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NAME: AGE: Birthdate: Gender: M F REFERRED BY? WEIGHT: HEIGHT: PRIMARY CARE DOCTOR: PHARMACY & Location: EMAIL ADDRESS: Why? Soon, our patient portal will allow you to securely access certain elements
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What is chief complaint?
Chief complaint is the main reason a patient seeks medical attention.
Who is required to file chief complaint?
A patient or their representative is required to file a chief complaint.
How to fill out chief complaint?
Chief complaint can be filled out by describing the symptoms or concerns that brought the patient to seek medical attention.
What is the purpose of chief complaint?
The purpose of chief complaint is to help healthcare providers understand the reason for the patient's visit and to prioritize care.
What information must be reported on chief complaint?
The information reported on chief complaint must include the patient's symptoms, concerns, and medical history.
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