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Patient Name: Date: DOB: Age: Circle one: MALE Address: State: Zip: FEMALE City: Occupation: Home Phone: () Cell Phone: () Work Phone: () Email Address: I wish to be contacted in the following manner
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Make sure to carefully read the instructions provided on the form.
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Use a pen or pencil to neatly fill out the circle corresponding to "male."
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Individuals who identify as male or choose to select their gender as male on the given form.
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What is circle one male?
Circle one male is a term used to identify individuals who identify as male.
Who is required to file circle one male?
Anyone who identifies as male may be required to fill out circle one male on certain forms or documents.
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To fill out circle one male, simply mark the circle that corresponds to male on the form or document.
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The purpose of circle one male is to accurately identify individuals who identify as male for record-keeping and data collection purposes.
What information must be reported on circle one male?
Circle one male typically requires individuals to indicate their gender identity as male.
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