Patient Information Form: An Important Measure at Stem Cell Cure

Capture a wide range of data

1. Personal Information - It puts together the patient’s personal information such as full name, date of birth and gender, address, nationality and emergency contact information. For international patients, we also get information about their visa and travel information to help them organize their stay.

2. Medical History - The patient’s past medical history should be well understood in order to minimize risk during the treatment process. It includes questions about the family history of the patient since some forms of ailment may play a role in determining the most appropriate of treating the patient.

3. Current Health Status - In this case, patients elaborate on their present symptoms, intensity of the pain, mobility restrictions and the results of recent investigations. It assists our medical team to determine the intensity of the actual condition of the patient and the parts that require special focus on.

4. Lifestyle and Habits Maintenance routines, including patient diets, smoking/alcohol consumption and activity levels are critical to health. It has questions concerning these habits, and so we are able to recommend more assistance or guidance where necessary to increase the chances of treatment.

5. Treatment Goals - By pre-appraising a patient’s goals and expectations we can provide best possible realistic care as per understanding of the patient.

6. Consent and Acknowledgment - The form contains consent in relation to treatment, data privacy and Medical Information Release in favour of authorized parties.

Conclusion

This form is the first step towards constructing a big picture of each of our patients to guarantee we offer them individualized and safe administration of medicine making their experience as comfortable as possible.