U.S. Department of Health and Human Services

FTP Files

\ Templates \ TIU Note Templates \ By Clinic/ \ OB Gyn and Women's Health

Type	Name	Size	Last Modified

file	AISU DepoProvera New.txml	8101 7.91 KB	May 23, 2019 9:49:58 AM
file	Artificial Nipple.txml	3848 3.76 KB	May 23, 2019 9:49:58 AM
file	Barrow - Prenatal Referral.txml	3490 3.41 KB	May 23, 2019 9:49:58 AM
file	Barrow_SSMH Antepartum History.txml	19655 19.2 KB	May 23, 2019 9:49:58 AM
file	Barrow_SSMH Antepartum Physical Exam.txml	21735 21.2 KB	May 23, 2019 9:49:58 AM
file	Barrow_SSMH Antepartum Risk Assessmen.txml	21179 20.7 KB	May 23, 2019 9:49:58 AM
file	Barrow_SSMH OB Physical Exam.txml	20366 19.9 KB	May 23, 2019 9:49:58 AM
file	Breastfeeding Assessment.txml	15092 14.7 KB	May 23, 2019 9:49:58 AM
file	Bristol Bay - Colposcopy.txml	7539 7.36 KB	May 23, 2019 9:49:58 AM
file	Choctaw MS - Womens Wellness Center Psychological Assessment.txml	6863 6.70 KB	May 23, 2019 9:49:58 AM
file	Claremore - OBGYN-071706.txml	114494 112 KB	May 23, 2019 9:49:58 AM
file	CRSU - GYN Pathology Request.txml	14347 14.0 KB	May 23, 2019 9:49:58 AM
file	Data Collection.txml	5946 5.81 KB	May 23, 2019 9:49:58 AM
file	Eagle Butte - DepoProvera Flow Sheet.txml	4033 3.94 KB	May 23, 2019 9:49:58 AM
file	Eagle Butte - Well Woman Exam.txml	21205 20.7 KB	May 23, 2019 9:49:58 AM
file	Fort Defiance - ANNUAL.txml	20965 20.5 KB	May 23, 2019 9:49:58 AM
file	Fort Defiance - DepoProvera Injection.txml	11127 10.9 KB	May 23, 2019 9:49:58 AM
file	Fort Defiance - FAM PLANNING.txml	14790 14.4 KB	May 23, 2019 9:49:58 AM
file	Fort Defiance - GYN Procedures.txml	8275 8.08 KB	May 23, 2019 9:49:58 AM
file	Fort Defiance - NURSE OB SCREEN.txml	10333 10.1 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - NURSE VISIT.txml	11284 11.0 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - OBGYN DNKA LETTER.txml	1829 1.79 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - OBGYN NURSE DEPO.txml	3138 3.06 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - Physical.txml	15886 15.5 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - POSTPARTUM EXAM.txml	14281 13.9 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - RETURN OB VISIT.txml	5601 5.47 KB	May 23, 2019 9:49:57 AM
file	Fort Defiance - ULTRASOUND.txml	16789 16.4 KB	May 23, 2019 9:49:57 AM
file	Fort Yates - GYN Cytology.txml	12285 12.0 KB	May 23, 2019 9:49:57 AM
file	Fort Yates - Womens Health.txml	14240 13.9 KB	May 23, 2019 9:49:57 AM
file	Gila River - Colposcopy.txml	4206 4.11 KB	May 23, 2019 9:49:56 AM
file	Gila River - Depoprovera.txml	5586 5.46 KB	May 23, 2019 9:49:56 AM
file	Gila River - Endometrial Biopsy.txml	5689 5.56 KB	May 23, 2019 9:49:56 AM
file	Gila River - Fetal NonStress Test.txml	5257 5.13 KB	May 23, 2019 9:49:56 AM
file	Gila River - First Prenatal Exam.txml	17661 17.2 KB	May 23, 2019 9:49:56 AM
