Patient registration form


Patient registration form

What is a patient registration form?

A new patient registration form is required to be filled out by patients who visit a healthcare facility for the first time. This information is entered and stored in the EHR/EMR of the healthcare facility for easy access and updation. It typically includes basic information about the patient, such as their name, contact information, details of emergency contact, and insurance details. 

Why is a patient registration form needed? 

A patient registration form is an important document to record the information of the patient’s visit. It helps the healthcare provider get a gist of the patients, the symptoms they are facing, their expectations from the treatment, and their medical history. All these details help the provider in diagnosing the problem effectively and designing the most appropriate treatment plan.

Here are the top reasons why medical facilities need patient registration forms: 

  • To acquire a comprehensive information about the patient 
  • To verify insurance details of the patient 
  • To facilitate a seamless billing procedure 
  • To acquire the patient’s consent 
  • To avoid any miscommunication between provider and patient

What details are included in a patient registration form?

A patient registration form typically includes the following particulars to be filled by the patient:

  • Name, contact details, address
  • Insurance details
  • Social security number 
  • Details of emergency contact 
  • Purpose of visit 
  • Over-the-counter medications 
  • Health goals 
  • Medical history 
  • Consent of the patient 

What things should a medical facility keep in mind while creating and dealing with patient registration forms?

Here are some of the best practices that healthcare providers need to follow while creating and dealing with new patient registration forms:

  • Ensure that the questions in the form are direct and simple in nature 
  • Ensure that the information is accurate and the form is complete 
  • Maintain confidentiality of information by storing the information securely in the EMR
  • Ensure HIPAA-compliance