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THE COLLEGE OF DENTAL SURGEONS OF HONG KONG ? ? ? ? ? ? ? MGD Part II Examination Clinic Visit 6th & 7th March 2015 Name of Candidate : Practice Address : (English) (Chinese) Clinic Telephone : Mobile
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How to fill out a form of clinic visitation:

01
Start by carefully reading the instructions provided on the form. This will give you a clear understanding of what information is required and how to fill out the form accurately.
02
Begin by providing your personal information, such as your full name, address, date of birth, and contact details. Ensure that you provide accurate and up-to-date information to avoid any confusion or errors.
03
The form may require you to specify the reason for your visit to the clinic. This could be for a regular check-up, a specific medical condition, or any other purpose. Clearly mention the purpose and be as specific as possible.
04
If you have any pre-existing medical conditions or allergies, it is important to disclose them in the form. This information helps the healthcare professionals to provide appropriate care and avoid any potential complications.
05
The form may also require you to provide details about your medical history, including any previous surgeries, medications you are currently taking, and any other relevant information. Be honest and provide complete information to assist the medical staff in assessing your health accurately.
06
In some cases, the form might ask for insurance information. If you have medical insurance coverage, provide the necessary details such as the name of the insurance provider, policy number, and any other pertinent information.
07
If you are visiting the clinic on behalf of someone else, such as a minor or an elderly relative, you might be required to provide their information as well. Make sure to accurately fill out their personal details, medical history, and any other relevant information.
08
Double-check all the information you have provided before submitting the form. Ensure that it is legible and free from any spelling mistakes or inaccuracies. Making any corrections or amendments before submitting can help avoid unnecessary delays or confusion.
09
Finally, sign the form as required and submit it to the appropriate person or department at the clinic.

Who needs the form of clinic visitation?

01
Individuals who are seeking medical consultation or treatment at the clinic.
02
Patients who are visiting the clinic for preventive check-ups or routine examinations.
03
Anyone who wishes to schedule an appointment with a healthcare professional at the clinic.
04
Patients who need to update their medical records or share any new information with the clinic staff.
05
Individuals who require referral services or specialized medical attention from the clinic.
06
Patients who have been advised to visit the clinic by their primary healthcare provider or another medical specialist.
07
Parents or legal guardians who are bringing a minor or dependent to the clinic for medical care.
08
Patients who require follow-up visits or ongoing medical management from the clinic.
09
Individuals who need to provide medical or health-related information to the clinic for administrative or legal purposes.
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The form of clinic visitation is a document used to record and track visits to the clinic by patients.
Clinic staff members or healthcare providers are usually required to file the form of clinic visitation.
The form of clinic visitation can be filled out by documenting the date, time, reason for visit, patient name, and any services provided during the visit.
The purpose of the form of clinic visitation is to keep a record of all patient visits to the clinic for tracking and monitoring purposes.
Information such as date of visit, patient name, reason for visit, services provided, and any follow-up instructions must be reported on the form of clinic visitation.
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