LGBTQ Form Use this form to update us so that we can ensure your medical record reflects your individual needs. LGBTQ Form Name First Last NHS Number (if known) OptionalFind your NHS numberDate of Birth Day Month Year Sexual orientation Bisexual Optional Gay Optional Homosexual Optional Lesbian Optional Straight Optional Other Optional Gender Identity and Trans Status Monitoring Man Optional Woman Optional Trans Man Optional Trans Woman Optional Non-binary Optional Other Optional Is your gender identity the same as the gender you were given at birth? Yes Optional No Optional Your data will be used lawfully, in accordance with the Data Protection Act 2018, which gives you the right to know what information is held about you and sets out rules to make sure that this information is stored and handled properly. The Practice privacy policy can be viewed here.