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In this tutorial, you'll learn how to effectively collect and document patient information using techniques like restatement, reflection, and clarification. To ensure patient comfort, start by greeting the patient warmly, identifying them, and introducing yourself. Explain your role, such as updating their medical record. Choose a private area for the interview to maintain confidentiality. Clearly articulate why you need the information and use therapeutic communication techniques to complete the history form. Gather essential details, including the patient's full name, address (with apartment number and zip code), marital status, gender, age, date of birth, telephone numbers (home, cell, and work), insurance information, and employer details. If any information is already in the electronic record, verify its accuracy.
