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DEPARTMENT OF NURSING INITIAL COMPETENCY VALIDATION CHECKLIST: ORIENTATION: RN POSITION TITLE: UNIT: EMPLOYEE NAME: The above staff member has demonstrated the knowledge, skills, and attitudes necessary
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01
Visit the UCLA Health website at www.uclahealth.org.
02
On the homepage, click on the 'Patient Resources' tab.
03
From the drop-down menu, select 'Forms & Information'.
04
Scroll down to find the 'Welcome to UCLA Health' form.
05
Click on the form to download and open it.
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Fill out the form with your personal and insurance information.
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Make sure to include any relevant medical history or special requests.
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Once completed, save the form on your device.
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You can either print the form and bring it with you to your first appointment or submit it electronically through the UCLA Health patient portal.
10
If submitting electronically, log in to your patient portal account and upload the form as directed.
11
If bringing the form in person, make sure to arrive at least 15 minutes early to your appointment to allow time for processing.
12
Present the completed form to the receptionist at the front desk when checking in for your appointment.

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Anyone who is a new patient at UCLA Health needs to fill out the 'Welcome to UCLA Health' form. This form is necessary to collect important personal, insurance, and medical information that is required for providing quality healthcare services. Whether you are visiting UCLA Health for the first time or have been referred to a new specialist within the network, completing this form is an essential step in establishing your patient record and ensuring a smooth and efficient check-in process.
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Welcome to ucla health is a comprehensive health and wellness program offered by UCLA Health.
All new patients who receive care at UCLA Health are required to fill out the welcome to UCLA Health form.
Patients can fill out the welcome to UCLA Health form online or at any UCLA Health facility during their visit.
The purpose of welcome to UCLA Health is to collect important information about patients' health history and insurance coverage.
Patients are required to report their personal information, medical history, insurance details, and emergency contact information on the welcome to UCLA Health form.
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