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Because there is growing evidence as to a periodontal systemic link which increases the risk of heart disease stroke uncontrolled diabetes low birth weight babies and early term pregnancies and because treating periodontal disease has the potential to improve health and possibly even save lives I am aware that Inspire Dental Group will notify my primary care physician as to my condition if appropriate. YES NO DO YOU HAVE OR HAVE YOU EVER HAD please check boxes Heart Disease Heart Attack...
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Gender circle one m can be filled out by selecting the appropriate gender identity option provided on the form.
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The purpose of gender circle one m is to accurately capture and represent the gender identity of individuals in data collection.
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The information reported on gender circle one m typically includes options for male, female, non-binary, and other gender identities.
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