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PATIENT REGISTRATION FORMTODAYS DATE PATIENT INFORMATION NAME LAST FIRST MI ADDRESS BIRTHDATE SEX: MF CITY STATE ZIP MARITAL STATUS: SINGLETON PHONE () EMPLOYER CELL PHONE () DOES YOUR INSURANCE REQUIRE
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To fill out birthdate, follow these steps:
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Start by entering the day of your birth in the provided field.
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Next, select the month of your birth from the dropdown menu.
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Finally, enter the year of your birth in the designated field.
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To indicate your sex, follow these steps:
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Choose 'm' if you identify as male.
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Choose 'f' if you identify as female.

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Birthdate sex m f refers to the information regarding an individual's date of birth and sex, with options for male and female.
Anyone who needs to provide accurate information about their birthdate and sex may be required to file birthdate sex m f.
To fill out birthdate sex m f, simply provide your date of birth and select your sex from the options provided (male or female).
The purpose of birthdate sex m f is to accurately identify an individual by their date of birth and sex, which can be used for various purposes such as identification and demographic data collection.
The information reported on birthdate sex m f includes the individual's date of birth and selected sex (male or female).
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