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In this tutorial, you will learn to effectively gather and document patient information using techniques like restatement, reflection, and clarification. Begin by greeting the patient pleasantly, identifying them and introducing yourself, while explaining your role. Choose a private, quiet area for the interview to ensure confidentiality. Inform the patient that you are updating their medical records and emphasize the importance of accurate information. Utilize therapeutic communication to complete the history form, recording essential details such as the patient's full name, address, marital status, gender, age, date of birth, telephone numbers, insurance information, and employer's contact details. Verify previously entered information in the electronic record as necessary.
