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PATIENT REGISTRATION (COMPLETE BOTH SIDES) PATIENT INFORMATION (please fill out in blue or black pen). Parents: Fill this out as if you are answering for your child. Today's Dateless NameFirstDate

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How to fill out sex assigned at birth

01

Look for the field in the form that asks for sex assigned at birth.

02

Check the options provided, typically male or female.

03

Select the appropriate option based on the sex that was assigned to you at birth.

Who needs sex assigned at birth?

01

Healthcare providers may require this information for medical treatment and screenings.

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Research studies may also ask for sex assigned at birth to analyze data.

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What is sex assigned at birth?

Sex assigned at birth is the classification of an individual as male, female, or intersex based on physical characteristics at the time of birth.

Who is required to file sex assigned at birth?

Healthcare professionals or individuals tasked with recording birth information are required to file sex assigned at birth.

How to fill out sex assigned at birth?

Sex assigned at birth is typically filled out by checking a box indicating male, female, or unknown/intersex.

What is the purpose of sex assigned at birth?

The purpose of sex assigned at birth is to document a person's sex for legal, medical, and statistical purposes.

What information must be reported on sex assigned at birth?

Sex assigned at birth typically includes the date and time of birth, location of birth, and the assigned sex of the individual.

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