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Vascular New Patient36320 Inland Valley Dr. Suite101 Waldemar CA 92595 9516983000 / 9516987700LAST FIRST MI SEX F M BIRTHDATE / / AGE SS# ADDRESS CITY ST ZIP CHECK PREFERRED CONTACT #: HOME PHONE
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01
Gather all necessary information from patient, such as personal details, medical history, and insurance information.
02
Provide the patient with a new patient form to fill out or help them fill it out.
03
Ensure that the patient fills out all required fields, such as contact information, reason for visit, and any previous diagnoses or treatments.
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Review the form with the patient to clarify any unclear or incomplete information.
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Collect any additional required documents or test results from the patient.
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Submit the filled-out form along with any supporting documents to the vascular new patient department.
Who needs vascular new patient?
01
Anyone who is seeking vascular care for the first time and has never been a patient at the vascular department before.
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