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DEMOGRAPHICS PATIENT HISTORY FORM Today's Date: / / Date of Birth: / / SS#: Patients Name: First MI Sex: Male Female Last Race: African American Caucasian Asian Latin American Indian/Aleut Pacific

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Step 1: Start by writing the current day of the month in two-digit format. For example, if today is the 5th, write '05'.

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Step 2: Next, write the current month in three-letter abbreviation format. For example, if it's April, write 'Apr'.

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Step 3: Finally, write the current year in four-digit format. For example, if it's 2022, write '2022'.

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Step 4: Combine the three elements from Steps 1-3 using a forward slash (/) in the order: day/month/year. For example, '05/Apr/2022'.

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What is today's date?

Today's date is October 20, 2021.

Who is required to file today's date?

Everyone is required to acknowledge and keep track of today's date.

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Simply write down the current date in the format of MM/DD/YYYY.

What is the purpose of today's date?

The purpose of today's date is to provide a reference point for time and activities.

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No specific information is required to be reported on today's date, as it is simply a reference to the current date.

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