Essential referral information Without this information the referral will be returned General referral information History of: symptoms Heavy Menstrual Bleeding (HMB), brief description of periods...
Essential referral information Without this information the referral will be returned General referral information Brief description of periods Medical management to date Current cervical screening...
Essential referral information Without this information the referral will be returned History of: previous pregnancies, STIs and PID, surgery, endometriosis other medical conditions Include the...
Essential referral information Without this information the referral will be returned History of abnormal bleeding / hormonal contraceptive use Recent co-test result (HPV and LBC) HVS result BHCG...
Essential referral information Without this information the referral will be returned General referral information Medical management to date/surgical history History of pain and menstrual diary...
Essential referral information Without this information the referral will be returned General referral information Medical history -relevant family, menstrual, obstetric, contraceptive and brief...
Essential referral information Without this information the referral will be returned History including pain and other symptoms CA125 results Pelvic USS (TVS preferable)
Essential referral information Without this information the referral will be returned General referral information Obstetric and gynaecological history History of: prolapse symptoms protruding lump...
Essential referral information Without this information the referral will be returned General referral information History of/to: pain, severity and duration, cyclical nature, dysmenorrhoea...
Essential referral information Without this information the referral will be returned General referral information Pelvic ultrasound (incl. TVS) Day 21 Progesterone (D21P) SHBG results Free...