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PATIENT REGISTRATION FORM PLEASE COMPLETE ALL SECTIONS AND RETURN TO THE FRONT DESK PATIENT INFORMATION MrTitle MasterMrs Ms Miss DrSurname:First Name:Middle Name:Preferred Name:Date of Birth: Birth
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Male, female, non-binary, and transgender are terms that describe gender identities. Male and female refer to the traditional binary genders, while non-binary is an umbrella term for genders that do not fit within these binary categories. Transgender refers to individuals whose gender identity differs from the sex they were assigned at birth.
Individuals identifying as male, female, or non-binary who need to report their gender for legal, medical, or administrative purposes may be required to file according to relevant laws or policies.
To fill out forms related to gender identity, individuals should select the option that best describes their identity—such as male, female, or non-binary—if available, or write in their preferred identity if there is an option for that.
The purpose of recognizing male, female, non-binary, and transgender identities is to ensure inclusivity and proper representation of individuals' gender identities in legal and social contexts.
Individuals may need to report their gender identity, legal name, preferred name, and any relevant identification numbers or documents required by the specific form or regulation.
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