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WWW.painawayjax.com Review of Systems Please circle if any of the following apply to you: 1. General: change in appetite, chills, fatigue, fever, lightheadedness, night sweats, sleep disturbance,
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How to fill out our new patient packet:

01
Start by carefully reading all the instructions provided in the packet. Make sure you understand what information is required and why it is necessary.
02
Begin by filling out the personal information section. This may include your full name, date of birth, address, contact number, and emergency contact details. Ensure all the information is accurate and up to date.
03
Move on to the medical history section. Provide details about any pre-existing medical conditions, allergies, medications, and previous surgeries or hospitalizations. Remember to be thorough and include all relevant information.
04
The next section usually focuses on insurance details. If you have insurance, provide your insurance company's name, policy number, and any required authorizations. If you don't have insurance, you may need to discuss alternative payment options with the healthcare facility.
05
Some new patient packets have a section for additional questions or concerns. Take the opportunity to communicate any specific questions you have or provide any necessary explanations regarding your medical history.
06
Finally, review your completed packet to ensure all the information is accurate and legible. Double-check that you haven't missed any sections or questions.

Who needs our new patient packet?

01
Any new patient who is seeking medical services from our clinic or healthcare facility needs to fill out our new patient packet.
02
Patients who have not been seen at our clinic for an extended period of time may also need to fill out an updated version of the new patient packet to ensure their information is current.
03
Patients who have had significant changes in their medical history, insurance details, or personal information since their last visit may also be required to complete the new patient packet again.
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Our new patient packet includes forms and documents that must be completed by new patients before their first appointment.
All new patients are required to file our new patient packet before their first appointment.
Patients can fill out our new patient packet by completing the forms provided in the packet and returning them to our office before their appointment.
The purpose of our new patient packet is to gather important information about the patient's medical history, insurance, and contact information.
Our new patient packet must include information such as the patient's name, date of birth, address, insurance information, and medical history.
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