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PATIENT REGISTRATION Please fill out completely Name (Last) (First) (MI) Address Street City State Zip Home Phone Cell Phone Email Sex DOB Age SSN Marital Status Employer Phone Primary Care Physician
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Patient registration is the process of collecting and recording a patient's personal and medical information in a healthcare facility's database.
Patients are required to provide their information for patient registration in healthcare facilities.
Patients can fill out patient registration forms provided by the healthcare facility with their personal and medical information.
The purpose of patient registration is to create a record of the patient's information for efficient and accurate healthcare treatment and billing.
Patient registration forms typically require information such as name, date of birth, address, insurance information, and medical history.
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