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Initial Patient Intake Form Patient Registration Today's Date Patient Name (last)(first)(middle)Address (city) Date of birth (mm/dd/YYY)(state)(zip)SSN # Current Gender Identity: Male Female Transgender
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Current gender identity male refers to someone who identifies as male at the present time.
Individuals who identify as male are required to report their current gender identity as male.
To fill out current gender identity male, individuals simply need to indicate that they identify as male.
The purpose of reporting current gender identity male is to accurately reflect an individual's gender identity.
The only information that needs to be reported is that the individual identifies as male.
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