Ours has: name/date/time, OB, EDC, Last vag exam/result, contractions/frequency, how they are tolerating the contractions (good, fair, poor), intensity per patient, fluid leaking/color, bloody show/amount/color, lost mucous plug, GBS status. Those are all fill in the check box or blank. Then there's a spot for "Other problems". Then there are several lines for "Advice Given" and at the bottom of the sheet are check boxes for patient teaching on: hydration, pain relief measures, fetal movement, nutrition, when to come to hospital.
It takes just a minute to fill it out, and most patients give you a lot of the info when they initially tell you why they are calling. Then we ask what is left. It works real well.
If you still want a copy, let me know.