Pre-Registration Form

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Pre-Registration Form

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Pre-Registration Form

 

If a Pre-Registration Form was requested, the following screen will appear once Fill In The Form is selected. The patient will complete or update all required fields and select Submit once complete.

 

pre_reg_form_1

 

pre_reg_form_2

Pre-Registration Form

 

 

To verify and update the information back into TruBridge EHR, select the form from the view document screen. The document will display in orange signifying that the document needs to be reconciled.

 

pre_reg_view

Document Request - View Document

 

 

The information submitted by the patient will display on the Response Information side and the existing profiles information in TruBridge EHR will display on the Existing Information side. Information that is different than what is on their profile will automatically be selected on the Response Information side and will be highlighted in orange. If needing to edit the information submitted by the patient select Edit. Once all the information is selected as it needs to be, select Update to update the patient's profile with the new information. A copy of the Pre-Registration form will be saved to Electronic File Management for future reference, if needed.

 

Select Keep existing information to keep the patient profile as is and continue with completing the reconciliation.

 

information_reconciliation

Information Reconciliation