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In this tutorial, you'll learn to use restatement, reflection, and clarification techniques to gather and document patient information effectively. Begin the process by greeting the patient warmly, introducing yourself, and explaining your role, such as, "Hi Mr. Dixon, I'm Laura, and I'll be updating your medical record today." To ensure confidentiality, choose a quiet private area for the interview and clarify the need for the information. Complete the history form utilizing therapeutic communication techniques, and accurately record the patient's full name, address (including apartment number and zip code), marital status, gender, age, date of birth, and various phone numbers. Additionally, collect insurance details and the employer’s contact information, verifying previously entered data in the electronic record.
