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Date: new trans patients Name Birthdate Chart No. Transgender History×Intake: This form should be done in addition to the regular intake form. It tells us more about you as a transgender person and
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How to fill out trans intake - Lyon-Martin:

01
Start by gathering all necessary personal information, such as your name, date of birth, and contact details.
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Provide information about your preferred name and pronouns to ensure respectful communication.
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Fill out the section that asks about your gender identity, including whether you identify as transgender or non-binary.
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Answer questions regarding your medical history, including any previous hormone therapy or surgeries you may have had.
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Be prepared to provide information about your mental health history and any relevant medications you are currently taking.
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Review the section on sexual health and provide accurate information about your sexual practices and any risks you may have encountered.
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Who needs trans intake - Lyon-Martin?

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Transgender individuals who are seeking comprehensive healthcare that is sensitive to their unique needs and experiences.
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Trans intake - lyon-martin is a form used by Lyon-Martin Health Services for intake and assessment of transgender individuals seeking healthcare services.
Transgender individuals seeking healthcare services at Lyon-Martin Health Services are required to fill out the trans intake form.
To fill out the trans intake form, individuals need to provide personal information such as their name, contact details, medical history, and specific healthcare needs related to their gender identity.
The purpose of trans intake - lyon-martin is to gather essential information from transgender individuals to provide them with tailored healthcare services and support.
Information such as demographics, medical history, preferred name/pronouns, gender identity, identified support needs, insurance information, and emergency contact details must be reported on trans intake - lyon-martin.
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