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In this tutorial, you'll learn techniques such as restatement, reflection, and clarification to effectively obtain and document patient information. Begin by greeting the patient warmly and identifying yourself, explaining your role in updating their medical record. Ensure confidentiality by choosing a quiet, private area for the interview. Clarify the need for accurate information, then complete the history form using therapeutic communication techniques. Record the patient's full name (including middle initial), address (with apartment number and zip code), marital status, gender, age, date of birth, phone numbers (home, cell, and work), insurance details, and employer's information, checking for accuracy against existing electronic records if necessary.
