a risk-oriented approach to highlight potential adverse outcomes and records required and optional laboratory tests, including the recommendations for universal s Select Price: Price: $100 Qty:  ACOG Antepartum Record Plain Paper Version Item #AA128 The ACOG Antepartum Record is a must-have for all of your obstetric patients' files. It uses a risk-oriented approach to highlight potential adverse outcomes and records required and optional laboratory tests, including the recommendations for universal s Select Price: Price: $88 Qty:  Obstetric Forms Licensing Agreement Item #AA198 Personalize your recordkeeping or integrate the ACOG Antepartum Record, Discharge/Postpartum Form, and Obstetric Medical History Form into your office charting system with the ACOG Record Licensing Agreement. Select Price: 1-3 users: $636 4-8 users: $1,373 9-15 users: $2,280 16-25 users: $3,216 Qty:  Postpartum Form Item #AA197 This user-friendly form (one page, front and back) provides space for pertinent information concerning the mother and newborn and includes complete delivery details, discharge data, interim contacts, and results of the postpartum physical examination and Select Price: Price: $47 Qty:  Obstetric Medical History Form Item #AA402 One handy document is all you'll need to track your patients' obstetric and medical history, allowing for a comprehensive antepartum care program. Select Price: Price: $51 Qty:  Antepartum Record Extra Progress Notes Item #AA167 Extra Progress Notes and Supplemental Visit Forms For those antepartum cases that require extra space, you can purchase separate pages of progress notes and supplemental visit forms. Select Price: Price: $29 Qty:  Antepartum Record Supplemental Visit Forms Item #AA130 Extra Progress Notes and Supplemental Visit Forms For those antepartum cases that require extra space, you can purchase separate pages of progress notes and supplemental visit forms. Select Price: Price: $29 Qty:  Woman's Health Record Item #AA322 The ACOG Woman's Health Record serves as a complete record for a woman's gynecologic care. Select Price: Price: $85 Qty:  Physician History Forms Item #AA342 These conveniently packaged forms can be used for each patient's subsequent visits. Select Price: Price: $49 Qty:  Woman's Health Record Licensing Agreement Item #AA367 With the ACOG Record Licensing Agreement, you can personalize your records or integrate the ACOG Woman's Health Record into your office charting system. Select Price: 1-3 users: $636 4-8 users: $1,373 9-15 users: $2,280 16-25 users: $3,216 Qty:      Page 1

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