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PERFORMANCE FOOT AND ANKLE CENTERS, LLC ND 401 E. 162 St., Suite 101 South Holland, IL 60473 Phone: 7085963757 Fax: 7085963779 15300 West Ave., Suite 210, Orland Park, IL 60462 Phone: 7088739440 Fax:
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How to fill out new adult patient forms:

01
Start by carefully reading the instructions provided on the forms. This will give you an understanding of what information is required and how to fill out the forms correctly.
02
Begin by providing your personal information, such as your full name, date of birth, gender, and contact details. Ensure that all information is accurate and up to date.
03
Next, provide your medical history. Include any existing medical conditions, previous surgeries, allergies, and current medications you may be taking. This information is vital for healthcare providers to assess your health accurately.
04
Fill out the section regarding your insurance information. Include your insurance provider, policy number, and any necessary authorizations or referrals if required.
05
Answer any specific health-related questions that are mentioned on the forms. These questions may pertain to your lifestyle, habits, or any recent illnesses or injuries.
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If there are any sections on the forms that you do not understand or are unsure about, do not hesitate to ask for assistance from the medical staff or a receptionist. It is important to provide accurate information to ensure proper medical care.
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Double-check all the information you have provided before submitting the forms. Make sure that there are no spelling mistakes, missing information, or inaccuracies.
08
Sign and date the forms as required. This indicates that you have provided the information truthfully and willingly.
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Keep a copy of the filled-out forms for your records. This can be helpful for future reference and if any discrepancies arise.

Who needs new adult patient forms:

01
Any individual who is over the age of 18 and visiting a healthcare facility for the first time as a new patient will generally be required to fill out new adult patient forms.
02
These forms are essential for healthcare providers to gather accurate information about the patient's medical history, contact details, insurance information, and any other relevant details.
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New adult patient forms are necessary regardless of the reason for the healthcare visit, whether it is for a general check-up, a specific medical concern, or a specialist consultation.
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The information provided in these forms helps healthcare professionals evaluate the patient's health accurately, provide suitable treatment options, and ensure continuity of care.
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New adult patient forms may also be required if a patient is switching healthcare providers or starting treatment at a new clinic or hospital.
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By filling out these forms, patients can ensure that their healthcare providers have all the necessary information to make informed decisions regarding their health and well-being.
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New adult patient forms are documents that gather information about a patient who is over the age of 18 and is visiting a healthcare provider for the first time.
New adult patient forms are required to be filled out by patients who are over the age of 18 and are visiting a healthcare provider for the first time.
New adult patient forms can be filled out by providing accurate information about the patient's medical history, insurance information, and contact details.
The purpose of new adult patient forms is to gather essential information about the patient's health history, allergies, medications, and any other relevant medical information.
New adult patient forms typically require information such as personal details, medical history, insurance information, emergency contacts, and any known allergies or medications.
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