Patient Demographic sheet

Patient Demographics sheet contains all the basic information about an individual or patient.  Patient demographics have been classified into five major headings


Patient Information
Patient employer information
Patient guarantor information
Physician information
Insurance information. 


Patient Information consists

Account #

Patient Name 

            It is entered as Last name, First Name, Middle Initial format

Patient Date of Birth 

           It is entered in the MM/DD/YYYY or MMDDYYYY as per the Billing

Sex