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PATIENT INFORMATION PLEASE PRINT CLEARLYEmail Address: Date:Patient Name:Date of Birth:Address:City:Sex:Marital Status: State:Cell#:Home Phone #:Zip:Social Security #:Primary Language Spoken:Race:Ethnicity(Please
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To fill out primary language spoken, follow these steps:
02
Open the application form or registration form.
03
Locate the section that asks for primary language spoken.
04
Select or write down the primary language you speak fluently.
05
Double-check your selection or entry to ensure accuracy.
06
Complete the rest of the form and submit it.

Who needs primary language spoken?

01
Primary language spoken is needed in various situations such as:
02
- Census surveys and data collection for statistical purposes.
03
- Medical and healthcare settings to provide appropriate care and language support.
04
- Educational institutions to facilitate communication and language assistance.
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- Government forms and applications to ensure proper language access.
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- Job applications for positions that require bilingual or multilingual abilities.
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- Customer service and support roles to assist individuals in their preferred language.
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Primary language spoken refers to the main language that an individual uses for communication and understanding.
The individuals or organizations collecting demographic information may be required to ask for and report primary language spoken.
Primary language spoken can typically be filled out by selecting the language from a list provided on a form or questionnaire.
The purpose of collecting primary language spoken is to ensure effective communication and provide language access services to individuals who may have limited English proficiency.
The information reported on primary language spoken typically includes the specific language spoken by the individual.
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