Get New Patient Packet (allergy) - Dr. Rao

Dr. Seshagiri Rao's New Patient Packet is designed to gather essential information regarding your allergies and medical history. This guide provides step-by-step instructions to help you complete the form accurately online.

Follow the steps to effectively complete the New Patient Packet (Allergy) - Dr. Rao.

1. Press the ‘Get Form’ button to access the form you need. This will open the document for you to fill out online.
2. Begin by entering the patient's personal information. This includes the patient’s name, date of birth, and preferred language. Ensure to fill these fields accurately to prevent any delays in processing.
3. Next, provide the primary contact information. Include the name, relationship to the patient, complete address, and phone number with email. This will help in correspondence and notifications.
4. Fill out the insurance information section. You will need to provide the insurance company's name, plan name, ID number, and the policyholder’s details. Make sure this section is correct to facilitate benefit verification.
5. Document any current symptoms, medications, and allergies in the respective sections. This crucial information will assist Dr. Rao in understanding the patient's health status.
6. Complete the emergency contact details. Include their name, relationship to the patient, address, and phone number.
7. Review the medical history sections, including past medical conditions, surgeries, and any allergy treatment history. Document all relevant details as accurately as possible.
8. Sign the consent for evaluation and treatment, ensuring that you have read and understood the terms prior to submitting.
9. After completing all sections, you can save the changes made to the document. Once you are sure everything is filled out correctly, download or print the form to share it with Dr. Rao's office as instructed.

Complete the New Patient Packet online today to ensure a smooth appointment process!