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Patients First Name Patients Last Name DOB Sex Preferred Language Ethnicity FRONT OFFICE (Hispanic or USE ONLY NonHispanic) 1. Scanned 2. Initials 3. 4. PLEASE NOTE: Federal regulations require electronic
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How to fill out patient's first name:

01
Start by locating the field designated for the patient's first name on the form or electronic system.
02
Enter the patient's legal first name as it appears on official documents (e.g., driver's license, identification card).
03
Avoid using nicknames or abbreviations unless specifically instructed to do so.
04
Double-check the spelling to ensure accuracy.
05
If the patient has multiple first names, enter all of them if space allows or include the most commonly used one.
06
Do not include titles or honorifics (e.g., Mr., Mrs., Dr.) unless explicitly required.
07
If the patient's first name is unknown, leave the field blank if permitted, or indicate "Unknown" or "Not Applicable" if necessary.

Who needs the patient's first name:

01
Healthcare providers: Doctors, nurses, and other healthcare professionals require the patient's first name to accurately identify and address them during consultations, examinations, and treatments.
02
Medical billing and insurance companies: Patient information, including first names, is necessary for accurate billing and insurance claims processing.
03
Administrative staff: Hospital, clinic, or office staff utilize the patient's first name for scheduling appointments, updating medical records, and providing personalized care.
04
Pharmacies: Pharmacists need the patient's first name to ensure proper labeling on prescription medications and to match them with the correct patient.
05
Research institutions: Researchers may use patient data, including first names, for various studies and clinical trials while maintaining confidentiality and privacy.
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Patient's first name is the given name of the individual receiving medical care.
Healthcare providers and medical facilities are required to collect and report patient's first name.
Patient's first name should be filled out accurately by entering the name provided by the individual.
The purpose of collecting patient's first name is to accurately identify the individual receiving medical care.
Only the first name of the patient needs to be reported.
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