Transgender Healthcare Barriers in Kentucky

1. You are being invited to participate in a research study by answering the attached survey about assessing the healthcare access and barriers of transgender individuals in Kentucky. There are no known risks for your participation in this research study. The information collected may not benefit you directly. The information learned in this study may be helpful to others. The information you provide will help us better understand difficulties the transgender community faces in terms of accessing and receiving equitable healthcare. Your completed survey will be stored at the University of Louisville in a password-protected computer file. The survey will take approximately 10-15 minutes to complete.

Individuals from the Department of Educational and Counseling Psychology, the Institutional Review Board (IRB), the Human Subjects Protection Program Office (HSPPO), and other regulatory agencies may inspect these records. In all other respects, however, the data will be held in confidence to the extent permitted by law. Should the data be published, your identity will not be disclosed. Taking part in this study is voluntary. By completing this survey you agree to take part in this research study. You do not have to answer any questions that make you uncomfortable. You may choose not to take part at all. If you decide to be in this study you may stop taking part at any time. If you decide not to be in this study or if you stop taking part at any time, you will not lose any benefits for which you may qualify.

If you have any questions, concerns, or complaints about the research study, please contact:

Jayden Thai,; or Stephanie Budge,, 502-852-0627.

If you have any questions about your rights as a research subject, you may call the Human Subjects Protection Program Office at (502) 852-5188. You can discuss any questions about your rights as a research subject, in private, with a member of the Institutional Review Board (IRB). You may also call this number if you have other questions about the research, and you cannot reach the study doctor, or want to talk to someone else. The IRB is an independent committee made up of people from the University community, staff of the institutions, as well as people from the community not connected with these institutions. The IRB has reviewed this research study.

If you have concerns or complaints about the research or research staff and you do not wish to give your name, you may call 1-877-852-1167. This is a 24 hour hot line answered by people who do not work at the University of Louisville.


Jayden Thai
Stephanie Budge

Clicking “Next” indicates that you have read this consent form, had an opportunity to ask any questions about your participation in this research and voluntarily consent to participate. You may print a copy of this form for your records.
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