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RESET SAVE AS PRINT Prearrival Questionnaire Name: Date of Study: If under 18, Parent/Guardian Name Date of Birth: Age: Height: Referring Physician: Weight: Phone #: Referring Physicians Address:
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How to fill out pre-arrival questionnaire - Sutter:

01
Start by accessing the Sutter Health website or portal where the questionnaire is available.
02
Navigate to the specific section or form for the pre-arrival questionnaire.
03
Carefully read and follow any instructions or guidelines provided on the form.
04
Begin by providing your personal information, such as your full name, date of birth, and contact details.
05
Answer any demographic questions, such as your gender, ethnicity, or primary language.
06
Fill out the medical history section, providing details about any existing medical conditions, allergies, or previous surgeries.
07
Provide information about your current medications, including the name, dosage, and frequency of each medication.
08
If applicable, indicate any specific health concerns or reasons for your upcoming visit to Sutter.
09
Review your answers to ensure accuracy and completeness.
10
Submit the pre-arrival questionnaire through the designated method, whether it is an online submission or mailing it to the appropriate Sutter Health facility.

Who needs pre-arrival questionnaire - Sutter:

01
Patients who have scheduled appointments or visits to any Sutter Health facility may require filling out the pre-arrival questionnaire.
02
It is especially essential for patients who are new to Sutter Health, as this questionnaire helps provide necessary information to the healthcare provider before their first visit.
03
Existing Sutter Health patients may also be required to update their information periodically by completing the pre-arrival questionnaire.
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The pre-arrival questionnaire - sutter is a form that individuals must fill out before arriving at a Sutter Health facility.
Anyone who is scheduled to visit a Sutter Health facility needs to file the pre-arrival questionnaire.
The pre-arrival questionnaire can be filled out online through the Sutter Health website or by contacting the facility directly for assistance.
The purpose of the pre-arrival questionnaire is to collect important health and contact information from individuals before their visit to ensure a safe and efficient experience.
The pre-arrival questionnaire typically asks for personal information such as contact details, health history, and reason for visit.
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