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In this tutorial, you will learn how to effectively gather patient information and document care using techniques such as restatement, reflection, and clarification. Begin by greeting the patient warmly, introducing yourself, and explaining your role. Ensure patient confidentiality and minimize interruptions by choosing a quiet, private area for the interview. Clarify that you are updating the medical records and need accurate information. Use therapeutic communication to complete the history form, collecting the patient's full name, address, marital status, gender, age, date of birth, telephone numbers, insurance details, and employer's information if applicable. If certain details are already in the electronic record, verify their accuracy.
