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Reston Town Center Pediatrics 1830 Town Center Drive, Suite 205 Reston, VA 20190 www.RTCPeds.comPATIENT REGISTRATION FORM Patients Name:Date of Birth:Sex:MaleFemaleStreet Address: City:State:Zip:Primary
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How to fill out new patients - new
01
Gather basic information such as name, date of birth, and contact details.
02
Obtain medical history including any previous conditions, allergies, and current medications.
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04
Have the patient fill out any necessary consent forms or insurance information.
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Schedule follow-up appointments as needed.
Who needs new patients - new?
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Healthcare providers looking to expand their patient base
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Medical practices in newly established areas
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New patients - new refers to recently acquired patients who have never received services from the healthcare provider before.
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Healthcare providers are required to file information on new patients - new.
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