Oha 8010p 2025

1. Click ‘Get Form’ to open the oha 8010p in the editor.
2. Begin by entering the patient information. Fill in the last name, first name, middle name, date of birth, age, and gender. Ensure accuracy as this data is crucial for identification.
3. Next, provide the patient's address and optional details such as mother’s maiden name and phone number. This information helps maintain contact and verify identity.
4. Complete the race and ethnicity sections by circling all applicable options. This demographic data may be important for health records.
5. Proceed to the patient screening questions. Answer each question carefully by circling 'Yes' or 'No' based on the patient's health status.
6. Finally, review all entered information for accuracy. Print your name, sign, indicate your relationship to the patient, and date the form before submission.

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