Introduce Informed Consent to Your Medical Provider Using This Letter

^{providers for} ICATH_{Informed Consent for Access to Trans Health Care}

Dear Provider:

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.

Sincerely,