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HEALTH HISTORY QUESTIONNAIRE All questions contained in this questionnaire are strictly confidential and will become part of your medical record. Name (Last, First, M.I.):Preferred Gender Pronoun:
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How to fill out preferred names preferred pronouns

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To fill out preferred names and preferred pronouns, follow these steps:
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Locate the preferred names section on the respective form or platform you are using.
03
Type or write your preferred name in the designated field. This can be a name other than your legal name that you would like others to use when addressing you.
04
If there is a separate field for preferred pronouns, select or input your preferred pronouns. This can be the pronouns that best align with your gender identity.
05
Review your entries for accuracy and completeness.
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Save or submit the form to ensure your preferred names and preferred pronouns are recorded.
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Note: The specific steps may vary depending on the platform or form you are using, so it's always a good idea to refer to the instructions or guidelines provided by the organization or platform.

Who needs preferred names preferred pronouns?

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Preferred names and preferred pronouns can be beneficial for anyone who wishes to be addressed using a name and pronouns other than their legal name or assigned pronouns. This can include individuals who identify as transgender, gender nonconforming, nonbinary, or anyone who wants to express their gender identity and be recognized accordingly. It helps create an inclusive and respectful environment by allowing individuals to be addressed in a way that aligns with their self-identified gender.
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Preferred names and preferred pronouns are the names and pronouns that individuals want to be called by, instead of their legal or birth names.
Individuals who wish to be referred to by preferred names and preferred pronouns are required to file this information.
Preferred names and preferred pronouns can usually be filled out on forms provided by organizations, institutions, or workplaces.
The purpose of preferred names and preferred pronouns is to respect individuals' gender identities and preferences.
The information reported typically includes the preferred name that the individual wants to be called by, as well as the preferred pronouns.
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