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Get the free New & Existing Patient Forms Kristo Orthodontics

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Welcome to our office. We appreciate the confidence you place with us to provide dental services. To assist us in serving you, please complete the following form. The information provided on this
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Gather all necessary information about the patient, including personal details, medical history, and insurance information.
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Use the patient registration form or electronic medical record system to enter the patient's information accurately and completely.
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Verify the patient's identity by asking for identification documents or using a reliable identification verification system.
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Collect signed consent forms and any additional required documents.
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Healthcare providers, medical facilities, and clinics need to fill out new and existing patient forms to gather necessary information and maintain accurate patient records.
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A 'new patient' refers to an individual who has not received any professional services from the provider or practice within the last three years. An 'existing patient' is someone who has received professional services from the provider or practice in that timeframe.
Healthcare providers and practices that offer services to patients and need to report patient encounters for billing and administrative purposes are required to file new and existing patient forms.
To fill out new and existing patient forms, the provider should gather required information such as the patient's demographic details, medical history, and reason for the visit. Ensure all sections are completed accurately and clearly.
The purpose of new and existing patient filings is to categorize patients for billing purposes, document patient encounters, and ensure proper reimbursement from insurance providers.
Information that must be reported includes patient identification details, insurance information, medical history, current medications, specific services rendered, and any relevant notes from the visit.
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