EN 
ES Can I be forced to undergo psychiatry or psychology as a requirement for hormone treatment or procedures?
Health care may include assessments to ensure clinical safety and appropriateness of informed consent, but these assessments should not operate as automatic barriers or pathologisation mechanisms. The rule should be accompaniment when it contributes to care, not "filters" that indefinitely delay access.
Can the EPS require a change in the "gender", "name" or other "proof" box in order to recognise my identity and be able to access the gender reassignment process?
No. The HPS cannot make any additional requirements except at the explicit request of the patient. In other words, it cannot rely on a change of documentation, previous diagnoses or any kind of humiliating physical "verification". Any clinical assessment should serve to care for health, not to delegitimise identity [...].
How do you access gender-affirming care in the health system?
Currently there is no "route" defined by the health authorities, but in practice, one must request a general medicine appointment with the EPS and explain the patient's needs. It can be initiated by mental health or by the speciality that is most needed, and from there ask for referrals [...].
What services can be part of a gender-affirming process?
Health services for gender reaffirmation processes depend on each person and the corresponding medical follow-up; it will depend on the health need, the medical evidence and all with dignified treatment. In practice, it may include, among others, psychosocial and mental health accompaniment, hormone therapy with controls and follow-ups by [...]
What is meant by gender-affirming health care in Colombia?
It is comprehensive health care that recognises the gender identity of each person and seeks to guarantee their physical and mental wellbeing, with dignified treatment, bodily autonomy, confidentiality and absence of discrimination. It includes the care that a person may require, according to their situation and decision, in order to live their gender with greater well-being, without discrimination.
Should my medical records be handled with enhanced confidentiality if they contain information about my gender identity or transit?
Yes, the medical record is a confidential document and its handling requires strict confidentiality. The institution may be required to limit access to what is strictly necessary, to adopt data protection measures and to correct practices that expose sensitive information.
How should my medical, sexual orientation and gender identity information be treated in health care settings?
Medical information is confidential. Health care requires confidentiality and responsible handling of information. In addition, the personal data protection regime of Law 1581 of 2012 applies in Colombia. If an institution discloses personal information without authorisation, the patient can file a complaint and request measures of [...]
Can I be called by my social or identity name in appointments, appointments, formulas and procedures, even if my document does not reflect it?
Yes, it is possible to request that health personnel use the social or identity name, as well as the chosen pronouns. In addition, you can also request that this decision be recorded in the HPS/IPS internal systems to avoid demeaning treatment and unnecessary exposure. If they refuse, this can be recorded in writing and submitted [...].
Can my partner or family receive medical information or accompany me in health decisions?
Yes, with confidentiality rules and without any discrimination. Medical records are confidential. The regulation allows for a copy to be given to the user or his/her legal representative, and limits access to those authorised by law. If the partner, relative or support network is authorised to receive such information, the [...]
Can the EPS or IPS refuse an appointment or procedure because my gender expression or identity does not match the document?
No. Identification by administrative staff does not authorise discriminatory treatment and cannot become a barrier to access. If there is identity verification, it must be carried out with respect, confidentiality and without humiliation. If the refusal persists, immediate rescheduling can be demanded, PQRD can be activated and, if there is urgency or serious affectation, recourse can be had to tutela.
