[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1 [END_LP01]
FEMALE ................................. 2 [END_LP01]
REF ................................... -7 [END_LP01]
DK .................................... -8 [END_LP01]
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]

[PERSON'S FIRST MIDDLE AND LAST NAME] [NAME OF MEDICAL CARE PROVIDER.......]
Is (PROVIDER) male or female?

MALE ................................... 1
FEMALE ................................. 2
REF ................................... -7
DK .................................... -8
[Code One]