Get the free New Patient Packet - UofL Physicians

ROFL Department of Family & Geriatric Medicine We would like to welcome you as our partner, to University of Louisville Physicians Family Medicine! Our practice is striving to provide patient-centered

How to fill out new patient packet

How to fill out a new patient packet:

1. Start by carefully reviewing all the documents in the new patient packet. This typically includes forms such as a patient information form, medical history form, insurance information form, and HIPAA consent form.
2. Fill out the patient information form by providing accurate and up-to-date personal details such as your name, date of birth, address, phone number, and email address.
3. Complete the medical history form by providing information about any past or present medical conditions, surgeries, allergies, and medications you are currently taking. Be thorough and provide as much detail as possible.
4. Fill out the insurance information form by providing your insurance provider's name, policy number, and group number if applicable. Include any necessary information about primary and secondary insurance coverage.
5. Read and sign the HIPAA consent form, which grants permission for your healthcare provider to use and disclose your protected health information for treatment, payment, and healthcare operations.
6. Verify that you have completed all the necessary sections of the new patient packet. Review the forms for any potential errors or missing information before submitting them.

Who needs a new patient packet:

1. New patients: If you are seeing a healthcare provider for the first time, you will likely need to fill out a new patient packet. This allows the healthcare provider to gather important information about your medical history, insurance details, and contact information.
2. Returning patients with updated information: Even if you have visited the healthcare provider before, you may still need to fill out a new patient packet if there have been changes to your personal information, medical history, or insurance coverage since your last visit. This ensures that the healthcare provider has the most current and accurate information to provide you with the best possible care.

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