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BCMA / Health Ministry guide for health risk assessment - female

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<html>
<head>
<title>Rx_for_Health_RiskAssessment_Women</title>
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function OpenPrint1(){
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</head>

<body onload="">
<img id='BGImage' src="${oscar_image_path}Rx_for_Health_RiskAssessment_Women-1.png" style="position: absolute; left: 0px; top: 0px; width:750px">
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<form method="post" action="" name="FormName" id="FormName" >

<a name="printPtInformation1" class="DoNotPrint" style="position: absolute; left: 10px; top: 35px;" href="javascript:OpenPrint1();">Print Prevention Schedule</a>

<input name="FirstLastName" id="FirstLastName" type="text" class="noborder" style="position:absolute; left:375px; top:15px; width:362px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white;"  oscarDB=first_last_name>


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<input name="ModWC" id="ModWC" type="checkbox" style="position:absolute; left:384px; top:261px; ">


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<input name="BMIover25" id="BMIover25" type="checkbox" style="position:absolute; left:571px; top:261px; ">


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<input name="SmokingPast" id="SmokingPast" type="checkbox" style="position:absolute; left:384px; top:306px; ">


<input name="SmokingCurrent" id="SmokingCurrent" type="checkbox" style="position:absolute; left:446px; top:306px; ">


<input name="SmokingYears" id="SmokingYears" type="text" class="noborder" style="position:absolute; left:515px; top:306px; width:72px; height:16px; text-decoration:underline; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white;" value="">


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<input name="FOBTNA" id="FOBTNA" type="checkbox" style="position:absolute; left:701px; top:474px; ">


<input name="FlexSigUTD" id="FlexSigUTD" type="checkbox" style="position:absolute; left:458px; top:510px; ">


<input name="FlexSigOrdered" id="FlexSigOrdered" type="checkbox" style="position:absolute; left:525px; top:510px; ">


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<input name="FastLipidProfUTD" id="FastLipidProfUTD" type="checkbox" style="position:absolute; left:458px; top:546px; ">


<input name="FastLipidProfOrdered" id="FastLipidProfOrdered" type="checkbox" style="position:absolute; left:525px; top:546px; ">


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<input name="FBSNA" id="FBSNA" type="checkbox" style="position:absolute; left:701px; top:581px; ">


<input name="InfluenzaUTD" id="InfluenzaUTD" type="checkbox" style="position:absolute; left:129px; top:606px; ">


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<input name="PneumoUTD" id="PneumoUTD" type="checkbox" style="position:absolute; left:129px; top:665px; ">


<input name="PneumoGiven" id="PneumoGiven" type="checkbox" style="position:absolute; left:168px; top:665px; ">


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<input name="PhysAct" id="PhysAct" type="checkbox" style="position:absolute; left:133px; top:809px; ">


<input name="PhysActSupport" id="PhysActSupport" type="text" class="noborder" style="position:absolute; left:152px; top:807px; width:235px; height:21px; font-family:sans-serif; font-style:normal; font-weight:normal; font-size:14px; text-align:left; background-color:white;" value="">


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<input name="WeightLoss" id="WeightLoss" type="checkbox" style="position:absolute; left:133px; top:859px; ">


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<input name="ASAProphylaxisDiscussed" id="ASAProphylaxisDiscussed" type="checkbox" style="position:absolute; left:159px; top:906px; ">


<input name="ASAProphylaxisTake" id="ASAProphylaxisTake" type="checkbox" style="position:absolute; left:228px; top:924px; ">


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