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PRE TRAVEL HEALTH RECORD (Page 1)Patient Name: ___ Date of Birth: ___ / ___ / ___ Patient Address: ___ Nature of Travel: (Please tick box) TouristBusinessNGOVolunteerModes of Transport: (Please tick
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How to fill out section 1 patient information
How to fill out section 1 patient information
01
Write the patient's full name in the designated space
02
Enter the patient's date of birth in the specified format
03
Provide the patient's gender (male, female, or other)
04
Include the patient's contact information such as phone number and address
Who needs section 1 patient information?
01
Healthcare providers
02
Insurance companies
03
Medical facilities
04
Government agencies
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What is section 1 patient information?
Section 1 patient information typically includes basic details about the patient such as name, date of birth, address, and contact information.
Who is required to file section 1 patient information?
Healthcare providers and facilities are usually required to file section 1 patient information for each patient they treat.
How to fill out section 1 patient information?
Section 1 patient information can be filled out manually on a paper form or electronically using a computer software system.
What is the purpose of section 1 patient information?
The purpose of section 1 patient information is to accurately identify and keep track of each patient's information for healthcare purposes.
What information must be reported on section 1 patient information?
Information such as name, date of birth, address, phone number, insurance details, and emergency contact information may be required on section 1 patient information.
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