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CAROLINA PSYCHOLOGICAL HEALTH SERVICES (CHS)NEW PATIENT INFORMATION PACKET (MINOR) Date: Chart # ONLY ONE PERSON IS TO COMPLETE THIS PACKET Patient Name: (Last NameFirstAddress: (Street NameMiddle)Prefer
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How to fill out new patient information packet

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How to fill out new patient information packet

01
Start by obtaining the new patient information packet from the receptionist or downloading it from the healthcare provider's website.
02
Read through the entire packet to familiarize yourself with the required information and documents.
03
Gather all the necessary documents such as identification proof, health insurance card, and any relevant medical history.
04
Fill out the patient information form accurately and completely, providing details like name, address, contact information, and emergency contacts.
05
Ensure that you provide your complete medical history, including any allergies, previous surgeries, and current medications.
06
Review the privacy policy and sign any consent forms that may be included in the packet.
07
Return the completed packet to the designated person or department as instructed, ensuring that all required documents are attached.
08
If you have any questions or need assistance, don't hesitate to reach out to the healthcare provider's staff for guidance.

Who needs new patient information packet?

01
New patients who are seeking medical care from a healthcare provider need to fill out the new patient information packet.
02
This includes individuals who have never been treated by the healthcare provider before and those who are transferring their care from another provider.
03
Regardless of age or medical condition, all new patients are typically required to complete this packet to establish their patient records.
04
The information provided in the packet helps healthcare providers understand patients' medical history, contact information, insurance details, and any specific needs or preferences.
05
By completing the new patient information packet, individuals ensure that healthcare providers have accurate information to provide appropriate care and communicate effectively.
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