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TEL 480.456.0719
FAX 480.456.0163
1930 E Southern Ave
Tempe, Arizona 852827518Welcome to Nelson Pediatric Therapy!
We are pleased to provide physical, occupational and speech therapy services to children
We are not affiliated with any brand or entity on this form
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How to fill out new patient packet intake

How to fill out new patient packet intake
01
Begin by gathering all necessary information and documents. This may include the patient's personal details, insurance information, medical history, and consent forms.
02
Provide the patient with the new patient packet intake form. Make sure it is clearly labeled and easy to understand.
03
Instruct the patient to fill out the form completely and accurately. Remind them to sign and date any necessary sections.
04
If there are any sections that the patient is unsure about or does not apply to them, advise them to leave those sections blank or indicate N/A.
05
Once the form is completed, review it carefully to ensure all information is provided correctly. Make note of any missing or incomplete sections.
06
If the patient has any questions or needs assistance with filling out the form, offer support and guidance.
07
Once the form is reviewed and deemed complete, file it in the appropriate location or input the information into your system.
Who needs new patient packet intake?
01
New patient packet intake is needed for any individual who is new to your practice or healthcare facility.
02
This includes patients who have never been seen by any of your healthcare professionals before.
03
It helps in collecting necessary information and establishing a patient's medical history for future reference.
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What is new patient packet intake?
New patient packet intake is the process of collecting and documenting essential information from new patients before their initial appointment.
Who is required to file new patient packet intake?
New patients are required to complete and submit the new patient packet intake form.
How to fill out new patient packet intake?
New patients can fill out the form online or in person at the healthcare facility.
What is the purpose of new patient packet intake?
The purpose of new patient packet intake is to gather important medical and personal information to ensure quality care and treatment.
What information must be reported on new patient packet intake?
Information such as medical history, current medications, allergies, insurance information, and contact details must be reported on the new patient packet intake form.
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