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Welcome to our Practice! Please take a few minutes to fill out the following information, so we can better assist you with your healthcare needs. PATIENT INFORMATION (PLEASE PRINT) Full Name: DOB:
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To fill out "Welcome to our practice," follow these steps:

01
Begin by providing your personal information, including your full name, contact details, and any relevant identification numbers.
02
Next, indicate your reason for seeking care at our practice. Whether it's for a routine check-up, a specific medical concern, or to establish primary care, be sure to clearly state your purpose.
03
If applicable, mention any previous healthcare providers or specialists you have seen, along with any relevant medical history. This will help us better understand your healthcare needs.
04
In the "Welcome to our practice" form, there may be a section asking for insurance information. If you have insurance coverage, include your policy details, group number, and any relevant co-payment information.
05
It's important to review and sign any consent forms or privacy policies that may be included. This ensures that you are aware of how your personal information will be used and protected.
06
Finally, don't forget to add any additional comments or concerns that you may have. This will help your healthcare provider better address your needs during your visit.
Anyone who is new to the practice or seeking healthcare services from us needs to fill out the "Welcome to our practice" form. Whether you are a new patient, transferring from another practice, or seeking specialized care, this form helps us gather necessary information about you to provide the best possible care.
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The purpose of welcome to our practice is to gather necessary information about the patient to provide them with appropriate care and treatment.
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