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In this tutorial, you will learn to gather and document patient information effectively using restatement, reflection, and clarification techniques. Start the interaction by greeting the patient warmly, identifying yourself, and explaining your role. Ensure confidentiality by selecting a private area for the interview. Clearly explain the purpose of updating the medical records and use therapeutic communication to complete the history form. Collect detailed information including the patient's full name, address, marital status, gender, age, date of birth, and various telephone numbers. Also, gather insurance details and the employer’s contact information, if applicable. Ensure accuracy, especially if some data already exists in the electronic record.
