| Inclusive communication style | Focus on respect for the individual and ensure all staff adopt an inclusive communication style Ask how the person prefers to be addressed (avoid using Miss or Mister at first encounter; simply use their full name) Do not assume sexual orientation and gender identity based on their sex assigned at birth Do not presume sexual practices: ask open-ended and clear questions Be aware of questions that assume heterosexuality (eg, are you married?). Instead ask, “Who are the important people in your life?”
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| Safe environment promotion | Recognize that patients may choose not to divulge sensitive information until they have built trust in you Indicate awareness of the diversity in LGBTQ+ communities. This helps enhance patient safety and promotes trust. Have a LGBTQ+ flag, a posted nondiscrimination policy, or a safe-zone sign If you have images in the waiting room, ensure they represent diversity of couples and families Provide a unisex bathroom Ensure registration forms are inclusive and obtain specific information (eg, do you have a domestic partner?)
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| Sexual history | Inquire about sexual orientation using nondiscriminatory language Be aware that some terms may trigger negative responses. Advocacy groups recommend refraining from the use of terms like gay and some WSW object to the term lesbian Use reflective language, as the term they themselves use is likely most appropriate
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| Preventive care decisions | Use shared decision making or information tools like you would with any other individual Be transparent when specific data are missing for a particular population Information and knowledge translation tools can be obtained from the CTFPHC website53
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| Resource for patients and families | |