Question

Which of the following fields would likely be found on a PIM form? Select all that apply.

insurance policy number

allergies

equipment manufacturer

patient ID number

patient’s name

Answer 1

Insurance policy number
Allergies
Patient ID number
Patient’s name

Reason: A PIM (patient/personal information management) form collects patient identifiers, demographic and medical info (name, ID, allergies, insurance). Equipment manufacturer would not normally be on a general PIM form.