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Table 5 Recommendations for clinic setup and intake

From: From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers

- Consider the name of the clinic and how it is represented broadly as who gets services there. A “women’s clinic” may not be the best title for a place that serves trans men and other gender expansive individuals.
- Physical Space:
 o Ensure bathrooms are accessible to all. This means having non-gendered restrooms, not just male restroom and female restrooms. This may also mean having single use non-gendered restrooms.
 o Ensure signage, magazines and pamphlets speak to people of diverse backgrounds in terms of race/ethnicity, sexual orientation, and gender identity.
- Broadly display a non-discrimination statement. Examples can be found at here (http://www.hrc.org/hei/sample-patient-non-discrimination-policies#.V0PlrVczyAY )
- Printed materials and signage:
 o Ensure language used in your institution’s literature, publicity, patient education materials, is welcoming to all people regardless of gender identity. Consider whether your clinical space suggests that women are the only people who get pregnant or are welcome at your clinic and take steps to rectify that.
- Staff Training and Procedures:
 o Ensure all staff ask preferred name(s)/pronouns, document them, and use them consistently.
 o Consider how patient check-in procedure and clinical space may be comfortable only for individuals who are female identified. Could you make it comfortable for individuals who are male identified or trans identified as well as female identified? Consider how people's names are used and documented and communicated between members of the care team.
 o How is the phone answered? Teach staff to not assume gender from patient’s voice or assume patient status or not from voice.
- Medical Records and booking:
 o Make sure you can book, document, and bill OB/GYN procedures and encounters for someone whose gender signifier (in your system and/or the insurance records) is male.