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Print Resubmit by EmailAJohn M. Want, D.M.D. Practice Limited to OrthodonticsORTHODONTIC ACQUAINTANCE FORMDatePatient's Name LastFirstM. I. Res. AddressBirthdateSexmm/dd/telephone ZIPOccupationSS#Employed
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Gather all necessary documents such as identification proof, medical history, and insurance information.
02
Make an appointment with the healthcare provider for your initial visit.
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Arrive at the healthcare facility on time and check-in at the reception desk.
04
Fill out the registration form with your personal and medical details.
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Provide accurate and complete information about your health history and any current medical conditions.
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Be prepared to answer questions from the healthcare provider about your symptoms or reasons for the visit.
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Follow any instructions or guidelines given by the healthcare provider during the visit.
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Ask any questions or clarifications you may have about your visit or treatment plan.
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After the visit, settle any billing or insurance-related matters, if required.
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If necessary, schedule a follow-up appointment or any further tests recommended by the healthcare provider.

Who needs your initial visit to?

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Anyone seeking medical care for the first time from a healthcare provider needs an initial visit.
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Individuals with new health concerns, chronic conditions, or those in need of preventive care should schedule an initial visit.
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The initial visit is necessary for those who want to establish a long-term relationship with a healthcare provider.
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Patients who require specialized medical services or consultations should also consider an initial visit.
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Your initial visit is typically a meeting or consultation to establish the purpose of your visit, gather preliminary information, and create a plan for future actions.
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