Ask a trans person!

[DapperButch]

Ender, I can see where they would leave Female on you chart if you are not "legally" male, as Knightsblade says, for insurance purposes. They need to bill with the legal sex. But, does it need to be on the front of the chart? I don't see why that is necessary.

They ask for your preferred pronoun/gender somewhere else in the chart because:
a) they want you to feel comfortable
b) they want to pretend like they give want you to feel comfortable so that they "look good" (for political reasons, such as HRC's health index ratings).

Originally Posted by ~KnightsBlade~

My guess would be that the birth gender is used for insurance purpose, so they match and the actually gender you use is for them on how to address you. I sure wish more places made that simple effort. Even in Oregon they had to pit the gender on your birth certificate on all official paper work. Simply bcs of insurance at least that is how my doctor explained it. However my doctor did refer to me with make pronouns through out my chart and on all correspondence that I requested from her, I was lucky that way.