Gender recorded in the patient file is the gender that is reflected on the client’s state ID or driver’s license. When a patient declares to be another gender, but has not undergone reassignment surgery, for medical purposes the client is considered to be the anatomical gender, not the preferential gender.

During clinic visits, staff will refer to the person by his or her name of choice.

If the patient is transgender, double click on the T and select the appropriate Gender Identification. If they have a Preferred Name, put that in as well. Also, any Pronouns that are needed.

lp revision 2.3.16

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