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Digestive Health Center of Huntington, Inc 195 East Main Street Huntington, NY1143 Tel: 631-385-8677 Fax: 631-385-0611 PATIENT INFORMATION Name: SS#: — — Birth Date: / / Age: Last First Sex: Marital
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How to fill out Chinese Native Hawaiian or:

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Start by obtaining the Chinese Native Hawaiian or application form. This can usually be found online on government websites or obtained from the relevant authorities.
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Next, provide information about your Chinese heritage. This may include details about your ancestors, their place of birth, and their Chinese surnames. If you have any official documents or records that prove your Chinese ancestry, make sure to include them as supporting evidence.
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Chinese Native Hawaiian OR is a form used to report specific information related to individuals of Chinese and Native Hawaiian descent.
Individuals who identify as Chinese or Native Hawaiian are required to file the Chinese Native Hawaiian OR form.
The Chinese Native Hawaiian OR form can be filled out online or submitted in person at designated locations.
The purpose of the Chinese Native Hawaiian OR form is to gather demographic information for research and statistical purposes.
The Chinese Native Hawaiian OR form requires individuals to provide their ethnicity, age, gender, and other relevant demographic information.
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