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Indian Health Service
Patient Registration Data:
The Heart of IHS Data and
Reporting
APRIL GOODLY
BUSINESS OFFICE MANAGER,
OCT, CLINTON SERVICE UNIT
AUGUST 30, 2023Presentation Overview
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How to fill out patient registration data form

How to fill out patient registration data form
01
Start by providing your personal information such as name, date of birth, address, and contact details.
02
Fill in any relevant medical history, including current medications and any known allergies.
03
Check off any insurance information that applies to you.
04
Sign and date the form to confirm that the information is accurate and complete.
Who needs patient registration data form?
01
Patients visiting a healthcare facility for the first time.
02
Patients undergoing a medical procedure or treatment.
03
Patients enrolling in a new health insurance plan.
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What is patient registration data form?
The patient registration data form is a document used to collect information about a patient's personal details, medical history, and insurance information.
Who is required to file patient registration data form?
Healthcare providers, hospitals, clinics, and other medical facilities are required to file patient registration data forms for each new patient.
How to fill out patient registration data form?
The patient registration data form can be filled out either online or in person at the medical facility. Patients are required to provide accurate and up-to-date information about themselves.
What is the purpose of patient registration data form?
The purpose of the patient registration data form is to gather important information about the patient that will help healthcare providers deliver better care and ensure accurate billing.
What information must be reported on patient registration data form?
Information such as patient's full name, date of birth, contact information, insurance details, medical history, and emergency contact information must be reported on the patient registration data form.
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