Discussed these methods to include contraindications, indications, and possible side effects: [checkbox value="oral combination estrogen/progesterone pills|oral progesterone only pills|hormone-releasing IUD|Copper IUD|progesterone IM injections|Nuvaring|Transdermal patches|Nexplanon|periodic abstinence|barrier methods (condom and diaphragm in combination with spermicidal lubrication)|withdrawal methods|permanent sterilization methods (tubal ligation, vasectomy, and essure)|abstinence|birth control while breastfeeding and lactation amenorrhea"].
Patient appears a reasonable candidate for any of these for: [checkbox value="prevention of pregnancy|regulating irregular menstrual cycles|dysmenorrhea|menorrhagia|acne|other-"] [text size="50"]
Discussed relative risks/benefits of each, and relative/absolute contraindications of each.
Patient opted for: [select value="oral combination estrogen/progesterone pills|progesterone only pills|progesterone IM injections q3mo|Nexplanon|Mirena|Skyla|Paragard|condoms|vasectomy for partner|tubal ligation|no contraception|natural family planning"].
HCG testing warranted: [select value="n/a|meets CDC criteria for not testing|will verify negative result prior to patient starting contraceptive method"]
Next action: [checkbox value="Pills prescribed and patient to pickup in pharmacy."][checkbox value="Applicable procedure performed same visit - see procedure note."][checkbox value="Applicable procedure performed same visit - see procedure note."][checkbox value="Patient will be scheduled for applicable procedure."][checkbox value="Patient referred to procedures clinic for scheduling of applicable procedure."]
Result - Copy and paste this output: