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Get the free NEW PATIENT INFORMATION - aafacenters.com

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South County | 9701 Landmark Parkway Dr. | Suite 207 | St. Louis, MO 63127 | Phone 314.849.8700 | Fax 314.849.8737 West County 16216 Baxter Rd. | Suite 299 | Chesterfield, MO 63017 | Phone 636.536.2600
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How to fill out new patient information

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Start by gathering all the necessary information such as the patient's full name, date of birth, address, and contact details.
02
Create a new patient information form or use a pre-designed template.
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Begin by filling in basic personal details like name, date of birth, and gender.
04
Provide contact information such as phone number, email address, and home address.
05
Include emergency contact details in case of any unforeseen circumstances.
06
Record any known allergies or medical conditions of the patient.
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Ask the patient about their medical history, including previous illnesses, surgeries, or hospitalizations.
08
Inquire about any current medications the patient is taking or any drug allergies.
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Include a section for insurance information and policy details if applicable.
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Finally, review the filled-out form for any omissions or errors before saving it in the patient's record.

Who needs new patient information?

01
New patient information is required by healthcare providers or medical facilities.
02
Any healthcare professional who is providing care or treatment to a new patient will need their information.
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Additionally, administrative staff, receptionists, or billing departments may also require new patient information for record-keeping and insurance purposes.
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New patient information includes personal details such as name, contact information, medical history, and insurance information for a patient who is seeking medical treatment for the first time.
Healthcare providers and medical facilities are required to file new patient information when a patient seeks treatment for the first time.
New patient information can be filled out either electronically or using paper forms provided by the healthcare provider. The patient or their authorized representative must provide accurate and complete information.
The purpose of new patient information is to ensure that healthcare providers have all relevant information about a patient to provide appropriate medical treatment and care.
New patient information must include the patient's full name, date of birth, contact information, medical history, insurance information, and any relevant medical conditions.
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