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Date : ___ Patient Name: ___ DOB: ___ Age: ___ Sex: M / F Dominant hand: Side of injury: Are you taking any medication? Yes No If yes, please List: ___ ___ List allergies to medication: ___ Reason
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Start by downloading the schlechter-new-patient-info-packet from the official website
02
Fill out personal information such as name, address, contact number, and date of birth
03
Provide insurance information including policy number and primary care physician
04
Fill out medical history including any current medications, allergies, and previous surgeries
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Who needs schlechter-new-patient-info-packet?

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New patients who are visiting Schlechter Medical Group for the first time
02
Patients who have not completed the new patient information packet before
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Schlechter-new-patient-info-packet is a form or packet that contains information about a new patient's medical history, contact details, insurance information, and any relevant health information.
New patients visiting the Schlechter healthcare facility are required to fill out the schlechter-new-patient-info-packet.
Patients can fill out the schlechter-new-patient-info-packet by providing accurate and complete information about their medical history, insurance details, as well as any current health issues they may have.
The purpose of schlechter-new-patient-info-packet is to collect essential information about new patients in order to provide them with appropriate medical care and treatment.
The schlechter-new-patient-info-packet may require information such as personal details, medical history, insurance information, emergency contacts, and any specific health concerns or conditions.
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