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NEW PATIENT GREEN Slippage: ___Employee Initials ___Preferred Provider___Childs Name: ___ Birthday ___/___/___sex: Male or Female Due Date ___/___/___ First Child? Y N Which Hospital? ___ Mothers
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How to fill out new patient green slip

01
Obtain a new patient green slip form from the healthcare provider's office.
02
Fill in your personal information, including name, date of birth, address, and contact information.
03
Provide details of your medical history, current medications, and any allergies you may have.
04
Sign and date the form to confirm the accuracy of the information provided.
05
Return the completed form to the healthcare provider's office for processing.

Who needs new patient green slip?

01
New patients who are seeking medical treatment from a healthcare provider.
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The new patient green slip is a form used to report new patients to a healthcare provider.
Healthcare providers are required to file the new patient green slip for each new patient they see.
The new patient green slip can be filled out manually or electronically, including patient information and treatment details.
The purpose of the new patient green slip is to keep track of new patients and their treatments for record-keeping and billing purposes.
The new patient green slip must include patient's name, date of birth, contact information, insurance details, treatment received, and provider's information.
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