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PATIENT REGISTRATION FORM
1 (800) 300OMNI (66 64)www.OmniFamilyHealth.orgFirst Name:Middle Name:Social Security #Birth Sex:Choose not to disclose
Female
FemaletoMale(FTM)/Transgender Male
MaletoFemale
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A transgender female is someone who was assigned male at birth but identifies and lives as a female.
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Individuals who identify as transgender females may need to update their legal documents, such as identification and medical records, according to their state or country's regulations.
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To fill out forms related to transgender female status, individuals should provide their current name, gender identity, and any other required personal information, ensuring accuracy in representation.
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Information typically includes name, gender identity, date of birth, and sometimes the medical status related to gender transition.
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