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Place Label Impatient MEDICAL HISTORY Former Patient, Please return completed packet with signature pages to the front desk. Patient Name: DOB: / / Age: Male Female SS#: Primary Address: City: State:
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To fill out race native american, follow these steps:
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Start by selecting the category 'Race' on the form or questionnaire.
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Look for the specific option or checkbox that indicates 'Native American' or 'American Indian'.
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If you identify as Native American or American Indian, check or select that option.
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If there is no specific option for Native American, look for a general 'Other' or 'Prefer not to say' category where you can write in your race.
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- Any individual or entity that requires information on the Native American or American Indian population.
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What is race native american or?
Race Native American or refers to individuals who identify as Native American or Alaska Native.
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Individuals who identify as Native American or Alaska Native are required to report their race as Native American or Alaska Native.
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To fill out the race Native American or section, individuals should select the option that reflects their Native American or Alaska Native identity.
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The purpose of reporting race as Native American or Alaska Native is to ensure accurate representation and provide data for research and programs specific to these populations.
What information must be reported on race native american or?
Individuals must report their race as Native American or Alaska Native.
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