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In this procedure, you'll learn to use restatement, reflection, and clarification to gather patient information and document care accurately. Begin by greeting the patient warmly, identifying yourself, and explaining your role. Choose a quiet, private area for the interview to maintain confidentiality and minimize interruptions. Inform the patient that you are updating their medical record and need to verify their information. Utilize therapeutic communication techniques to complete the history form, recording key details such as the patient's full name, address, marital status, gender, age, date of birth, telephone numbers (home, cell, and work), and insurance information, as well as their employer's contact details, if applicable.
