The patient name and number is carried over from the first form. All the fields are set to -'s by default but can be set to blank if desired. Each item in the history is numbered. Any positive history can be referenced by their number in the comments section below the categories for further elaboration if necessary. If HSV is listed next to "STD", then the form warns you to document HSV prophylaxis at 35 weeks if that reminder is set. If "Sickle Cell or African-American" is positive, the forms remind the user to document Sickle Cell Screen if not already recorded on Form 3. At the bottom of Form 2 there are additional spaces for users to customize 6 user defined screening questions.