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In this tutorial, you will learn to gather patient information and document care effectively using restatement, reflection, and clarification techniques. Begin by greeting the patient warmly, introducing yourself, and explaining your role. Choose a private area for the interview to ensure confidentiality and minimize interruptions. Clarify that you are updating their medical records and need accurate information. During the process, use therapeutic communication to fill out the history form, including details such as the patient's full name, address, marital status, gender, age, date of birth, and contact numbers. Record insurance details and employer information, confirming the accuracy of any existing data in the electronic record.
