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VACCINE CONSENT Upper Missouri District Health Unit Vaccine Information Statements can be viewed at www.immunize.org/vis Serving Divide, McKenzie, Mountrail and Williams Counties PLEASE PRINTCLIENT
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To fill out race, please follow the steps below:
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Start by locating the race section on the form.
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Review the options available for race.
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Check all the appropriate boxes that apply to your race.
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If none of the options accurately represent your race, look for an 'Other' or 'Specify' option.
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If an 'Other' or 'Specify' option is available, write in your specific race in the provided space.
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Once you are satisfied with your race choices, move on to the next section of the form.

Who needs race please check all?

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Race may need to be checked by various individuals and organizations including:
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- Government agencies collecting demographic data
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- Researchers studying population statistics
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- Employers for equal opportunity reporting
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- Educational institutions for admissions and scholarships
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- Healthcare providers for understanding health disparities
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- Non-profit organizations for advocating for underrepresented groups
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- Census Bureau for national population data
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- And many other entities that require demographic information.
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Race refers to a category of humankind that shares certain distinctive physical traits, but also encompasses shared culture, history, and social customs.
All individuals and organizations collecting race data in surveys, grants, and research are typically required to file information regarding race.
Individuals should select the race category that most closely aligns with their identity, often from predefined options such as White, Black or African American, Asian, etc.
The purpose of collecting race data includes ensuring compliance with civil rights laws, aiding in the allocation of resources, and addressing disparities amongst different racial groups.
The report typically requires data on the number of individuals in each race category, as well as any applicable subcategories (e.g., Hispanic, non-Hispanic).
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