登记表格 Registration, Forms and ID

By the end of this module you can…

• Explain the new-patient forms and what each is for.
• Ask for ID, the address, a phone number and an emergency contact.
• Explain the signatures: consent, privacy and the payment policy.
• Help a patient who can’t read the forms, kindly and accurately.
• Check the forms before the patient goes back.

Key vocabulary

Fourteen words from this module. Tap the speaker to hear each one.

The forms

• 新病人xīn bìng rénNew patient
• 登记dēng jìTo register
• 填tiánTo fill in
• 姓名xìng míngFull name (on forms)
• 出生日期chū shēng rì qīDate of birth
• 地址dì zhǐAddress
• 电话号码diàn huà hào mǎPhone number
• 紧急联系人jǐn jí lián xì rénEmergency contact

Signatures & ID

• 签名qiān míngTo sign; signature
• 证件zhèng jiànID document
• 驾照jià zhàoDriver’s license
• 同意书tóng yì shūConsent form
• 隐私yǐn sīPrivacy
• 背面bèi miànThe back (side)

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 您是第一次来吗？欢迎！Nín shì dì yī cì lái ma? Huān yíng!Is this your first visit? Welcome!
2. 请填一下这几张表格，有不懂的可以问我。Qǐng tián yí xià zhè jǐ zhāng biǎo gé, yǒu bù dǒng de kě yǐ wèn wǒ.Please fill in these forms; ask me anything.
3. 我们有中文的表格，您要吗？Wǒ men yǒu Zhōng wén de biǎo gé, nín yào ma?We have forms in Chinese. Would you like them?
4. 请出示一下您的证件和保险卡。Qǐng chū shì yí xià nín de zhèng jiàn hé bǎo xiǎn kǎ.Could I see your ID and insurance card?
5. 最好的联系电话是哪个？Zuì hǎo de lián xì diàn huà shì nǎ ge?What’s the best number to reach you?
6. 紧急联系人是谁？跟您是什么关系？Jǐn jí lián xì rén shì shéi? Gēn nín shì shén me guān xi?Who’s your emergency contact, and how are they related?
7. 签名表示您同意看病和检查。Qiān míng biǎo shì nín tóng yì kàn bìng hé jiǎn chá.Signing means you agree to the visit, exams and tests.
8. 不会填的地方空着，我来帮您。Bú huì tián de dì fang kòng zhe, wǒ lái bāng nín.Leave blank what you can’t fill in; I’ll help.
9. 您习惯说普通话还是广东话？Nín xí guàn shuō pǔ tōng huà hái shi Guǎng dōng huà?Do you prefer Mandarin or Cantonese?
10. 填好以后交给我就可以了。Tián hǎo yǐ hòu jiāo gěi wǒ jiù kě yǐ le.When you’re done, just hand them to me.

What’s in Module 2

1. Part 1 · Warm-UpWarm-Up: First Visits
2. Part 2 · The Words for FormsReading the Pinyin · Saying 名字 vs. Writing 姓名 · Vocabulary · Flash Cards · Four Forms and What They’re For
3. Part 3 · Registering a New PatientThe New Patient Script · Making Forms Easy · Key Patterns · ID and Cards · Contact Details · What the Signatures Mean
4. Part 4 · Helping and CheckingFilling In Forms Together · When Family Fills the Forms · Check Before They Go In
5. Part 5 · Concerns & PreferencesWhat Patients Say · Language and Interpreters · The Record
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 2 Knowledge Check
8. Part 8 · Wrap-UpModule 2 Homework · Take-Home Phrase Sheet · Module 2 Wrap-Up · 下次见