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In this tutorial, you'll learn how to effectively use restatement, reflection, and clarification to gather patient information and document care accurately. Begin by greeting the patient warmly, introducing yourself, and explaining your role. Choose a quiet, private space to conduct the interview and clarify that you are updating the medical records. Explain the purpose of gathering this information to ensure its accuracy. Utilize therapeutic communication techniques to complete the history form, collecting essential details such as the patient’s full name (including middle initial), address, marital status, gender, age, date of birth, telephone numbers, insurance information, and employer details. Ensure any pre-existing information in the electronic record is verified.
