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PATIENTS NAME DATE OF BIRTH: EMAIL ADDRESS: CELL PHONE #: MAILING ADDRESS: HOME PHONE #: CITY: STATE: / / AGE: ZIP CODE: PATIENTS EMPLOYER: OCCUPATION: Race: Please circle Asian, Black, Indian, White,
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How to fill out race please circle asian

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01
To fill out the "race" section on a form, locate the appropriate question that asks for your race or ethnicity.
02
Look for a series of options or checkboxes that represent different races or ethnicities.
03
Find the option that corresponds to "Asian" or "Asian American" and circle or mark it accordingly.
04
If there is additional space to write more specific details about your race or ethnicity, you can provide any relevant information.
05
Keep in mind that the purpose of asking for race on a form varies, but it is often used for demographic data collection and statistical analysis.
06
The individual who is filling out the form needs to circle "Asian" if they identify as such.
07
This information is usually required on official forms or surveys to gather demographic data for research, government planning, or statistical purposes.
08
The person filling out the form should provide their race by circling "Asian" if that is an accurate representation of their identity or heritage.
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