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PATIENT INFORMATION Name ___preferred name___Date___ Address___City, State & Zip___ Home Phone___Work Phone___Cellphone___ The office may contact me on my cellphone, regarding appointments, treatment,
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How to fill out patient registration preferred name
How to fill out patient registration preferred name
01
Open the patient registration form.
02
Locate the field for preferred name.
03
Write the preferred name in the designated space.
04
Make sure the preferred name is clear and easy to read.
05
Double check the information before submitting the form.
Who needs patient registration preferred name?
01
Patients who prefer to be addressed by a name other than their legal name.
02
Healthcare providers who want to ensure they use the name the patient is most comfortable with.
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What is patient registration preferred name?
The preferred name on a patient registration is the name that the patient prefers to be called by.
Who is required to file patient registration preferred name?
Healthcare providers and facilities are required to collect and file patient registration preferred names.
How to fill out patient registration preferred name?
Patient registration preferred names can be filled out by asking the patient for their preferred name during the registration process.
What is the purpose of patient registration preferred name?
The purpose of patient registration preferred names is to ensure that healthcare providers address and refer to patients by their preferred names.
What information must be reported on patient registration preferred name?
Patient registration preferred names must include the name that the patient prefers to be called by.
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