Patient Note — 265590

4/16/26, 12:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] (48 yo F) Acc No. [ACCOUNT_ID] DOS: 03/05/2026 [PATIENT_NAME] 48 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Guarantor: [GUARANTOR_NAME] Insurance: Tricare East PCP: Provider AAA Unknown Referring: Provider AAA Unknown Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 03/05/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Vasectomy Consult History of Present Illness Vasectomy Consult: 48yF here for a vasectomy consult. Number of years married: n/a Number of children: 4. Current Medications None Past Medical History No Reported Medical History. Medical History Verified. Surgical History Denies Past Surgical History Family History Father: deceased Mother: alive maternal grandmother significant for stomach cancer. Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes. Alcohol: socially Sexually active: yes. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Progress Note: [PROVIDER_NAME], MD 03/05/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/16/2026 03:38 AM EDT 1/4 4/16/26, 12:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] (48 yo F) Acc No. [ACCOUNT_ID] DOS: 03/05/2026 Review of Systems 11 system Review of Systems completed in chart and all pertinent positives and negative reviewed with patient...mq. Vital Signs HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 69, Wt: 172 lbs, BMI: 25.4 Index. Examination General: General appearance: alert, oriented, no apparent distress. Urethral meatus: normal. Scrotum: normal. Testicles: normal. Vas normal bilaterally. Epididymis: normal, nontender. Heart: regular rate and rhythm. Lungs: symmetical excursion, nonlabored. Physical Examination Normal vas deference on both sides. Assessments 1.Encounter for vasectomy assessment - Z30.09 (Primary) Treatment 1.Encounter for vasectomy assessment Progress Note: [PROVIDER_NAME], MD 03/05/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/16/2026 03:38 AM EDT 2/4 4/16/26, 12:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] (48 yo F) Acc No. [ACCOUNT_ID] DOS: 03/05/2026 Notes: He comes in today for an initial consultation regarding a vasectomy. I discussed that a vasectomy does not make him sterile however he does prevent sperm from joining with his ejaculation fluid. I informed him that in accordance with the American Urological Association guidelines (2012, amended 2015), the vasectomy is intended to be a permanent form of contraception. Additionally, I informed him it does not produce immediate sterility and requires another form of contraception until a post-vasectomy confirmatory semen analysis can be obtained. According to the guidelines, the risk of pregnancy after vasectomy is approxima