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LGBTQ+ Veteran care

VA Puget Sound Health Care System employees receive training in clinical care that is responsive to the unique needs of LGBTQ+ Veterans. Our trained LGBTQ+ Veteran care coordinators are fully equipped to support the health, welfare, and dignity of you and your family.

Connect with a care coordinator

Bridget Reposa RN (she/her/hers)

LGBTQ+ Veteran Care Coordinator and Patient Advocate

VA Puget Sound health care

Phone: 206-277-3233


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.

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