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Welcome to Four Corners OB/GUN! PH: 9703828800 Fax: 9703820122 1 Mercado Street, Suite 105 Durango, CO 81301 In order for your first appointment to go smoothly, please follow our easy checklist: Fill
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How to fill out patient registration please print
How to fill out patient registration, please print:
01
Start by gathering all the necessary information such as the patient's full name, date of birth, address, phone number, and email.
02
Make sure to have the patient's insurance information on hand, including their insurance provider, policy number, and any associated group numbers.
03
Write down any current medications the patient is taking, along with the dosage and frequency.
04
Provide a detailed medical history, including any past surgeries, allergies, or chronic conditions.
05
If applicable, include contact information for the patient's primary care physician or any other specialists they may be seeing.
06
Double-check all the information for accuracy and legibility before submitting the registration form.
07
Finally, print the completed patient registration form and sign it if required.
Who needs patient registration, please print:
01
New patients who are visiting a healthcare facility for the first time need to fill out a patient registration form. This allows the healthcare provider to collect the necessary information to establish the patient's medical records.
02
Existing patients who have not updated their information need to fill out a patient registration form to ensure that their records are up to date with any changes in contact information, insurance coverage, or medical history.
03
Patients who have undergone a significant life event, such as a change in insurance provider or a relocation, may need to update their patient registration information to reflect these changes.
Overall, both new and existing patients may be required to fill out a patient registration form, and it is important to print and complete the form accurately to ensure accurate record-keeping and efficient healthcare services.
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