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PATIENT INFORMATION Patient FULL Legal Name:___ First NameLast NameI prefer to be addressed as:Date of Birth GENDERMALEFEMALE___Please provide TWO phone contacts1ST Preferred phone contact #___ 2nd
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Start by clearly defining your personal preferences for communication and interactions.
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List your preferences in a clear and concise manner.
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Use positive language to express how you prefer to be treated or addressed.
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Individuals seeking to improve their self-advocacy in social situations.
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I prefer to be is a personal declaration of preference regarding one's status, choice, or identity in a particular context.
Individuals who wish to officially state their preferences or identities in certain situations may be required to file i prefer to be.
To fill out i prefer to be, one should provide their personal details and clearly indicate their preferences in the designated sections of the form.
The purpose of i prefer to be is to provide a framework for individuals to express their choices or identities in a formalized way.
Information that must be reported on i prefer to be typically includes personal identification details, specific preferences, and any relevant circumstances surrounding the preference.
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