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NEW PATIENT INFORMATION 2017 DATE: PATIENT NUMBER:PATIENTS ASOCIAL SECURITY NUMBER:SEX: (CHECK ONE) M F / / STREET ADDRESS:PERM APT./SUITE/UNIT:TEMPERATE: (CHECK ALL THAT APPLY) S M W DIV SEP DP WHITEHORSE
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What is sex check one?
Sex check one is a form used to report the sex of an individual.
Who is required to file sex check one?
Individuals are required to file sex check one.
How to fill out sex check one?
Sex check one can be filled out by providing the required information on the form.
What is the purpose of sex check one?
The purpose of sex check one is to collect data on the sex of individuals for reporting purposes.
What information must be reported on sex check one?
The information that must be reported on sex check one includes the sex of the individual.
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