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PATIENT INITIAL DEMOGRAPHICS Patient Name: Male Female Date of Birth: / / Mailing Address: Physical Address: Primary Phone #: Email: Preferred Pharmacy: Race: (check all that apply) Ethnicity: Language:
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How to fill out female date of birth

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To fill out female date of birth, follow these steps:
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Start with the day. Enter the day of the month she was born on.
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Then, specify the month. Write down the month she was born in.
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Lastly, enter the year. Provide the four-digit year she was born in.
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Make sure the date format follows the standard format used in your region or country.

Who needs female date of birth?

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- Personal reasons, such as gift-giving or documenting family history.
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