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Smile Artistry THE NORTHWEST SMILE MAKEOVER TEAM Form 1 of 5 (New patients please complete forms 1 5) PATIENT INFORMATION Welcome to our practice! We appreciate the confidence you place with us to
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How to fill out new patient forms:

01
Start by reading through the instructions carefully. Make sure you understand what information is required and any specific details or guidelines mentioned.
02
Gather all the necessary documents and information before you begin filling out the forms. This may include your identification, insurance details, medical history, emergency contact information, and any other relevant paperwork.
03
Begin by providing your personal information such as your full name, date of birth, address, and contact numbers. Double-check the accuracy of this information to avoid any errors.
04
Move on to filling out the medical history section. Be thorough and honest when providing information about pre-existing conditions, allergies, medications, surgeries, and any other pertinent details about your health.
05
If applicable, provide your insurance information, including the name of the insurance company, policy number, and any other relevant details. This will ensure that your healthcare provider can bill your insurance accurately.
06
Review the completed forms to make sure you haven't missed any sections or made any mistakes. It's always a good idea to double-check the information before submitting it.
07
Sign and date the forms as required. This indicates that you have provided accurate information to the best of your knowledge.
08
Keep a copy of the completed forms for your records. This can be useful to refer back to in the future or if you need to provide the information to other healthcare providers.

Who needs new patient forms?

01
New patients who are seeking medical care from a particular healthcare provider or facility are typically required to fill out new patient forms. This process helps the healthcare professionals gather important information about the patient's medical history and personal details.
02
Existing patients who have had a significant break in their medical care or have switched healthcare providers may also be asked to fill out new patient forms. This ensures that accurate and up-to-date information is available for their healthcare providers.
03
Additionally, new patient forms may be required when seeking specialized healthcare services or specialized treatments, even if the patient is already receiving general medical care elsewhere. This allows the new healthcare provider to have a comprehensive understanding of the patient's health status.
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New patient forms are documents that collect important information about a patient who is seeking medical treatment for the first time.
New patients or individuals seeking medical treatment for the first time are required to fill out new patient forms.
New patient forms can be filled out either in person at the medical facility or online through a secure portal. Patients are required to provide accurate information about their medical history, insurance details, and contact information.
The purpose of new patient forms is to gather essential information about the patient that will help the healthcare provider deliver appropriate and effective treatment. It also helps in verifying insurance coverage and contact information.
New patient forms typically require information such as personal details, medical history, insurance information, emergency contacts, and consent for treatment.
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