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NEW PATIENT MEDICAL HISTORY ADULT Patient Name: Date of Birth: Gender Identity (Optional) Please provide as much detail as you are able so that we can give you the safest and best care possible. Where

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How to fill out gender-affirming care for trans

01

Start by listening to the individual and their specific needs and preferences.

02

Use inclusive language and avoid making assumptions about gender identity.

03

Provide information on available services and resources for gender-affirming care.

04

Respect the individual's autonomy and choices in their care journey.

05

Ensure a safe and supportive environment for the individual during the process.

Who needs gender-affirming care for trans?

01

Transgender individuals who seek to align their physical characteristics with their gender identity may benefit from gender-affirming care.

02

Non-binary individuals who do not identify strictly as male or female may also benefit from gender-affirming care.

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What is gender-affirming care for trans?

Gender-affirming care for trans individuals includes medical, psychological, and social support services to help align a person's physical appearance and gender identity.

Who is required to file gender-affirming care for trans?

Healthcare providers who are overseeing the gender-affirming care for trans individuals are typically responsible for documenting and filing the necessary information.

How to fill out gender-affirming care for trans?

To fill out gender-affirming care for trans, healthcare providers must accurately record the services provided, medications prescribed, and any relevant mental health assessments.

What is the purpose of gender-affirming care for trans?

The purpose of gender-affirming care for trans is to support individuals in their gender identity journey, reduce gender dysphoria, and improve overall mental health and well-being.

What information must be reported on gender-affirming care for trans?

Information such as medical interventions, hormone therapy, surgical procedures, mental health assessments, and progress notes must be reported on gender-affirming care for trans.

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