Pre- Exam Forms

Can you post what the medical history questions are? I would be interested to see them.

V89990 - I'll attach documents to an email if you send me your addy to karlstone@talktalk.net

Anyone out there got a VERY comprehensive form for Males please?.

The more explicit the better.

Doctorprg,

This has been asked for several times in this thread. I posted some possible questions here - http://www.zity.biz/index.php?mx=forum;ox=display;msg=321529

No-one else has come up with any other forms.

I also use a very detailed pre appointment obgyn form. I have it in pdf forms format so it can be filled out electronically by the patient and returned prior to the appointment. I then use it for the medical history, the examination findings , post exam discussion and if a regualr patient it goes into her file. Don't have it posted online but happy to send if anyone wants a copy

I've looked extensively too and just can't find the right one................I'd like to see just what the doctor is looking at on her computer screen. I think I'll ask next time if I can have a copy of what she is filling in..................... or not filling in.

Be sure to ask the patient's method of payment. I don't think medi-cal pays for this. A joke, sorry.

I have forms, but prefer to ask them as a prelude to the physical examination.

Like other providers here, I tend to incorporate pre-exam questions into the exam and often ask patients to be the scribe. This is the instrument I am using right now for male patients: https://www.dropbox.com/s/m5wn3x3rju8naj7/comp_male.pdf. I'd be curious what other providers would add; I'm happy to share the finished document. I'm putting in a section for fine-point pressure thresholds and expanding some sections to incorporate new measures anyway.

I tend to incorporate pre-exam questions into the exam and often ask patients to be the scribe.

Wow, that's quite a comprehensive form -- every impressive.

Maybe I'm just slow but what is "D/C" that you have in several places?

That form combined with the questionairre used by Mcurious would be excellent to use for a Male Medical Examination.

I do wish there was a section on Medical Questionaires where we could browse and access them and help our fellow "Doctors"

what is "D/C" that you have in several places?

@JimmyJohnson: D/C = Discharge

I do wish there was a section on Medical Questionaires where we could browse and access them and help our fellow "Doctors"

@doctorprg: +1

What an amazing exam form, Hipofkos! Thanks for sharing

Hipofkos, do you have a female one? I am so intrigued.

I'll ask again,

Please can the site Moderator(s) look to setting up a Pre- Exams Form section somewhere within the forum?.

I understand that there might be some issues perhaps with copyright on graphics and Hospitals official forms, but surely if members design their own, a medical question is a medical question is it not?.

Hipofkos's and Mcurious's Male Medical forms are both excellent and I'd love to use these along with some form of basic template that incorporates medical anatomical diagrams and graphics.

Seems silly that we can publish stories if we wish, but I'm certain that MANY members would be only too happy to publish their Exam Forms for the benefit of their fellow Playdoctors and interested parties.

I am fairly sure that other members would agree with me on this issue

doctorprg

Is there one for female patients?

@doc4u72 I would love a copy. Contact me for email. :-)

I have made my own pre-exam medical form for my gynecological patient's. I have had my patient's fill the form out when they arrive for their gyn exam. The form asks for their Medical History about their overall condition and health, and also about medications, allergies, and illicit drugs. Then it asks for them to complete specifics about their Menstrual History (age of first period, days of their cycle, last period, length of their periods, if they use tampons or pads, spotting, about any cramping, etc, etc). Next section for the patient to complete is about her Gynecological History which entails asks about their last annual exam, PAP results, do they do BSE, last mammogram, form of birth control, STD history, etc. I have a section on the form regarding their Urination, Bladder and Bowel History asking for information about if they can stop their urine, if they uncontrollably loose urine, daily bowel movements, use of suppositories or enemas, hemorrhoids, and history of rectal exams (sigmoidoscope or colonoscopy exams). Since all of my patient's have been wanting a play gyno exam that is aberrantly sexual and inappropriately erotic, I have a section that asks about their Sexuality and Practices. Here I ask about what age they first had sex, number of male / female sex partners they have had, masturbation, frequency of sex, ability to achieve orgasms, means of achieving orgasm(s), ejaculation, anal sex, etc. I purposefully formatted my pre-exam form so that it would start out with common medical history questions and then progressively build up asking more personal matters about their breasts, vagina, and rectum (since these are the intimate parts of their body I will be intently examining and arousing :-). The last and crucial part of my pre-exam form is about Agreement and Consent. I ask the patient to read and sign this before we proceed with their play fantasy gyno examination. The Agreement and Consent portion specifically outlines that this is strictly about gynecological fantasy enactment and they are consensual to receiving sexual orgasmic pleasure. It also assures my patient that everything is intended to be emotionally / physically safe and confidential. After my patient has completed and signed the pre-exam form, and has then changed into an exam gown sitting on the exam table, I will ask some questions about her medical history and more specific questions about her sexuality as a prelude to physically giving her a gyno exam.

In a play exam, what questions do you ask your patient?

Do you create a questionnaire to "work through" or do you spontaneously decide what questions to ask?

I have never had or given a play exam but in my fantasy, the questions turn more intimate after the standard ones a real-life doc would ask.

(I accidentally posted this as a reply on another thread but intended to start a new discussion)

Yes, you start with the same questions your real life doctor would ask - childhood diseases and such. You throw in more intimate questions such as sexual function and preferences, erogenous areas, frequency of sexual activities and what activities are preferred. Ask the patient to demonstrate masturbation. Talk about intimate activities while you examine the part in question.

In play, nothing is off limits unless stated so beforehand or stopped by a safeword.

