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Dr. Matthew J. Bruno, D.D.S., M. S Orthodontics and Dentofacial Orthopedics PATIENT HISTORY (Confidential) Date PATIENT INFORMATION Patient Name Prefer to be called Birthdate / / Age Sex Social Security

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How to fill out patients name prefers to

01

To fill out the patient's name preference, start by asking the patient for their full name.

02

Record their preferred name as per their preference and ensure it matches their legal name on file.

03

If the patient has a specific title or honorific they prefer to be addressed with, include that as well.

04

Make sure to accurately spell and enter the name in the appropriate fields of the patient's form or electronic medical record.

05

Reinforce the importance of using their preferred name when addressing them during future interactions.

Who needs patients name prefers to?

01

Healthcare providers and medical facilities need patients' name preferences to provide personalized and respectful care.

02

Using the patient's preferred name helps to create a comfortable and inclusive environment.

03

It demonstrates respect for the patient's identity and can improve overall patient satisfaction and outcomes.

04

Patients who have changed their name, prefer a different name, or have cultural naming preferences particularly benefit from having their name preferences acknowledged and respected.

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What is patients name prefers to?

Patients name prefers to the name by which a patient prefers to be addressed or called.

Who is required to file patients name prefers to?

Healthcare providers are required to file patients name prefers to.

How to fill out patients name prefers to?

Patients can fill out their preferred name on intake forms or inform healthcare providers directly.

What is the purpose of patients name prefers to?

The purpose of patients name prefers to is to respect a patient's identity and preferences.

What information must be reported on patients name prefers to?

The information reported on patients name prefers to includes the name that the patient prefers to be addressed by.

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