file	Gila River - GYN Followup.txml	14046 13.7 KB	May 23, 2019 9:49:56 AM
file	Gila River - Methods of Birth.txml	218 218 bytes	May 23, 2019 9:49:56 AM
file	Gila River - Mirena IUD Insertion.txml	2036 1.99 KB	May 23, 2019 9:49:56 AM
file	Gila River - MSAFP Screen.txml	7215 7.05 KB	May 23, 2019 9:49:56 AM
file	Gila River - PostPartum FU.txml	15835 15.5 KB	May 23, 2019 9:49:56 AM
file	Gila River - Pregnancy.txml	5700 5.57 KB	May 23, 2019 9:49:56 AM
file	Gila River - Prenatal Clinic.txml	3275 3.20 KB	May 23, 2019 9:49:56 AM
file	Gila River - PreProcedure Evaluation Form.txml	26624 26.0 KB	May 23, 2019 9:49:56 AM
file	Gila River - Recall Letter.txml	8265 8.07 KB	May 23, 2019 9:49:56 AM
file	Gila River - Surgery Followup Visit.txml	35302 34.5 KB	May 23, 2019 9:49:56 AM
file	Gila River - Teen PE.txml	21034 20.5 KB	May 23, 2019 9:49:56 AM
file	Gila River - Uterine Bleeding Note.txml	47156 46.1 KB	May 23, 2019 9:49:56 AM
file	Gila River - Well Woman Exam.txml	15585 15.2 KB	May 23, 2019 9:49:56 AM
file	Gila River - Wellness.txml	1040 1.02 KB	May 23, 2019 9:49:56 AM
file	Gila River - Womens Annual Exam.txml	23186 22.6 KB	May 23, 2019 9:49:56 AM
file	Gila River - Womens Health Phone.txml	19772 19.3 KB	May 23, 2019 9:49:56 AM
file	Haskell - AnnualWellWoman Exam.txml	67506 65.9 KB	May 23, 2019 9:49:56 AM
file	Haskell - GYN Questionairre.txml	19717 19.3 KB	May 23, 2019 9:49:56 AM
file	Hastings - GYN Procedures a.txml	6227 6.08 KB	May 23, 2019 9:49:55 AM
file	Hastings - Gynecology Eval.txml	21005 20.5 KB	May 23, 2019 9:49:55 AM
file	Hastings - ID OB INITIAL.txml	17621 17.2 KB	May 23, 2019 9:49:55 AM
file	Hastings - ID OB PHYSICAL EXAM.txml	21486 21.0 KB	May 23, 2019 9:49:55 AM
file	Hastings - OB NURSE VISIT.txml	10822 10.6 KB	May 23, 2019 9:49:55 AM
file	Hastings - OBGYN Nurse Intake.txml	10375 10.1 KB	May 23, 2019 9:49:55 AM
file	Hastings - OBGYN Physical.txml	15899 15.5 KB	May 23, 2019 9:49:55 AM
file	Hastings - OBGYN.txml	92322 90.2 KB	May 23, 2019 9:49:55 AM
file	Hastings - Patient Data Objects.txml	16290 15.9 KB	May 23, 2019 9:49:55 AM
file	Hastings - PNC Visit.txml	5539 5.41 KB	May 23, 2019 9:49:55 AM
file	Hastings - Prenatal Assessment.txml	11846 11.6 KB	May 23, 2019 9:49:55 AM
file	Hastings - Prenatal Labs.txml	1511 1.48 KB	May 23, 2019 9:49:55 AM
file	Hunter Health - OB History.txml	45720 44.6 KB	May 23, 2019 9:49:55 AM
file	Hunter Health - OB Physical Exam.txml	28912 28.2 KB	May 23, 2019 9:49:55 AM
file	Hunter Health - Well Woman Exam.txml	18167 17.7 KB	May 23, 2019 9:49:55 AM
file	Kotzebue - WELL WOMAN.txml	33353 32.6 KB	May 23, 2019 9:49:54 AM
file	Lame Deer - Prenatal Assessment.txml	11854 11.6 KB	May 23, 2019 9:49:55 AM
file	Lame Deer - WELL WOMAN.txml	45726 44.7 KB	May 23, 2019 9:49:54 AM
