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DERMATOLOGY DERMATOPATHOLOGY MOH SMI GEOGRAPHIC SURGERY PLASTIC SURGERYPatient Information: Patient Name: Date of Birth: Mailing Address: City, State, and Zip Code: Marital Status: Ethnicity (optional):
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Anyone who wants to provide their racial background or prefers not to disclose it can use raceoptional. It is commonly used in surveys, applications, and forms that require race information. Using raceoptional allows individuals the freedom to choose whether or not they want to disclose their race.
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Raceoptional is a data element that allows individuals to voluntarily self-identify their race or ethnicity.
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