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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, introducing yourself, and explaining your role in updating their medical record. Ensure confidentiality by selecting a private area for the interview, and clarify the purpose of gathering information. Utilize therapeutic communication to complete the patient's history form, including their full name, address, marital status, gender, age, date of birth, phone numbers, and insurance details. Additionally, record the employer’s information if applicable, and verify any existing data in the electronic record.
