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In this tutorial, you'll learn to use restatement, reflection, and clarification to accurately obtain and document patient information. Begin by greeting the patient warmly and introducing yourself while explaining your role. Ensure confidentiality and minimize interruptions by choosing a quiet, private space for the interview. Clarify the purpose of gathering their information, and complete the history form using therapeutic communication techniques. Record essential details, including the patient's full name, address, marital status, gender, age, date of birth, and contact numbers. Also, document insurance information and the employer’s details, checking for any previously entered data in the electronic record to ensure accuracy.
