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PATIENT INFORMATION Date: Name:Address:Sex: M F Single Married Divorced Birthdate: Age:Home Phone: Cell:Patient SSN#: Driver's License:Email:Occupation:Employer:Employer Address:Employer Phone: Spouses
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Sex m f single refers to the gender and marital status of an individual being male, female, and single.
Individuals who are filling out official documents or forms that require information on gender and marital status may need to report sex m f single.
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