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PATIENT REGISTRATION & CONSENTMrMrs Ms Miss Other: Date of Birth:// AgeSurnameFirst NameMiddle Name Preferred Name Male FemaleYour OccupationHeight (meters) Weight (kilo) BMI (for office use)If Child
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Patient name - gold refers to a standardized format or document used to collect and report specific patient information in a healthcare setting.
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Information that must be reported includes the patient’s full name, date of birth, contact information, insurance details, and medical history.
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