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PATIENT INFORMATION Gender: M / F Date of Birth: City: State: Marital Status: S M D W Social Security Number: Cell Phone: Work: Patient Name: Address: Zip: Home Phone: Email: Race: White Asian Native
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Start by locating the gender options on the form you are filling out. These options may be located in a drop-down menu or as checkboxes.
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Look for the option that matches your gender identity. If you identify as male, select the "m" option. If you identify as female, select the "f" option.
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If the form does not include the option you identify with, reach out to the form creator or administrator to inquire about alternative options or accommodations.
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Be honest and true to your gender identity when selecting the appropriate option. Remember, gender is a personal and self-identified characteristic.
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