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CARE WE PROVIDE AT VA ST. LOUIS HEALTH CARE 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 psychosocial assessments for hormone therapy and gender confirming surgeries * Creative arts therapies * Hormone therapy * Gender-affirming prosthetics * 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 St. Louis 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. The sex in your medical
record should reflect your self-identified gender. You have the right to request that your name and sex are updated as appropriate. There are established procedures for changing your name
and sex with the VA Privacy Officer.