file	Mammogram.txml	14266 13.9 KB	May 23, 2019 9:49:54 AM
file	Oklahoma Gestational DM Education.txml	3561 3.48 KB	May 23, 2019 9:49:54 AM
file	Oklahoma Gestational Needs Assessment.txml	6494 6.34 KB	May 23, 2019 9:49:54 AM
file	Rapid City - Mammography Intake.txml	7971 7.78 KB	May 23, 2019 9:49:54 AM
file	Red Cliff - Postnatal.txml	12891 12.6 KB	May 23, 2019 9:49:54 AM
file	Red Cliff - Prenatal.txml	17100 16.7 KB	May 23, 2019 9:49:54 AM
file	Red Lake - Womens Health.txml	189328 185 KB	May 23, 2019 9:49:54 AM
file	Riverside - Colposcopy.txml	7982 7.79 KB	May 23, 2019 9:49:54 AM
file	Riverside - Mammography History.txml	8144 7.95 KB	May 23, 2019 9:49:54 AM
file	Riverside - Mammography Letter.txml	2596 2.54 KB	May 23, 2019 9:49:53 AM
file	RoomingIn.txml	4208 4.11 KB	May 23, 2019 9:49:53 AM
file	Rosebud - OBGYN Encounter.txml	11011 10.8 KB	May 23, 2019 9:49:53 AM
file	SDUIH - Pathology Request for Consult.txml	21344 20.8 KB	May 23, 2019 9:49:53 AM
file	SDUIH - Pathology Requestflat for Generic Order.txml	14319 14.0 KB	May 23, 2019 9:49:53 AM
file	Siletz - CHC Lactation Encounter.txml	13429 13.1 KB	May 23, 2019 9:49:53 AM
file	Siletz - Mammogram Consult.txml	5131 5.01 KB	May 23, 2019 9:49:53 AM
file	SSMT - Mammogram Results Letter.txml	4044 3.95 KB	May 23, 2019 9:49:53 AM
file	SSMT - Mammography Assessment.txml	20883 20.4 KB	May 23, 2019 9:49:53 AM
file	SSMT - Prenatal Nutrition Assessment.txml	15366 15.0 KB	May 23, 2019 9:49:53 AM
file	SSMT - Prenatal Nutrition Care Plan.txml	12245 12.0 KB	May 23, 2019 9:49:52 AM
file	SSMT - Womens Health.txml	14448 14.1 KB	May 23, 2019 9:49:53 AM
file	Supplementation.txml	4887 4.77 KB	May 23, 2019 9:49:52 AM
file	Swinomish - Depo.txml	35277 34.5 KB	May 23, 2019 9:49:52 AM
file	Taos - Breast and Cervical Cancer Program.txml	15874 15.5 KB	May 23, 2019 9:49:52 AM
file	Taos - Womens Health History Form.txml	12367 12.1 KB	May 23, 2019 9:49:52 AM
file	Tulalip - Maternity Support ServicesScreening Tool.txml	15373 15.0 KB	May 23, 2019 9:49:52 AM
file	Tulalip - Well Woman Exam.txml	84821 82.8 KB	May 23, 2019 9:49:51 AM
file	Warm Springs - Maternal Child Health.txml	41908 40.9 KB	May 23, 2019 9:49:51 AM
file	Warm Springs - Womens Health.txml	39513 38.6 KB	May 23, 2019 9:49:51 AM
file	WBH ERUC OBGYN AP.txml	78563 76.7 KB	May 23, 2019 9:49:51 AM
file	Whiteriver - ACOG Antepartum Record.txml	16934 16.5 KB	May 23, 2019 9:49:51 AM
file	Whiteriver - Prenatal.txml	40498 39.5 KB	May 23, 2019 9:49:51 AM
file	Whiteriver - Womens.txml	115805 113 KB	May 23, 2019 9:49:51 AM
file	Yakama - WOMENS HEALTH.txml	251696 246 KB	May 23, 2019 9:49:51 AM
file	Zuni - BCCP Referral.txml	13838 13.5 KB	May 23, 2019 9:49:50 AM
file	Zuni - Mammography History.txml	8925 8.72 KB	May 23, 2019 9:49:50 AM
file	Zuni - Womens Health Hx Form.txml	7854 7.67 KB	May 23, 2019 9:49:49 AM