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Patient Registration Form.coplinhealthsystems.com Personal Information Social Security #:Patient Number:Last Name: Sex:First Name:Mid. Initial:Preferred Name:Suffix:Gender Identity:Sexual Orientation:Date
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What is patient ethnicity?
Patient ethnicity refers to the cultural, social, or ancestral identification of an individual.
Who is required to file patient ethnicity?
Healthcare providers are required to collect and report patient ethnicity information.
How to fill out patient ethnicity?
Patient ethnicity can be filled out by asking the individual to self-report or by guessing based on physical appearance.
What is the purpose of patient ethnicity?
The purpose of collecting patient ethnicity is to better understand healthcare disparities and to provide culturally competent care.
What information must be reported on patient ethnicity?
Information such as race, ethnicity, and language preference may need to be reported on patient ethnicity.
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