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THE Orthopedic CENTER PATIENT INFORMATION DEMOGRAPHICSCHART # FIRST NAME: MIDDLE INITIAL: LAST NAME: DOB: ADDRESS:HOME PHONE: WORK PHONE: CELL PHONE: EMAIL: Preferred Method of Communication:Home
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Black non Hispanic refers to individuals who identify as of Black or African descent and are not of Hispanic or Latino origin.
People who identify as Black non Hispanic and are asked to provide this information on forms or surveys may be required to file as such.
To fill out Black non Hispanic, simply check the box or select the option that corresponds to this identity on the form or survey.
The purpose of collecting data on Black non Hispanic individuals is to accurately represent the diversity of the population and ensure equal opportunities.
The information to be reported on Black non Hispanic typically includes the individual's race or ethnicity, specifically identifying as Black and non Hispanic.
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