Get the free Our New Patient Forms - Surgical Artistry New Patient Forms

SURGICAL ARTISTRY PATIENT HEALTH HISTORY Dr. Tammy Wu, Board Certified Plastic Surgeon Dr. Calvin Lee, Board Certified General Surgeon REGISTRATION FORM PATIENT INFORMATION Patients Last Name: Patient

How to fill out our new patient forms

How to fill out our new patient forms?

1. Start by carefully reading through each section of the form. This will help you understand what information is being requested and why it is important for us to have it.
2. Fill out the personal information section first. This typically includes your full name, date of birth, address, and contact information. Make sure to double-check your entries for accuracy.
3. Move on to the medical history section. Provide detailed information about any existing medical conditions, previous surgeries or hospitalizations, allergies, and current medications you are taking. It is crucial to provide accurate and up-to-date information as it will help our healthcare professionals better understand your medical background.
4. Next, proceed to the insurance information section. If you have insurance coverage, provide the necessary details such as the name of the insurance company, policy number, and any other relevant information. If you do not have insurance, there may be alternative payment options or assistance programs available, so please let us know.
5. If applicable, complete the section regarding your emergency contact. Provide the name, relationship, and contact information of a person we can reach out to in case of an emergency.
6. Finally, ensure that you have signed and dated the form where necessary. This indicates your consent for the information provided and confirms that you have read and understood the form.

Who needs our new patient forms?

1. New patients: Any individual who is seeking medical care or treatment from our facility for the first time will need to fill out our new patient forms. This allows us to gather essential information about your health history, insurance coverage, and contact details, ensuring we can provide you with the best possible care.
2. Existing patients with updated information: Even if you are an existing patient, there may be instances where we require updated information from you. This could include changes to your medical history, insurance coverage, or contact information. By completing our new patient forms again, you help us maintain accurate and current records, which is vital for providing quality healthcare services.

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What is our new patient forms?

Our new patient forms are documents that collect important information about a patient's medical history, insurance coverage, and contact details.

Who is required to file our new patient forms?

All new patients are required to fill out and file our new patient forms before their first appointment.

How to fill out our new patient forms?

Patients can fill out our new patient forms either online through our patient portal or in person at our office.

What is the purpose of our new patient forms?

The purpose of our new patient forms is to gather necessary information to provide quality medical care and to ensure accurate billing and insurance processing.

What information must be reported on our new patient forms?

Our new patient forms typically request information such as medical history, current medications, allergies, insurance information, and emergency contacts.