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PATIENT INFORMATION FORMDatePATIENT INFORMATION Patients Last NamePatients First Name Male Revalidate of Birthrate:Suffix African American (Black)Hispanic Asian MultiracialMail to address: Other___
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Black and Hispanic Americans refer to individuals who identify as Black/African American and Hispanic/Latino descent, respectively.
Employers and organizations are required to file information on the demographic makeup of their workforce, including Black and Hispanic Americans.
To fill out information on Black and Hispanic Americans, employers can use demographic survey forms or collect self-identification data from their employees.
The purpose of collecting data on Black and Hispanic Americans is to promote diversity, inclusion, and equal opportunity in the workplace.
Employers must report the number of Black and Hispanic American employees in each job category and their total workforce.
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