providers for ICATHInformed Consent for Access to Trans Health Care
Thank you for working with me. As my provider you are in the position to offer me medical care that can support me to express my gender physically. I am writing this letter to request that you follow the standards of care outlined for this medication or procedure and allow us to use informed consent. I am aware of the following in regards to this gender affirming care and expect to discuss this with you in our appointment:
- Potential social consequences
- Potential occupational consequences
- Potential effects on familial relationships
- Potential financial costs
- Potential impacts on mental and physical health
I am informed on the psychosocial impacts of this medical procedure and/or medication and am able to make an informed decision.