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Addendum to Initial Patient Intake Form:Digestive Care Consultants Patient Name: DOB: (Last)(First)(MI)Today's Date: Who is your referring doctor? Phone: Do you have a cardiologist? Y N If yes, pls.
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To fill out an addendum to the initial patient, follow these steps:
02
Begin by reviewing the initial patient information to understand what needs to be added or revised.
03
Open the addendum form or document provided by the healthcare facility or organization you work for.
04
Enter the patient's name and identification number at the top of the addendum.
05
Specify the date and time when the addendum is being filled out.
06
Clearly state the reason for the addendum and provide a detailed explanation of the additional or revised information.
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Make sure to include any relevant supporting documents or medical records that support the changes being made.
08
Review the completed addendum for accuracy and completeness.
09
Sign and date the addendum at the bottom to authenticate the changes.
10
Submit the filled-out addendum to the appropriate department or personnel for review and processing.
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Keep a copy of the completed addendum for your records.

Who needs addendum to initial patient?

01
An addendum to the initial patient may be necessary for various reasons and is typically needed by:
02
- Healthcare professionals who need to update or add information to a patient's initial records.
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- Medical researchers who require additional information or modifications to improve the accuracy of patient data.
04
- Legal entities involved in medical malpractice cases or disputes that need to include updated or corrected information.
05
- Insurance companies or billing departments that require additional details or corrections for proper reimbursement or claims processing.
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Addendum to initial patient is a supplementary document added to the initial patient record to provide additional information or update existing information.
Healthcare providers or caregivers responsible for the initial patient record are required to file addendum to initial patient.
Addendum to initial patient can be filled out by including the new information or updates in a separate section or form attached to the initial patient record.
The purpose of addendum to initial patient is to ensure that the patient's record is complete and up-to-date with any relevant information or changes.
The information reported on addendum to initial patient should include any new diagnoses, treatments, medications, or changes in the patient's condition.
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