Get ANTHC Patient Registration Worksheet/Form (PRW) 2006-2024

A hospital patient registration form is used by medical practitioners to collect patient details before their stay in the hospital. This can include an overview of medical history, health insurance information, as well as a list of medications and allergies.

A patient registration form is an important document to record the information of the patient's visit. It helps the healthcare provider get basic patient information, the symptoms they are facing, their expectations from the treatment, and their medical history.

The patient's name, address, phone number, date of birth, Social Security number, occupation, place of employment, emergency contact info, health insurance info, etc...

Patient registration is a complex process that requires a considerable amount of preliminary patient data input, including: Collection of patient demographic information, including personal and contact information. Patient referral or appointment scheduling. Collection of patient health history.

The basic function of patient registration is to create/assign account numbers for defined episodes of care (also known as encounters) and to link each account to the identified patients' medical records. If no medical record exists patient registration creates a new medical record number.

Patient pre-registration allows the staff to capture patient data in advance. With access to patient data, the clinical staff has enough time to organize, review, and share information. Not only does this alleviate the burden of in-person registration, but it also helps in preparing the providers.