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In this tutorial, you will learn how to effectively gather and document patient information using techniques such as restatement, reflection, and clarification. Begin by greeting the patient warmly and introducing yourself, explaining your role in updating their medical record. Ensure confidentiality by selecting a private, quiet space for the interview. Clarify the purpose of collecting information to put the patient at ease. Utilize therapeutic communication methods to complete the history form accurately, which includes recording the patient's full name, address, marital status, gender, age, date of birth, telephone numbers, insurance information, and employer details. Confirm any pre-existing information in the electronic record as needed.
