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PATIENT DEMOGRAPHICS Preferred Name: ___ Last ___ First ___ Middle Initial___ SS # ___ DOB ___/___/___ Sex at birth: M F Gender Identity: M F Trans Nonbinary Other: ___ Preferred Pronouns: She/Her
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How to fill out patient demographics preferred name

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How to fill out patient demographics preferred name

01
Obtain the patient demographics form from the healthcare facility.
02
Look for the section labeled 'Preferred Name.'
03
Fill in the preferred name that the patient goes by and prefers to be called.
04
Double check the information to ensure accuracy before submitting the form.

Who needs patient demographics preferred name?

01
Healthcare providers
02
Hospital staff
03
Medical receptionists
04
Emergency responders
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Patient demographics preferred name refers to the name that a patient chooses to identify themselves, which may differ from their legal name.
Typically, healthcare providers and institutions are required to file the patient demographics preferred name as part of patient records and documentation.
To fill out the patient demographics preferred name, write the name that the patient prefers to be called in the designated field, ensuring it is accurately recorded.
The purpose of patient demographics preferred name is to ensure that patients are addressed correctly and feel respected in a healthcare setting.
The information that must be reported includes the preferred name of the patient, along with any relevant identifiers such as medical record number or date of birth.
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