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NEW PATIENT PACKET WELCOME TO REGENCY 74 Regency Parkway, Mansfield, TX 76063 Phone: (817) 4196111 Fax: (817) 4199582 Who are you here to see today? How did you hear about us? (please specify) WELCOME
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How to fill out regency patient packet
How to fill out regency patient packet
01
Start by obtaining the regency patient packet from the reception desk or front office.
02
Fill out all personal information requested, such as name, address, contact information, and insurance details.
03
Provide information about any allergies, medical conditions, and current medications you are taking.
04
Sign and date any necessary consent forms included in the packet.
05
Double-check the completed packet for accuracy and completeness before submitting it back to the receptionist.
Who needs regency patient packet?
01
Anyone who is a new patient at the regency medical facility.
02
Existing patients who have had changes in their personal information, insurance, medications, or medical history.
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What is regency patient packet?
Regency patient packet is a set of forms and documents that must be completed and submitted by patients in order to receive treatment or services at Regency medical facilities.
Who is required to file regency patient packet?
All patients who wish to receive treatment or services at Regency medical facilities are required to file a regency patient packet.
How to fill out regency patient packet?
Patients can fill out the regency patient packet by following the instructions provided in the forms and submitting all required documents.
What is the purpose of regency patient packet?
The purpose of regency patient packet is to gather necessary information about the patient, including medical history, insurance information, and consent forms.
What information must be reported on regency patient packet?
Information such as personal details, emergency contacts, medical history, insurance information, consent forms, and any other relevant information must be reported on the regency patient packet.
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