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PATIENT REGISTRATION FORM Today's Date:S.S. #:Primary Care Provider:First name:Sex at birth: Male FemalePreferred Name:Preferred Pronoun(s):Gender Identity: Female Male NonBinary FemaletoMale/Transgender
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How to fill out preferred pronouns

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How to fill out preferred pronouns

01
Start by understanding the concept of preferred pronouns. These are the pronouns that individuals choose to use to reflect their gender identity.
02
Respect an individual's preferred pronouns by using them consistently. Ask the person directly what pronouns they prefer or check their preferred pronouns if they have them listed on their social media profiles or name tags.
03
When interacting with someone, use their preferred pronouns in conversation and when referring to them in third person. It is important to make an effort to get it right and to correct yourself if you make a mistake.
04
Avoid making assumptions about someone's gender identity based on their appearance or birth assigned gender. Preferred pronouns allow individuals to express their gender identity and feel validated and respected in their personal and professional lives.
05
Practice inclusivity by encouraging others to share their preferred pronouns. This helps create a safe and inclusive environment where people feel comfortable expressing their gender identity.
06
Be mindful of using gender-neutral pronouns such as 'they/them' when a person's preferred pronouns are unknown or when referring to a group of people with different gender identities.
07
Remember that understanding and using preferred pronouns is an ongoing learning process. Stay open-minded and educate yourself about different gender identities and pronoun preferences to promote inclusivity and acceptance.

Who needs preferred pronouns?

01
Preferred pronouns are important for anyone who wants to express their gender identity and have their identity respected by others.
02
Transgender individuals often use preferred pronouns to align their gender identity with the pronouns they feel most comfortable with.
03
Non-binary, genderqueer, and gender non-conforming people may also use preferred pronouns to reflect their gender identity outside the traditional binary of male and female.
04
However, it is not limited to these groups. Everyone can benefit from using preferred pronouns as it promotes inclusivity, respects individual identity, and fosters a more accepting and understanding society.
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Preferred pronouns are the pronouns that an individual identifies with and wishes others to use when referring to them. Common examples include he/him, she/her, and they/them.
Generally, individuals in environments that promote inclusivity, such as workplaces and educational institutions, are encouraged to share their preferred pronouns, but it is not a formal requirement.
To fill out preferred pronouns, you can typically write your chosen pronouns on forms or in designated fields where personal information is requested, often alongside your name.
The purpose of preferred pronouns is to respect an individual's identity and promote inclusivity by acknowledging and using the pronouns that individuals feel best represent them.
The primary information that must be reported is the individual's preferred pronouns. Additional context, such as a name, may also be included if relevant.
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