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IMMUNIZATION SCREENING AND CONSENT FORM PATIENT INFORMATION (Please print clearly) Last Name: Race/ Ethnicity:First Name:MI:D.O.B.:Age:American Indian/Alaska NativeBlack/African AmericanNative Hawaii/Other
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What is race ethnicity?
Race ethnicity refers to a person's identification with a particular racial or ethnic group.
Who is required to file race ethnicity?
Certain institutions or organizations may be required to collect and report race ethnicity data for statistical or compliance purposes.
How to fill out race ethnicity?
Individuals can typically self-report their race ethnicity by selecting from predetermined categories or providing a written description.
What is the purpose of race ethnicity?
The purpose of collecting race ethnicity data is often to track disparities, monitor diversity, and ensure compliance with anti-discrimination laws.
What information must be reported on race ethnicity?
Typically, individuals may be asked to report their race ethnicity as identified by categories such as White, Black or African American, Hispanic or Latino, Asian, etc.
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