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GENDER CLINIC REFERRAL FORM
Patient referral to Dr. Joseph Cotter
Patient details
First and Last Name:
Name with Medicare (if different):
Pronouns:
Gender: Male Female Date of Birth (dd/mm/YYY):Nonbinary
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Transgender health issues topics encompass a range of health concerns that specifically affect transgender individuals, including mental health, access to healthcare, hormone therapy, and surgical options.
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Information that must be reported may include demographic data, health conditions, treatment outcomes, and barriers to healthcare access specific to transgender individuals.
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