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Hormone Therapy Informed Consent

Hormone Therapy Informed Consent

formswrite.com/templates/transgender-hormone-consent-form

Hormone Therapy Informed Consent

Informed consent for gender-affirming hormone therapy initiation under WPATH SOC8 guidelines.

Informed Consent Notice

Patient Information

Legal name *

Your answer

Chosen name *

Your answer

Pronouns *

Your answer

Date of birth

Hormone therapy requested

Estrogen + anti-androgen

Testosterone

Progesterone add-on

Puberty blockers (GnRH)

Other

Understanding of Effects

+ 12 more questions

About this template

Informed consent for gender-affirming hormone therapy initiation under WPATH SOC8 guidelines.

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1

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2

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3

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Health

20 questions · Free


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