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Chart #: FOR OFFICE USE Unwelcome to Shelby Dental Care Center *Required information all other information is optional, but encouragedPATIENT INFORMATION Last Name:First Name:Title (Mr/Ms/Mrs/etc)
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01
Begin by entering the name of the patient in the designated field.
02
Provide the patient's contact information, including phone number and email address.
03
Enter the patient's date of birth and gender.
04
Fill out the patient's medical history, including any allergies or pre-existing conditions.
05
Include information about the patient's dental insurance, if applicable.
06
Provide details about the reason for the patient's visit and any specific concerns or symptoms.
07
Specify any previous dental treatments the patient has received.
08
Review and verify all the entered information for accuracy.
09
Submit the completed welcome form to the receptionist or dental staff for further processing.

Who needs welcome to shelby dental?

01
Anyone who is visiting Shelby Dental for the first time needs to fill out the 'Welcome to Shelby Dental' form.
02
This form helps the dental clinic gather essential information about the patient, their medical history, and any specific dental concerns they may have.
03
It ensures that the dental staff is well-informed and prepared to provide the necessary care and treatment.
04
Filling out the 'Welcome to Shelby Dental' form is a standard procedure for all new patients.
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Welcome to Shelby Dental is an introductory program or document that provides information about the dental practice, its services, and staff.
Any new patient seeking dental services at Shelby Dental may be required to fill out the welcome document.
To fill out the welcome document, patients should provide their personal information, medical history, and any relevant dental insurance details as instructed.
The purpose of the welcome document is to gather necessary information about patients for their dental records and ensure that the practice can provide appropriate care.
Information such as patient name, contact details, medical history, and insurance information must be reported on the welcome document.
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