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Patient Demographics A Copy of Your Report Will Be Mailed to You: Patient Name (Last, First, MI): DOB (MM/DD/YYY): Patient Sex: M street Address: City, State & Zip: Phone Number: Insurance Company
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01
Start by locating the section labeled 'Sex' on the form.
02
Choose the appropriate option for your gender, either 'Male' or 'Female'.
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Next, locate the section labeled 'MF Date of'.
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Enter the date of your birth in the specified format, typically using day, month, and year.
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Double-check your entries for accuracy and completeness.
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Once you have filled out the 'Sex' and 'MF Date of' sections, proceed to fill out the rest of the form as required.

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Anyone who is asked to provide their gender and date of birth on such forms would need to fill out the 'Sex MF Date of' section.
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