I have been asked by a couple of members to post my gyno exam checklist here in the medfet forums. The exam checklist thread is closed so I will post it here in the Pre-Exam Forms thread.

This is my own checklist that I came up with to help keep DrFn on track and not forget anything when playing doctor with MrsFn.

DrFn's Exam Checklist

1. Have patient check in and complete medical/sexual history and consent for treatment forms

2. Bring patient back to exam room and instruct her to have a seat up on the exam table

3. Look over patient's completed forms and ask any follow up questions regarding her answers. Ask if she has any questions or concerns that need to be addressed.

4. Have patient change into exam gown (This varies. On some occasions she is given a full exam gown. Other times, she is only given a disposable exam vest that covers her upper body only. Sometimes, she is simply told to remove all her clothing and given nothing to cover herself.) Observe the patient as she changes.

5. Take her to the scale and weigh her

6. Have her give a urine sample (Often is an observed urine sample)

7. Blood pressure check (after bringing her back to the exam table)

8. Rectal temperature is taken (Make her stand and bend over the table, or get on her hands and knees up on the table)

9. Check eyes

10. Check ears

11. Check nose

12. Check throat

13. Check glands in neck

14, Listen to lungs with steth from the back

15. Listen to heart (above breast)

16. Listen to heart (under her breast so the breast has to be lifted)

17. Do a manual breast exam with patient sitting up

18. Do a manual breast exam with patient lying down

19. Palpate and check abdomen and hips with patient lying down

20. Dr puts on exam gloves

21. Position patient on exam table with feet in the stirrups

22. Begin genital exam by looking over everything thoroughly (Spreading patients labia, taking time to discover every fold. Pull back her clitoral hood at this time also and examine her clit)

These remaining steps are not done in a real order. In a real exam a speculum would be used first for a PAP smear, before a bi-manual exam. In my patient's case, everything leads up to a speculum exam because that gives her the most arousal.

23. Perform bi-manual exam

24. Perform recto-vaginal exam

25. Perform digital rectal exam

26. Change gloves, then perform vaginal speculum exam(s)

27. Perform rectal speculum exam(s)

28. Perform vibratory response exams

29. Perform electro-mechanical exams (optional e-stim or TENS stimulation. Not always done)

30. Conclude exam and discuss findings

These are all great posts. I've never thought about incorporating forms into play before. Bringing forms to my 'visits' from now on! 😉

I have some forms on my blog here

Great points - I would also add that since its a "play" exam, the "patient" should indicate by signature on a form that they know its not a "real doctor" and have no expectation of diagnosis or treatment, plus that they consent to genital contact & penetration - this protects you from any possible accusation of unlicensed practicing or sexual battery.

In all the years my husband and I have done at home exams we have not incorporated a written Pre Exam Form. I've looked at some of the work our members have shared here and I say "Thank You" for your in depth work and excellent ideas.

As most of you know my husband is a retired Orthopedic Surgeon who knows all about me and my body. I can visualize what it would be like to receive a Pre Exam Form in the mail sent by him prior to my next examination. Just thinking about reading and filling out an intimate questionnaire is quite exciting. Know I'm sad that I no longer menstruate!

So, I'm going to talk to him. I'm sure he will be excited as I am right now.

Has anyone done a "Pre Enema" form? That would be fantastic! And you who have shared here I give you a big "Thank You"

What A Great Idea!

Hi @GyneDoll I Have made some pre-exam forms. They are like "Standard Form 93" that government and doctors came up with. My play exam version tells the patient to not give last name, social security number or address. My version is located in a photo almumn on here that I created on how to do a step by step roleplay exam.

You can of course download the "Standard Form 93 Health History form" by googling it and print out the PDF file (it's 2 pages long)

Enjoy! I'm sure you will 😃

Hi @GyneDoll, I am generally a play patient and have developed a very detailed questionnaire that my play Dr uses with me. Both being males, the questionnaire is designed for males; so would need quite a lot of changing to work for females 😢 . Depending on what you look for in your exams, it can be very arousing / embarrassing answering / reviewing all the questions - they get quite detailed / intrusive 😈 .

If you'd like a copy of it, drop me a PM with your email details & I'll happily send you a copy.

What is the average length for play exam ? 45 min ? 1 hour ? Less than an hour ? Would love to be part of giving exams but wanna be thorough enough

@Dr_fireman, I am a play doc to MrsFn only. With our play exams, it is all about building arousal for her (and me) so we like to start out clinical, but get more erotic as it goes along. To answer your question, our play exams tend to be 90 to 120 minutes in total length. We do not have a set time. We just play out the exam until both parties are completely satisfied!

@Dr_Kinky

I've taken your step by step roleplay exam information and fine tuned it to fit my at home examination needs. My husband and I were very impressed after looking over your exam role play information.

When my husband was still practicing Orthopedic Surgery we had some fun times at home. This was once in a while. He has been retired for quite some time now so we can have great fun at home whenever we desire.

When we plan an at home examination he sends that role play form to me in the mail. I fill it in and send the information back to him. We get excited like little kids.

It's been a while since we have had an at home examination. Our time with our daughter and our new grand son must come first. The radiation therapy is taking it's toll on her.

I told my husband I'm going to really need an examination when we have the opportunity. My mind gets the best of me here because there are things I think about that are not in a "Normal Female Exam" He will have to use his tongue in certain places to assure I'm in tip, top shape!

Everyone Have A Great Day and Have Fun While You Can Still Have It!