Instructions
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▼
Suspicious lesion
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▼
Choose Tickler reminder date
4 wks
8 wks
16 wks
Subject:
Pap Smear eFORM, created by Drs Herb Chang, Günther Klein,
John Robertson
and John Yap.
Update V35_Jul11_2022, is licensed under a
GPL.
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PAP:
Normal PAP
not on BCP
Normal PAP
on OCP
Normal PAP
on Progestin only BCP
Normal PAP
using IUD
PAP
Pregnant
PAP
Postpartum
PAP
Postmenopausal
Year
(Choose one only. Uncheck or
to start over.)
Received HPV Vaccine
F5 to reopen