Name: DOB: Age: Sex: Male Female 2025

See details

4.1 out of 5

28 votes

The document is an Adult History Form designed to collect comprehensive personal, medical, and social information from patients. It includes sections for personal details such as name, date of birth, living situation, and safety at home; medical history including medications, allergies, surgeries, immunizations, and past medical conditions; OB/GYN history; family medical history; and social habits like smoking and alcohol use. The form aims to gather essential health information for better patient care.

Here's how it works

01. Edit your sexfill online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send sexafill via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Name: DOB: Age: Sex: Male Female with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Locate the 'Name' field. Click on it and type your full name. Ensure accuracy for identification purposes.
Next, find the 'DOB' (Date of Birth) field. Click to enter your birth date in the format specified, ensuring it's correct for age verification.
Proceed to the 'Age' section. This may auto-populate based on your DOB entry, but verify that it reflects your current age accurately.
In the 'Sex' section, select either 'Male' or 'Female' by clicking the corresponding checkbox. If applicable, ensure you choose according to your preference.

Start using our platform today for free and streamline your document completion process!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I sign my sex dob for free?

Most eSignature solutions require users to have a paid subscription. With DocHub, there are two ways for you to create an electronic signature to your sex dob free of charge:

You can do it during a 7-day trial period;
You can sign up for a free plan.

The second option, though, has restrictions on the number of signatures, sign requests, emails, and documents for adjusting available per month. You can check for full details here.

How do you modify dob sex from Google Drive?

If you store your paperwork in Google Drive, there is no need to download your dob sex on your computer and upload it back to our editor. A much simpler way is to set up a browser extension created by DocHub to simplify this flow. The extension allows editing PDFs right in your internet browser. Alternatively, you may integrate your DocHub and Gmail accounts for more efficient modifying.