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Peter T. Ocampo D.P.M.
NEW PATIENT
PLEASE FILL OUT THE ATTACHED FORMS AND SIGN ON THE X\'S BEFORE COMING
TO YOUR APPOINTMENT. DO NOT MAIL BACK.
IF YOU HAVE RAYS OF YOUR FOOT OR ANKLE PLEASE BRING
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01
To fill out new patients please fill, follow these steps:
02
Collect all necessary personal information like name, address, date of birth, and contact details.
03
Ask for the patient's medical history including previous diagnoses, medications, and any allergies.
04
Inquire about the reason for the visit and gather additional details about symptoms or concerns.
05
Obtain insurance information if applicable, including the name of the insurance provider and policy number.
06
Request the patient to sign any consent forms or waivers required by the healthcare facility.
07
Double-check all the provided information for accuracy and completeness.
08
Enter the information into the designated electronic or paper-based patient registration system.
09
Inform the patient about any necessary pre-visit preparations or instructions.
10
Provide the patient with a copy of their completed registration form for their records.
11
Thank the patient for their cooperation and assure them that their information will be kept confidential and used only for healthcare purposes.
Who needs new patients please fill?
01
New patients who have not previously visited a healthcare facility need to fill out the new patient form.
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