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COVID-19 Immunization Screening and Consent Formation 1: INFORMATION ABOUT YOU (PLEASE PRINT) Last Name First NameMonthDate of Birth Middle Damages in Heiresses (Gender assigned at birth)Terrace American
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Sex gender is assigned at birth based on physical characteristics.
Medical professionals or legal authorities may be required to record sex gender assigned at birth.
Sex gender assigned at birth is typically filled out on a birth certificate or other official documents.
The purpose of recording sex gender assigned at birth is to establish a person's legal identity.
The sex gender assigned at birth, as well as any legal changes made later in life, must be reported.
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