Demographics (Patient Intake Form)

On a patient intake form, demographics refer to the essential personal and statistical information collected to identify and categorize patients. This typically includes details such as name, date of birth, gender, address, phone number, email, marital status, employment status, and insurance information. Additionally, practices may collect data on ethnicity, primary language, and emergency contact details. Collecting accurate demographic information helps healthcare providers deliver personalized care, improve communication, and ensure compatibility with billing and insurance processes.