Table 2.

SOGI categories for electronic health records and patient registration forms

Introduction for forms: We are asking the following information to understand whom we are serving and to provide you with more patient-centered healthcare. This information will be entered into your electronic health record, which may be accessed by parents/guardians and by members of your healthcare team.

Parents/guardians: If you are answering these questions on behalf of your child, please answer to the best of your knowledge.

Gender identity (ages 3+ years)

What is your current gender identity? (Check all that apply) or (Please choose the option that best describes you. Currently our system allows only one option.)   □ Girl/woman/female □ Boy/man/male □ Nonbinary, genderqueer, or not exclusively female or male □ Transgender girl/woman/female □ Transgender boy/man/male □ Another gender: _________________________ □ Not sure □ Do not understand the question □ Prefer not to answer

What sex were you assigned at birth? (Check one.) □ Female □ Male □ X/Another sexa (please specify):_______________________ □ Not sure □ Prefer not to answer

What sex is listed on your health insurance?   □ Female □ Male □ X/Another sexa (please specify):_______________________ □ Not sure

Sexual orientation (for ages 10+ years)

Do you think of yourself as: (Check all that apply) or (Please choose the option that best describes you. Currently our system allows only one option.)   □ Gay or lesbian □ Straight or heterosexual (that is, not gay or lesbian) □ Bisexual □ Queer □ Pansexual □ Something else: ________________________________________ □ Not sure □ Do not understand the question □ Prefer not to answer

^aInclude if a third sex option is accepted by insurance companies.