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Page 1 of 4 Patient Interview Form Complete all 4 pages, sign and bring to appointment Patient Information First Name: Middle Initial: Last Name:.

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Setting the Stage for the Interview (Step 1) Welcome the patient. Use the patient's name. Introduce your self and identify specific role. Ensure patient readiness and privacy. Remove barriers to communication (sit down) Ensure comfort and put the patient at ease.

A comprehensive patient interview includes inquiring about the patient's medical, medication, social, personal, and family history, as well as a thorough review of systems and possibly a physical examination.

Any patient interview should start with the HPI (history of present illness, which makes up the “7 dimensions”: Chronology, Location, Quantity, Quality, Aggravating and Alleviating factors (what makes the problem Better or Worse), Setting, and Associated Manifestations.

10 Tips for a Better Patient Interview Establish rapport. ... Respect patient privacy. ... Recognize face value. ... Move to the patient's field of vision. ... Consider how you look. ... Ask open-ended questions. ... One thing at a time. ... Leave the medical terminology alone.

The interview consists of three phases: introduction, discussion, and summary. To begin the introduction phase, nurses introduce themselves and inform patients about their role in the patient's care. Assessment includes gathering subjective and objective data.

History of Present Illness (HPI) The principal symptoms should be described in terms of their (1) location, (2) quality, (3) quantity or severity, (4) timing (i.e., onset, duration, and frequency), (5) the setting in which they occur, (6) factors that have aggravated or relieved them, and (7) associated manifestations.

“What brings you here today?” o When did it start / how long has it been going on? o Is this a new problem / first time having this problem? o Intermittent or constant? o What makes it worse • Any other symptoms that you have?

The letters stand for onset; location; duration; characteristic; alleviating and aggravating factors; radiation or relieving factors; timing; and severity.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232