EXPLAINING INTAKES TO PATIENTS

"ms jones, i'm going to go over the new patient intake to answer any questions you may have " on the first page, you will tell us about you we need all of your demographic information on this second page, you will tell us about your complaints and symptoms on this third page, you will fill out a brief medical history, please list any current medications and known allergies to medications this is our financial agreement, it states that we are in network with your insurance and you're giving us permission to file it (if not covered by insurance even though insurance isn't a requirement to be a patient in our office, please sign acknowledging our financial policy the final page is our hippa privacy consent form, just making you aware of our rights as a patient, please print and sign your name in the areas provided