LGBT-Inclusive Intake Forms
One of the first steps to providing culturally competent care is amending all patient-history and intake forms to assure that they are LGBT-inclusive. For example, choices for relationship status should go beyond the options of “single,” “married,” “divorced” or “widowed” by including a “domestic partnership” option. Also, whenever gender is listed as a characteristic, transgender should be included (both male-to-female and female-to-male) as an option.
Resources:
- General Guidelines for Forms and Patient-Provider Discussions (GLMA, 2006) [PDF]
- History and Physical Intake Form (Seattle & King County Publich Health, 2008) [www.kingcounty.gov]
- Sample New Patient Intake Form (The Fenway Guide to LGBT Health, 2008) [PDF] [www.acponline.org]
