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PLACE PATIENT LABEL HEREPatient Interview Form Patient email Name: Birth Date: Gender: Race: (check any that apply) White/Caucasian Black or African American Asian American Indian or Alaska Native
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What is native hawaiian or pacific?
Native Hawaiian or Pacific Islander refers to individuals who have origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Who is required to file native hawaiian or pacific?
Individuals who identify as Native Hawaiian or Pacific Islander on official forms or surveys may be required to file as such.
How to fill out native hawaiian or pacific?
To fill out Native Hawaiian or Pacific Islander, individuals should indicate their heritage on the designated section of the form or survey.
What is the purpose of native hawaiian or pacific?
The purpose of collecting Native Hawaiian or Pacific Islander data is to accurately represent and understand the demographics of this specific population.
What information must be reported on native hawaiian or pacific?
Individuals may need to report their ancestry or heritage from Hawaii, Guam, Samoa, or other Pacific Islands.
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