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PATIENT REGISTRATIONFirst Name: ___Last Name: ___Preferred Name: ___Preferred Pronoun:Address: ___ Apt: ___ Home Phone: ___ Birth Date: ___/___/___Middle Initial: ___ SheTheyCity: ___ State/Zip: ___Work
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How to fill out pronouns genders and names

How to fill out pronouns genders and names
01
Start by determining the gender identity of the person you are referring to.
02
Use the pronouns he/him/his for someone who identifies as male, she/her/hers for someone who identifies as female, and they/them/theirs for someone who identifies as non-binary.
03
When mentioning someone by name, use the name they have provided you with or the name that aligns with their gender identity.
Who needs pronouns genders and names?
01
Anyone who wants to respect and validate someone's gender identity needs to use the correct pronouns genders and names. This includes but is not limited to family members, friends, colleagues, healthcare professionals, and educators.
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What is pronouns genders and names?
Pronouns genders and names refer to the personal details related to an individual's gender identity and preferred name.
Who is required to file pronouns genders and names?
Individuals are required to provide their pronouns, gender identity, and preferred names.
How to fill out pronouns genders and names?
To fill out pronouns, gender identity, and preferred names, individuals can complete the appropriate forms or update their personal information online.
What is the purpose of pronouns genders and names?
The purpose of pronouns genders and names is to respect and acknowledge an individual's gender identity and preferred name.
What information must be reported on pronouns genders and names?
On pronouns genders and names, individuals must report their pronouns, gender identity, and preferred names.
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