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In this tutorial, you'll learn to use restatement, reflection, and clarification to gather and document patient information effectively. Begin by greeting the patient warmly, introducing yourself, and explaining your role. Ensure confidentiality and minimize interruptions by choosing a quiet, private area for the interview. Clarify the purpose of collecting information, then complete the history form using therapeutic communication techniques. Accurately record the patient’s full name (including middle initial), address (with apartment number and zip code), marital status, gender, age, date of birth, and phone numbers (home, cell, and work). Also, gather details about their insurance and employer, making sure to verify existing entries in the electronic record.
