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CARE WE PROVIDE AT VA PUGET SOUND HEALTH CARE SYSTEM We promote the health, welfare, and dignity of Veterans who identify as lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+)

or a related identity. We focus on ensuring a safe, welcoming, and affirmative environment when providing you with sensitive and high-quality health care services like:  * Mental health

services, including individual therapy, psychosocial assessments for gender affirming surgeries and LGBTQ+ focused therapy groups * Family planning including intrauterine insemination (IUI)

* Fertility preservation prior to starting gender affirming hormone therapy * Hormone therapy * Gender affirming prosthetics * Gender affirming voice treatment * A gender diversity clinic *

Testing, counseling and care for HIV and sexually transmitted infections, including PEP (post-exposure prophylaxis) and PrEP (pre-exposure prophylaxis) for Veterans at risk for HIV * Other

prevention, screening, wellness and testing services POLICIES AND PRACTICES TO KNOW The care coordinator can help you get started with care or with navigating any of these issues.

VISITATION: A same-sex partner, family member, friend, or other individual can be present with the patient for emotional support during the course of the patient's stay. DEFINITION OF

FAMILY: "Family" may include individual(s) not legally related to the individual. Family members include spouses, domestic partners, different-sex and same-sex significant others.

ADVANCE DIRECTIVES: Veterans may designate any person as a decision-maker for care if they won't be able to make these decisions themselves. This includes same-sex partners. Advance

directive agents are chosen by the Veteran and do not need to be biologically related. DOCUMENTATION IN MEDICAL RECORDS: VA Puget Sound Health Care System maintains the confidentiality of

information about sexual orientation, sexual behavior, and gender identity, just like any other private health information. CHANGING NAME OR SEX IN RECORDS: Your name in your medical record

will reflect your legal name.  You can have both your birth sex and your self-identified gender in your medical record.  Find more information on these medical record fields and related

questions about your birth sex and self-identified gender  A VA Privacy Officer can assist you in following established procedures for changing your name and sex.