Medical Patient Intake Set | Save Valuable Time of Health Providers by Creating An Automated System For Onboarding New & Returning Patients

A Patient Medical Intake Form / Patient Check-In / Patient Registration Form is commonly used by health care providers (doctors, nurses, clinicians, etc) to collect and manage new / returning health patient information. Not only are Patient Intake Forms an excellent way for health care providers to learn more about each patient's reason for their health clinic visit - so that they can best meet their needs, but these health forms can also be used to save time in the future by having all relevant client information up to date and ready for client processing and billing - which will make things easier for everyone involved in the on-boarding process.

WHAT'S INCLUDED
1) Patient Medical Intake Form as a PDF file that will be ready to print and use immediately.
2) Patient Medical Intake Form as a Microsoft Word Document that can be edited to your liking.

THE SECTIONS OF THE PATIENT MEDICAL INTAKE FORM SHOW:
1) A Patient Information Section - to enter the patient's name, birth date, home address, emergency contact information, etc.
2) Primary Insurance Information Section - to enter the Insurance Carrier name, policy holder's full name, SSN, Insurance Plan, Policy ID, Group ID, Primary Care Physician, etc
3) Secondary Insurance Information Section - to enter the Insurance Carrier name, policy holder's full name, SSN, Insurance Plan, Policy ID, Group ID, Primary Care Physician, etc
4) Patient Health Questionnaire Section - to enter the patient's reason for visit, current discomfort/pain level, prescriptions/medications currently being taken, allergy limitations, social behaviors (alcohol use, drug use, exercise levels, etc)
5) Patient Health History Section - where the patient can answer important questions about family's medical history, diet, surgical history, health conditions, mental health diagnosis, etc.
6) Patient Signature Authorization Section - for patient and guardian (if under 18) to sign before any medical treatments or diagnostics are provided.

REQUIREMENTS
Adobe Acrobat Reader (free) for PDF files OR you can use www.pdffiller.com (free) OR Microsoft Word

INSTRUCTIONS
1. Add to Cart and complete the Check-out process
2. After check-out you'll be able to immediately download the PDF file && Microsoft Word Document
3. You can open the PDF file in Adobe Acrobat Reader. If you don't have Adobe Acrobat Reader, you can use www.pdffiller.com to edit your files for free.
4. A Microsoft Word file is attached for those who plan to use Microsoft Word for editing any section of this template.
4. Print off as many as you need.
5. Reach out to us if you have any questions or issues

OTHER INFORMATION
This is a digital product, and no physical product or printed material will be sent to you. Just bits and bytes.
Designs are copyrighted by ReviveWorking. Use the template as much as you want, but do not resell this product.

Due to the nature of the product, there are no returns, but we will be happy to work with you on whatever issue you're having.