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Patient History Name: ___ Age: ___ Date of Birth: ___ What are your pronouns? He/him/his She/her/hers They/them/theirs He/his/his : ___ What is your gender identity? Male Gender nonconforming Female

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How to fill out pronouns and inclusive language

01

Start by using gender-neutral pronouns such as 'they/them' or 'ze/zir' when referring to someone whose gender is unknown or who prefers not to identify with traditional pronouns.

02

Ask individuals for their preferred pronouns and use them consistently in conversation and written communication.

03

Avoid making assumptions about a person's gender identity or using language that reinforces stereotypes.

Who needs pronouns and inclusive language?

01

Anyone who wants to create a more inclusive and respectful environment for individuals of all gender identities.

02

People who want to avoid misgendering others and show respect for others' identities and preferences.

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What is pronouns and inclusive language?

Pronouns refer to words that take the place of nouns in a sentence. Inclusive language is language that is gender-neutral and does not exclude any particular group of people.

Who is required to file pronouns and inclusive language?

Individuals, organizations, and businesses are all encouraged to use pronouns and inclusive language.

How to fill out pronouns and inclusive language?

When speaking or writing, use pronouns that are inclusive of all genders and avoid language that excludes or stereotypes any particular group of people.

What is the purpose of pronouns and inclusive language?

The purpose of pronouns and inclusive language is to promote equality and respect for all individuals, regardless of gender identity or expression.

What information must be reported on pronouns and inclusive language?

There is no specific information that needs to be reported on pronouns and inclusive language, it is more about using inclusive language in everyday communication.

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