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In this tutorial, you'll learn to effectively gather and document patient information using techniques like restatement, reflection, and clarification. Start by greeting the patient warmly and introducing yourself while explaining your role, such as updating their medical record. Ensure confidentiality by conducting the interview in a private area and clarify the purpose of gathering information. Complete the history form using therapeutic communication techniques. Record essential details, including the patient's full name (with middle initial), address (including apartment number and zip code), marital status, gender, age, date of birth, telephone numbers (home, cell, work), insurance information, and employer's name, address, and telephone number, verifying if any details are already in the electronic record.
