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Yeah I've taken a lot of estrogen at this point and I was never required to sign anything...

Agree that people who call themselves "men" typically don't sign up for titty skittles.

It seems to vary wildly; I have heard horror stories about having to go through multiple visits and sign multiple consent forms. Some of this is due to WPATH SoC v7 (released 2011), which meant well but has resulted in overly-burdensome consent requirements that especially harm those who cannot afford it. As I understand it, SoC v8 intends to lessen those consent requirements, but it still hasn't been released yet :(

https://www.wpath.org/publications/soc

ps. "Estrogen. Little, Blue, Different."

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