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Dysmenorrhea (Primary) Form

Complete Your Appointment in 5 Simple Steps: Choose your type, fill in details, and confirm!

1

Patient Information

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Urinary tract infection in the male sex requires additional assessment. Please follow up with your doctor for your symptoms.

2

Medical History

3

Drug History

4

Any any red flag symptoms present?
Are symptoms typical of dysmenorrhea?

Review of Symptoms

5

Available: Mon - Fri: 10 AM - 6 PM, Saturday: 10 AM - 2 PM

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