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Patient demographic form is a form that collects information about a patient's personal and demographic details such as name, address, contact information, insurance details, etc.
Healthcare providers such as hospitals, clinics, doctors' offices, etc. are required to file patient demographic form for each patient they treat.
Patient demographic form can be filled out either manually by patient or staff, or electronically through a secure online portal or software.
The purpose of patient demographic form is to have accurate and up-to-date information about the patient, which is essential for providing proper medical care and billing insurance.
Patient demographic form must include information such as patient's name, date of birth, address, phone number, email, insurance information, emergency contact, etc.
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