Contraceptive management / Birth Control Rod

[textarea default="Patient requests contraception. She is not currently taking any birth control."]
LMP: [date]
Tobacco Use: [select value="no|yes"]
Hx of migraines with aura: [select value="no|yes"]
hx of STI: [select value="no|yes"]
Hx of DVT/PE: [select value="no|yes"]

[textarea default="Vital Signs Within Normal Limits.
GENERAL: Well Developed and Well Nourished Female, Alert and oriented x 3, in no distress."]
[textarea default=" discussed contraceptive means available including IUD, nuvaring, combination oral contraceptives tabs/ patches and progesterone only contraceptive injections vs tabs
She wishes to proceed with ***.
Urine HCG obtained and is ***NEGATIVE***
Benefits and risks discussed with patient."]

Tobacco Use:
Hx of migraines with aura:
hx of STI:
Hx of DVT/PE:



Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.63, 8 form elements, 19 boilerplate words, 3 text areas, 1 dates, 4 drop downs, 8 total clicks
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