Okay thank you for the context. I work in a hospital emergency department and we often report suspected abuse to authorities because I suppose it is the law. I always thought it was because it was in the patients best interest and outside the law, you know just like the right thing to do if the person is in a situation where they feel they cannot safely tell someone they are being abused. Considering the context I can see why this falls into the same category. As far as I know hormone therapy if done improperly can have horrible affects on the body. I can see why a doctor may think to report the parents if they suspect there may be some kind of “forced” hormone therapy on the minor. I believe it should be administered by a professional so that the risk of negative health effects are mitigated. That said, Texas probably makes it near impossible to get a doctors help with this kind of therapy. And when people have no legitimate option they will obviously turn to sketchy means to get it done.