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PatientName: Date: DuetoFederalRegulations, CoventryEyecareisrequiredtoobtainthefollowing information PreferredLanguage English Spanish French Japanese DeclinedtoSpecify Race American Indian/AlaskaNative
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nothispaniclatino refers to a question or category on forms that asks if the individual is not Hispanic or Latino.
Individuals who are not Hispanic or Latino are required to fill out the nothispaniclatino question on forms.
To fill out the nothispaniclatino question, simply indicate whether or not you are Hispanic or Latino.
The purpose of the nothispaniclatino question is to gather demographic information on whether individuals identify as Hispanic or Latino.
The only information required on the nothispaniclatino question is whether the individual is Hispanic or Latino.
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