Hi Bdw61, Welcome to Susan's Place!
I'm assuming that this is in reference to gender care.
If this is your first appt. with a doctor or therapist, it may be that information will be gathered and a plan of treatment can be worked up afterwards when things are clearer.
You may want to go the route of seeing a gender therapist to help you learn more about who you are, and the path to take to get you there.
There is informed consent in some places if you are clear with your objectives, but it seems to me you are still working it out.
I see the maiden of the north
@Alaskan Danielle has greeted you, make use of the links she gave you, they are quite handy in navigating the site.
Hugs and smiles. Jessica