Contraceptive Management Visit

HISTORY:  
[textarea default="Patient requests contraception.  She is not currently taking any birth control."]
LMP:  [date]
Tobacco Use:  [select value="no|yes"]
EXAM:  
[textarea default="Vital Signs Within Normal Limits.
GENERAL: Well Developed and Well Nourished Female, Alert and oriented x 3, in no distress."]
ASSESSMENT/PLAN:
[textarea default="discussed contraceptive means available including IUD, nuvaring, combination oral contraceptives, and implanon.
She wishes to proceed with ***.
Urine HCG obtained and is ***NEGATIVE***
Benefits and risks discussed with patient."]