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This document is a new patient packet providing necessary information and forms for new patients to complete prior to their appointment at Fort Collins Neurology.
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How to fill out new patient packet

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How to fill out New Patient Packet

01
Obtain the New Patient Packet from the doctor's office or website.
02
Read the instructions thoroughly before starting.
03
Fill out your personal information in the designated fields, including your name, date of birth, and contact details.
04
Provide your insurance information, if applicable, including policy number and provider details.
05
Fill in your medical history, including any current medications and previous surgeries.
06
Complete the family medical history section if required.
07
Answer any additional questions regarding your lifestyle, allergies, and smoking or drinking habits.
08
Review your answers for accuracy before submitting.
09
Submit the completed packet either in person, via mail, or as instructed.

Who needs New Patient Packet?

01
New patients registering with a healthcare provider for the first time.
02
Patients changing healthcare providers.
03
Individuals seeking specialized treatment in a new facility.
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Your new doctor will likely talk about your overall lifestyle, including diet, exercise, and stress management. They might also discuss preventative care, such as screenings and tests relevant to your age, medical history and your individualized needs.
Please bring the following items with you: Photo ID. Health insurance card(s) Copay, co-insurance or deductible. Your current medications. Names and phone numbers of all other physicians (e.g., cardiologist, gynecologist, dermatologist, etc) that you regularly see. Completed forms.
Three-year rule: The general rule to determine if a patient is new” is that a previous, face-to-face service (if any) must have occurred at least three years from the date of service. Some payers may have different guidelines, such as using the month of their previous visit, instead of the day.
Physical Exams Some things that are performed during the physical include weight, blood pressure, temperature, heartbeat, as well as checking your ears, nose, lungs, throat, and eyes. A pap smear in women or a genital exam in men may also be performed to assess their different risk factors.
During your visit, your primary care doctor will closely examine your overall health. Whether it is just a check-up or an effort to diagnose a health problem you are experiencing, they will want to know how you feel. You can also tell them if you are feeling anything unusual.
They will also ask about your symptoms, any medications you're taking, and your family history. Your doctor will also perform a physical exam, which may include checking your blood pressure, pulse, and weight.
For example, if an NP conducts a visit with a new patient, the practice must make a choice -- bill the visit under the NP's provider number or bill the visit under the physician's provider number and have the physician, not the NP, perform and document the portions of the evaluation relevant to the choice of procedure

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The New Patient Packet is a collection of forms and documents that new patients are required to complete prior to their first appointment with a healthcare provider.
All new patients seeking medical care from a healthcare provider are required to file a New Patient Packet.
To fill out the New Patient Packet, patients should carefully read the instructions provided, complete each form with accurate and relevant information, and ensure all required documents are attached before submitting it to the healthcare facility.
The purpose of the New Patient Packet is to gather essential personal, medical, and insurance information from new patients to ensure that the healthcare provider has all the necessary details for effective diagnosis and treatment.
The information that must be reported on the New Patient Packet typically includes personal details such as name, address, date of birth, medical history, current medications, insurance information, and emergency contact details.
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