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Sivan R. Amati, M.D., F.A.C.C. Mary Anderson, R.N., M.S.N., F.N.P. 1071 Pemberton Hill Rd, Suite 102, Apex, NC 27502 www.peakcardiology.com Phone (919× 3636060 Fax (919× 3636040 Male Patient Information:
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How to fill out patients name

How to fill out patients name?
01
Start by writing the patient's first name in the designated field.
02
Next, write the patient's last name in the appropriate space.
03
Make sure to include any middle names or initials, if applicable.
04
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05
If the patient has a preferred name or nickname, indicate this in parentheses after their legal name.
Who needs patients name?
01
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What is patients name?
Patient's name is the name of the individual receiving medical treatment.
Who is required to file patients name?
Healthcare providers and healthcare facilities are required to file patient's name.
How to fill out patients name?
Patient's name should be filled out with their first name, last name, and middle name (if applicable).
What is the purpose of patients name?
The purpose of patient's name is to uniquely identify the individual receiving medical treatment.
What information must be reported on patients name?
Patient's full legal name and any aliases or nicknames should be reported.
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