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NOTICE OF PRIVACY PRACTICES Renaissance Dental Center 3803 A Computer Drive, Suite 200, Raleigh, NC 27609 9197866766 Phone 9193365232 Fax Contact Person: Holly Diaz www.renaissancedentalcenter.com
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How to fill out new patient forms

01
Obtain the new patient forms from the receptionist or download them online.
02
Read all the instructions and provide accurate information.
03
Start by filling out your personal details such as name, address, and contact information.
04
Move on to the medical history section and fill in any relevant information about your past illnesses, surgeries, and allergies.
05
Provide a detailed list of medications you are currently taking or any known drug allergies.
06
If applicable, complete the insurance information section and provide your policy details.
07
Review the form for any mistakes or missing information.
08
Sign and date the form to confirm its accuracy and completeness.
09
Submit the filled-out new patient forms to the receptionist or the healthcare professional.

Who needs new patient forms?

01
New patient forms are required for individuals who are visiting a healthcare facility for the first time.
02
This includes patients who have never been seen at the particular clinic, hospital, or medical practice before.
03
It helps the healthcare provider gather necessary information about the patient's medical history, current health status, and contact details.
04
By filling out these forms, patients can ensure that their healthcare providers have all the relevant information to provide safe and effective care.
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New patient forms are documents that new patients fill out to provide their personal, medical, and insurance information to a healthcare provider before their first appointment.
Every new patient seeking medical care for the first time at a healthcare facility is required to file new patient forms.
To fill out new patient forms, patients should read each question carefully, provide accurate and complete information, and sign the forms where required.
The purpose of new patient forms is to gather essential information about the patient's health history, current medications, and insurance details to ensure proper care and billing.
New patient forms typically require reporting personal identification details, medical history, current medications, allergies, and insurance information.
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