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PATIENT REGISTRATION Today s Date: PATIENT INFORMATION Name: Marital Status: Single Married Name Preferred to Be Called: Widowed Cell Phone #: Social Security #: Separated Home Phone #: Date of Birth:
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How to fill out the name preferred to be:

01
Begin by locating the designated field for the "Name Preferred to be" on the form or document you are filling out. This is often found in personal information sections, such as in job applications, demographic surveys, or registration forms.
02
Consider whether you have a specific name or variation that you prefer to be called or referred to. This may include a nickname, middle name, or any other name that you feel more comfortable with or commonly use.
03
Write down your preferred name clearly and accurately in the designated field. Make sure to double-check the spelling and ensure it matches your desired name.

Who needs name preferred to be?

01
Individuals who have a preferred name that differs from their legal name may need to indicate their preferred name on various official documents or forms. This allows them to be addressed using their preferred name in different settings, such as work, school, or professional associations.
02
Transgender or gender-nonconforming individuals who have changed their name or prefer to be addressed by a name that aligns with their gender identity often require a preferred name field. This supports inclusivity and respect for individuals' gender identities.
03
People who have well-known nicknames or commonly go by a name other than their legal name may choose to provide their preferred name. This helps ensure that they are addressed correctly and recognized by their preferred name among peers, colleagues, or acquaintances.
Note: It is important to follow the guidelines and requirements of the specific form or document you are filling out regarding the use of a preferred name.
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Name preferred to be is the preferred name or nickname that an individual wishes to be called by instead of their legal name.
Individuals who wish to have their preferred name recognized and used instead of their legal name may file a request to have their name preferred to be.
To fill out name preferred to be, individuals need to submit a formal request to the relevant authority or organization, providing their legal name, contact information, and the preferred name they wish to use.
The purpose of name preferred to be is to allow individuals to be addressed by the name they identify with or feel comfortable using, even if it is different from their legal name.
The information reported on name preferred to be typically includes the individual's legal name, contact details, and the preferred name they wish to be called by.
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