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In this tutorial, you will learn how to effectively gather and document patient information using restatement, reflection, and clarification techniques. First, greet the patient warmly, introduce yourself, and explain your role—such as updating their medical record. Ensure confidentiality by choosing a quiet, private space for the interview. Clearly communicate the purpose of collecting information. Utilize therapeutic communication to complete the history form, ensuring to record essential details, including the patient's full name, address, marital status, gender, age, date of birth, phone numbers, insurance details, and employer information. If any data is already in the electronic record, verify its accuracy.
