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NORTH RALEIGH PSYCHIATRY, P.A. PATIENT REGISTRATION SHEET Please print all information. Thank you.Today's Date: ___Patient Name: ___ ___ ___ Nickname: ___ LASTFIRSTMIPatient Address: ___ City: ___
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How to fill out patient name nickname

01
First, ask the patient for their preferred nickname.
02
Make sure to spell the nickname correctly.
03
Write the nickname legibly in the designated field on the patient information form.

Who needs patient name nickname?

01
Healthcare professionals such as doctors, nurses, and receptionists may need the patient's nickname to address them informally and build rapport.
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The patient's nickname is a shortened or alternative name used to refer to the patient.
Healthcare providers and medical staff are required to file the patient's nickname.
The patient's nickname can be filled out on medical forms or records by the healthcare provider or medical staff.
The purpose of the patient's nickname is to provide a more informal or familiar way to refer to the patient.
The patient's chosen nickname or preferred name should be reported on the patient's records.
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