OB/GYN — Prenatal Initial Visit Template

The Initial Prenatal Visit Template is designed for obstetricians, family medicine providers, and midwives conducting the first comprehensive prenatal visit for pregnant patients. This comprehensive template documents obstetric history, medical and surgical history, risk assessment, physical examination, baseline laboratory testing, and initial prenatal care planning. The template supports appropriate billing for initial prenatal visits (CPT 59400) and includes sections for pregnancy confirmation and dating, comprehensive obstetric history including gravidity, parity, and previous pregnancy outcomes, medical and surgical history relevant to pregnancy, family history including genetic conditions, social history including substance use and support systems, physical examination including baseline assessment, baseline prenatal laboratory testing, risk assessment for pregnancy complications, initial prenatal care plan including ultrasound scheduling, genetic screening options, and patient education on nutrition, activity, medications, and warning signs. This template ensures thorough initial prenatal evaluation, identifies high-risk pregnancies early, establishes foundation for ongoing prenatal care, and improves pregnancy outcomes through comprehensive assessment. Ideal for OB/GYN practices, family medicine practices providing obstetric care, midwifery practices, and practices managing initial prenatal visits.