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Patient Registration Form Last Name: First Name: Middle Name: Date of Birth: Gender:Race: African American/Black American Indian/Alaskan Native Hawaiian/Pacific Islander Other Ethnicity:Hispanic or
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To fill out the race as African American/Black, follow these steps:
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Locate the section on the form where race is being asked.
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Look for the option that best describes your race.
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If the options are listed in a multiple-choice format, select the checkbox or circle that corresponds to African American/Black.
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If the form requires a written response, write down 'African American' or 'Black' in the space provided.
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Race African American/Black refers to a category used in demographic surveys to identify individuals of African descent.
Individuals filling out demographic surveys are usually required to report their race, including African American/Black.
To fill out the race African American/Black category, simply select it as an option when prompted on a form or survey.
The purpose of reporting race African American/Black is to provide data on the demographic composition of various populations.
Individuals may be asked to report their race as African American/Black on surveys or forms, indicating their heritage or identity.
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