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In this tutorial, you will learn how to effectively gather and document patient information using techniques such as restatement, reflection, and clarification. Begin by greeting the patient warmly and introducing yourself, explaining your role in updating their medical records. Ensure confidentiality by choosing a quiet, private area for the discussion. Explain the purpose of obtaining the information, which includes completing a history form through therapeutic communication. Accurately document the patient's full name, address, marital status, gender, age, date of birth, phone numbers (home, cell, work), insurance details, and employer information, verifying any previously entered information in the electronic record.
