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In this tutorial, you'll learn to effectively use restatement, reflection, and clarification to gather patient information and document care accurately. Start by greeting the patient warmly, identifying them, and introducing yourself. Explain your role, such as updating their medical record, while ensuring confidentiality and minimizing interruptions by choosing a private area. Clarify the purpose of gathering information, and use therapeutic communication techniques to complete the history form. 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, and work), insurance information, and employer details if applicable, confirming with the electronic record if necessary.
