Get the free New Patient Packet - Lancaster Urology

Lancaster Urology 2106 Harrisburg Pike, Suite 200 * Lancaster, PA 17604 Patient Registration: Name: Sex: (circle one) Address: MALE FEMALE Employed: FULL TIME Employer: NAME: ADDRESS: Home (Phone:

How to fill out new patient packet

How to fill out a new patient packet:

1. Start by carefully reading through each form included in the packet. Make sure to understand the purpose of each form and what information is required.
2. Begin filling out the personal information section of each form. This typically includes your full name, date of birth, address, phone number, and email address. Provide accurate and up-to-date information.
3. Next, move on to the medical history section. Answer the questions regarding any pre-existing medical conditions, allergies, medications, surgeries, or hospitalizations. Be thorough and provide as much detail as possible.
4. If any forms require emergency contact information, provide the necessary details of a trusted person who can be contacted in case of an emergency.
5. Some new patient packets may include a consent form for the release of medical records. If applicable, read the consent form carefully and provide authorization if you wish to allow your healthcare provider access to your previous medical records.
6. Lastly, review all the forms once again to ensure that you have filled them out completely and accurately. Double-check for any missing information or errors.
7. Once you have completed filling out the new patient packet, return it to the healthcare provider or follow any specific instructions provided.

Who needs a new patient packet?

A new patient packet is typically required for individuals who are seeking medical or healthcare services from a new provider or clinic. This packet helps the healthcare provider gather essential information about the patient, ensuring they have a comprehensive understanding of the patient's medical history, personal details, and any relevant information needed for providing appropriate care. Whether someone is visiting a primary care physician, specialist, dentist, or any other healthcare professional for the first time, they will likely need to fill out a new patient packet. It is important to note that even existing patients may be required to update their information periodically by filling out a new patient packet.

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