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Get the free Preferred Name, Birth Sex, Legal Sex & Pronouns

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Patient Health Information Legal Name:Preferred Name:Address: ___ Birthdate:(Optional) Gender Identity: ___ Pronouns: ___Phone: (home)(cell)(work)___ Would you like email/text reminders? Yes NoEmail
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How to fill out preferred name birth sex

01
Identify the section of the form that requests preferred name.
02
Write your preferred name in the allocated space, replacing your legal name if needed.
03
Locate the field for birth sex on the form.
04
Indicate your birth sex by selecting or writing 'male', 'female', or 'other' as applicable.

Who needs preferred name birth sex?

01
Individuals who wish to be addressed by a name different from their legal name.
02
Organizations that need accurate demographic information for records or services.
03
Healthcare providers to ensure patients feel comfortable and respected.
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Preferred name birth sex refers to the designated name and biological sex assigned to an individual at birth, which may not necessarily align with their current preferred name or gender identity.
Individuals seeking to update their identification documents or record their preferred name and birth sex may be required to file this information with relevant state or federal agencies.
To fill out preferred name birth sex, individuals typically provide their legal name, preferred name, and biological sex as recorded on their birth certificate on the designated forms provided by the agency.
The purpose of preferred name birth sex is to ensure that individuals' identification documents accurately reflect their identity, which is important for legal recognition, access to services, and personal comfort.
Individuals must report their legal name, preferred name, birth sex, and any additional information required by the filing agency, such as supporting documentation.
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