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Date: ___ Dates/ITIN#: ___ Patient Name: ___ Date of Birth: ___ MM/DD/YYYYBirth Sex:Gender Identity:Sexual Orientation:Female Alehouse not to disclose Female Male Other Transgender Woman/Transgender
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Start by selecting the appropriate field for sexual orientation on the form.
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Fill out the field with your accurate sexual orientation based on your identity.
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If the form provides options, choose the one that best represents your sexual orientation.

Who needs required sexual orientation and?

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Organizations, institutions, and surveys may require individuals to disclose their sexual orientation for data collection purposes.
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Healthcare providers may also ask for sexual orientation information to better understand and provide appropriate care for their patients.
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Required sexual orientation and is a form that individuals must fill out to disclose their sexual orientation.
All individuals are required to file required sexual orientation and.
Required sexual orientation and can be filled out online or in person by providing accurate information about sexual orientation.
The purpose of required sexual orientation and is to gather data on the sexual orientation of individuals for statistical or research purposes.
Information such as sexual orientation, age, gender, and other relevant demographic information must be reported on required sexual orientation and.
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