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Riviera ENT 1819 State St, Ste A Santa Barbara CA, 93101 Phone:(805)3276673 Fax:(805)6795183NEW PATIENT CURRENT PROBLEMS Patients Last Name ___First Name___Middle Initial ___What brings you in today?
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How to fill out new patient current problems

01
Obtain the new patient current problems form from the front desk or medical records department.
02
Fill in the patient's name, date of birth, and other identifying information at the top of the form.
03
List out the patient's current health issues or concerns in the designated section on the form.
04
Be specific and provide as much detail as possible about each problem, including when it started, symptoms, severity, and any treatment received.
05
If the patient has multiple current problems, number them for clarity and organization.
06
Review the completed form for accuracy and completeness before submitting it to the healthcare provider.

Who needs new patient current problems?

01
New patients who are seeking medical care at a healthcare facility.
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New patient current problems refer to the health issues or concerns that a new patient is currently experiencing.
Healthcare providers or medical professionals are required to document and file new patient current problems.
New patient current problems can be filled out by conducting a thorough assessment of the patient's health history and current symptoms.
The purpose of documenting new patient current problems is to provide a clear overview of the patient's health status and guide the treatment plan.
New patient current problems should include details of the patient's symptoms, medical history, medications, and any other relevant health information.
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