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Patient History Format ___Name ___Home Phone ()___LastFirstMiddlePref. NamePreferred Pronoun(s)/Nickname ___
Address ___Business Phone (Number, Streetcar ___ State ___ Zip Code ___Cell Phone () ___)
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How to fill out preferred pronounsnickname
How to fill out preferred pronounsnickname
01
Start by asking the individual what their preferred pronouns are.
02
Make sure to use the correct pronouns when referring to that individual.
03
Respect and use the preferred nickname if provided by the individual.
Who needs preferred pronounsnickname?
01
Anyone who wants to be addressed using their preferred pronouns and nickname.
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What is preferred pronoun/nickname?
Preferred pronoun/nickname is the name or pronoun that an individual chooses to use in place of their given name or gender-specific pronouns.
Who is required to file preferred pronoun/nickname?
Individuals who wish to update their preferred pronoun or nickname with a specific organization or entity may be required to file this information.
How to fill out preferred pronoun/nickname?
To fill out preferred pronoun/nickname, individuals can typically do so by accessing their account settings or profile information and updating the relevant fields.
What is the purpose of preferred pronoun/nickname?
The purpose of preferred pronoun/nickname is to respect and acknowledge an individual's gender identity and how they wish to be addressed.
What information must be reported on preferred pronoun/nickname?
The information that must be reported on preferred pronoun/nickname typically includes the chosen name or pronoun that the individual prefers to use.
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