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PATIENT REGISTRATION Patient Name How do you prefer to be addressed? Mailing Address City State Zip Sex:Mage Date of Birth ChildSingleMarriedPartneredWidowedSeparatedDivorcedHome Phone# Work Phone#
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How to fill out patient registration - hadar
01
Gather all necessary information from the patient such as name, contact details, date of birth, and address.
02
Provide the patient with a registration form to fill out or assist them in filling out the form if needed.
03
Ensure that all the required fields on the registration form are properly completed.
04
Collect any additional information that may be relevant, such as medical history or insurance details.
05
Review the completed registration form for any errors or missing information.
06
Enter the patient's information into the registration system or database.
07
Provide the patient with a copy of the completed registration form for their records.
Who needs patient registration - hadar?
01
Anyone seeking medical care at the specific healthcare facility or clinic would need to fill out patient registration.
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