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WELCOME TO THE SANTA CRUZ EAR, NOSE & THROAT MEDICAL GROUP BEFORE YOUR VISIT WE NEED THE FOLLOWING INFORMATION IN ORDER TO ESTABLISH YOUR MEDICAL RECORDS AND SET UP YOUR ACCOUNT. Date Mr, Mrs, Ms,
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Start by opening the new patient info sheetdocx on your computer.
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Fill in the patient's personal information such as their name, date of birth, and contact details.
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Provide the patient's medical history and any past or current medical conditions.
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Fill in the insurance information if applicable.
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If the patient is a minor, provide the guardian's information.
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The new patient info sheetdocx is a document that collects information about a patient's personal details, medical history, and insurance information.
New patients visiting a healthcare facility or provider are required to fill out the new patient info sheetdocx.
Patients can fill out the new patient info sheetdocx by providing accurate information about their personal details, medical history, and insurance information in the designated fields.
The purpose of the new patient info sheetdocx is to gather necessary information about the patient that will help healthcare providers in delivering appropriate care and treatment.
The new patient info sheetdocx must include the patient's full name, date of birth, contact information, medical history, current medications, allergies, insurance details, and emergency contacts.
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