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Referral to:Patient Name: DOB: Parents name (if patient is a minor): Phone: Address: Diagnosis: Purpose of Referral: Diagnostic Audiological Evaluation (Adult) Pediatric Diagnostic Audiological Evaluation
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How to fill out parents name if patient

01
To fill out the parents' name if the patient, follow these steps:
02
Open the patient information form.
03
Locate the field for 'Parents' Name'.
04
Enter the names of the patient's parents in the provided field.
05
Make sure to input both the mother's and father's names.
06
Save the changes or submit the form if required.

Who needs parents name if patient?

01
The parents' name is needed if the patient is a minor or if the patient's medical history, treatment plan, or consent process requires the involvement or identification of the parents or guardians.
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The parents' name if patient refers to the names of the individual's parents.
The individual or their legal guardian is required to file the parents' name if the patient is a minor.
The parents' names should be provided in the designated fields on the patient's medical records or forms.
The parents' name is important for identifying family medical history and for communication with next of kin.
The full names of both parents should be reported, including any variations or aliases.
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