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Stephanie L. Santos, DDS Visit J. Folk, DDS 281 Independence Blvd., Suite 210 Virginia Beach, VA 23462 Telephone 7574999639 Fax 7574900808 Privacy Practices Acknowledgement I have received the Notice
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How to fill out new patient forms:

01
Start by reviewing the instructions: Before filling out the new patient forms, carefully read through the provided instructions. These will guide you on what information is required and how to enter it correctly.
02
Provide personal information: Begin by filling in your personal details such as your full name, date of birth, address, and contact information. Make sure to double-check the accuracy of these details as they are crucial for effective communication.
03
Medical history: Next, complete the section related to your medical history. This may include questions about any pre-existing conditions, allergies, past surgeries, medications you are currently taking, and any major illnesses you have experienced in the past. Be honest and thorough while providing this information as it will help your healthcare provider better understand your health status.
04
Insurance information: If applicable, you will need to provide your insurance details on the new patient forms. This may include your insurance carrier's name, policy number, and any primary or secondary insurance coverage you may have. Make sure to bring your insurance card with you to accurately fill in this information.
05
Emergency contact information: It is important to provide the details of a person who can be contacted in case of an emergency. Fill out this section carefully, including the name, relationship, and contact information of your emergency contact.
06
Sign and date: Once you have completed all the necessary sections of the new patient forms, carefully review your answers and ensure that everything is accurate. Sign and date the forms to indicate that the information provided is correct and that you consent to its use for your healthcare.

Who needs new patient forms:

01
Individuals visiting a healthcare provider for the first time: New patient forms are typically required for individuals who are seeking medical care for the first time from a specific healthcare provider. This helps the medical facility gather necessary information about a patient's health and medical history.
02
Patients transferring to a new healthcare provider: If you are transferring your care from one healthcare provider to another, you may be required to fill out new patient forms. This allows the new healthcare provider to have a comprehensive understanding of your medical history and provide appropriate treatment.
03
Patients returning after a long gap: In some cases, if a patient has not visited a particular healthcare provider for a significant period, they may be asked to fill out new patient forms. This is done to update the patient's medical records and ensure all necessary information is up to date.
Overall, new patient forms are essential for healthcare providers to gather necessary information, understand a patient's medical history, and provide appropriate care. It is important to fill out these forms accurately and thoroughly to ensure the best possible healthcare experience.
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New patient forms are documents that a healthcare provider requires a new patient to fill out before their first appointment. These forms typically collect important information about the patient's medical history, insurance information, and contact details.
New patients are required to fill out and file new patient forms before their first appointment with a healthcare provider.
New patient forms can usually be filled out either online through a secure patient portal or in person at the healthcare provider's office. Patients are required to provide accurate and complete information on these forms.
The purpose of new patient forms is to collect essential information about the patient's medical history, insurance coverage, and contact details. This information helps healthcare providers deliver better care and treatment to their patients.
New patient forms typically require patients to report their personal information, medical history, current medications, allergies, insurance details, and emergency contacts.
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