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PortlandClinicofHolisticHealth
NaturopathicandChineseMedicine
833SW11thAve,Suite525,Portland,OR97205
Phone:(503)2947070,Fax:(971)2008962CONFIDENTIAL NEW PATIENT INFORMATION
Name:Date:Age:Date of birth:Sex:Address:
City:State:Zip:Phones:
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How to fill out new patient packet adultdoc
How to fill out new patient packet adultdoc
01
Obtain new patient packet adultdoc from the receptionist at the doctor's office.
02
Fill out the personal information section with your name, address, phone number, and date of birth.
03
Provide details about your medical history, including any past illnesses, surgeries, or current medications.
04
Sign and date the consent forms, acknowledging that you understand the office's privacy policies.
05
Return the completed packet to the receptionist before your appointment with the doctor.
Who needs new patient packet adultdoc?
01
Any new patient who is over the age of 18 and is scheduling an appointment with a new doctor at the office would need to fill out the new patient packet adultdoc.
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What is new patient packet adultdoc?
The new patient packet adultdoc is a set of forms and documents that need to be completed by a new adult patient before their first appointment with a healthcare provider.
Who is required to file new patient packet adultdoc?
Any new adult patient visiting a healthcare provider for the first time is required to fill out and submit the new patient packet adultdoc.
How to fill out new patient packet adultdoc?
The new patient packet adultdoc can be filled out either in person at the healthcare provider's office or electronically through their online patient portal.
What is the purpose of new patient packet adultdoc?
The purpose of the new patient packet adultdoc is to collect important information about the patient's medical history, insurance coverage, and contact details in order to provide effective and personalized healthcare services.
What information must be reported on new patient packet adultdoc?
The new patient packet adultdoc typically requires the patient to provide their personal information, medical history, insurance information, emergency contact details, and consent for treatment.
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