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Obstetrics & Gynecology 1972;40:306-314
© 1972 by The American College of Obstetricians and Gynecologists
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I. A Gynecologic History Questionnaire II. A Simple Data Accounting and Retrieval Card

M. H. BACKER, JR., MD, FACOG, R. E. PROBST, MD and M. R. COMAS, MD, FACOG

This article describes two forms which have proven very useful in a 3-man obstetric-gynecology office practice. The first is a gynecologic history questionnaire designed for self-administration by the patient, to save the doctors' time. It is short, simple, read easily, and is a reliable guide to further management. The second form is a simple punch card, which, along with a simple sorting needle can be used for accounting and for retrieving clinical data; in this case, diagnoses and treatments. It has proven valuable for preparing lectures and papers, and for evaluating treatment methods.






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Copyright © 1972 by the American College of Obstetricians and Gynecologists.