"Informed Consent" HRT Clinics

[tekla]

It means you sign a paper acknowledging that you know the risks and are willing to take them and live with the consequences.  You are agreeing not to hold anyone else liable or responsible.  If it turns out great - then great!  If it turns out like ->-bleeped-<-, well, nobodies fault but mine.

It's an adult thing.

[RhinoP]

I'm hoping that the clinic in kansas isn't full of manure and malarky, I may have a direct ride there, and I'll have that ride in two months, which may be perfect if the clinic's waiting list is long. Does anyone know if clinics like this see out-of-state patients? I've had surgery out of state before, and it there was no residency problem, but it may be different for clinics and especially hormone clinics that may want to keep up with you.

And again, is there a process to informed consent or do they pretty much say "This is america, here's the papers." on the first visit?

[Ann Onymous]

I'm hoping that the clinic in kansas isn't full of manure and malarky, I may have a direct ride there, and I'll have that ride in two months, which may be perfect if the clinic's waiting list is long. Does anyone know if clinics like this see out-of-state patients? I've had surgery out of state before, and it there was no residency problem, but it may be different for clinics and especially hormone clinics that may want to keep up with you.

And again, is there a process to informed consent or do they pretty much say "This is america, here's the papers." on the first visit?

I'm going to guess that they can tell you their process if you CALL them.  I would be surprised if they just took walk-ins. 

As far as residency, if the patient is footing the bill, then residency should not be an issue.  I know that I could go to any doctor I want, but if it is out of network (no matter the reason), then I pay out-of-network costs.  If I were on State subsidies, then the State gets to direct whether I need to be a resident in order to receive non-emergency services... That being said...I would FULLY expect you to commit to follow-up visits, and without that commitment, I would be surprised if they prescribed ANYTHING.

I never had to sign anything when I found my doc in the early 90's...we verbalized our understanding.  But society has grown even more litigious over the past few decades, not to mention the upswing in people who think HRT is the cure for all that ails them...so the docs are going to look to cover their respective asses. 

[tekla]

Telephone, e-mail, snail-mail, web sites... I'm sure you could reach out and touch them if you really wanted to know.

[RhinoP]

Well, to be honest, I just need to get the consent forms and approval, and then I can go to whichever endocrinologist I well please, most likely. It's really the psychological/legal approval that I need, as long as I get tested and prescribed by a informed consent clinic, I can probably take my papers, tests, and dosages to a local endo when I return home. I live in TN and there's absolutely no non-RLE endo's around here, but if I'm already on hormone therapy, there's not really a reason for them to deny local care. It's really the innitial approval and diagnosis that's worth the long haul.

And to be honest, posting something a forum is free, calling 14 long-distance clinics probably is not.

[JungianZoe]

Well, to be honest, I just need to get the consent forms and approval, and then I can go to whichever endocrinologist I well please, most likely. It's really the psychological/legal approval that I need, as long as I get tested and prescribed by a informed consent clinic, I can probably take my papers, tests, and dosages to a local endo when I return home. I live in TN and there's absolutely no non-RLE endo's around here, but if I'm already on hormone therapy, there's not really a reason for them to deny local care. It's really the innitial approval and diagnosis that's worth the long haul.

I would honestly question whether one doctor is going to accept your agreement not to sue a different doctor as an acceptable clearance for treatment.  If I were having foot surgery, the surgeon wouldn't call up the gastroenterology surgeon who worked on my stomach to ask whether I'd signed a form understanding the risk of surgery.

[JessicaH]

Well, to be honest, I just need to get the consent forms and approval, and then I can go to whichever endocrinologist I well please, most likely. It's really the psychological/legal approval that I need, as long as I get tested and prescribed by a informed consent clinic, I can probably take my papers, tests, and dosages to a local endo when I return home. I live in TN and there's absolutely no non-RLE endo's around here, but if I'm already on hormone therapy, there's not really a reason for them to deny local care. It's really the innitial approval and diagnosis that's worth the long haul.

And to be honest, posting something a forum is free, calling 14 long-distance clinics probably is not.

Please don't try and derail this thread. If you know of a doctor or clinic that uses the informed consent model or other useful information about said doctor or clinic including feedback, please post it here.  Open discussion about "Informed Consent" should be done elsewhere, please.

[RhinoP]

All I'm saying is that I would hope to get my initial blood test results, hormone therapy plan and dosages, and all the regular tests at whatever clinic does informed consent. Then, when I'm already on hormone therapy, it seems a possibility that I can go to a local gender friendly endo (that does not do informed consent), and simply say "I'm already on hormone therapy and have done all my RLE and such, please use my information from my previous Endo so that I can be taken care of here." It's what someone would do if they simply moved across the country.

Oh, and back to providing information on the clinics, I called the clinic in Kansas twice, and it said the number did not work, or some mess. The website for the clinic looked straight out of 1997 as well, I'm not sure they're in business. They aren't listed on the SusanWiki yet, either. I'll be researching for Informed Consent clinics in the Kansas City area and will post if I find any.

[SandraJane]

Please don't try and derail this thread. If you know of a doctor or clinic that uses the informed consent model or other useful information about said doctor or clinic including feedback, please post it here.  Open discussion about "Informed Consent" should be done elsewhere, please.

Rhino P,

Once again, please do not try to dereail the thread, or you will be reported to the Moderator.

[JessicaH]

I verified the phone number for Dr. Sharon Lee, M.D. and there are no issues.


More on Dr. Lee- http://www.thebody.com/content/art39710.html
Sharon Dian Lee, M.D., is Assistant Clinical Professor of Medicine at the University of Kansas and the founder and director of Southwest Boulevard Family Health Care. She holds the dual role of Community Electives Coordinator and HIV and Palliative Care Consultant at the University of Kansas Medical Center Department of Family Medicine. In 1989 she formed the Kansas City HIV Women's Coalition, as well as the Permanency Planning Project of Kansas City, Kan., which, since 1993, has sought to provide services and assistance to AIDS orphans. Dr. Lee also serves on the board of directors of the Black Health Care Coalition, which addresses the health and wellness needs of HIV-positive minorities in the Kansas City area.

Dr. Lee has been intimately involved in HIV/AIDS research and patient care since the early years of the epidemic in the U.S. She has served as medical director of a number of Kansas City-area HIV clinics over the past 20 years, and was a founding member of the Kansas City AIDS Research Consortium, which operated from 1988 to 1995. She has won numerous honors for her work, including the Caring Physician's Award in 1999 and the Kansas City, Kansas African-American Unsung Hero in Health Services Award in 1993.

Dr. Lee earned her medical degree at the University of Kansas in 1982, and completed her residency in family practice at the University of Missouri's Truman Medical Center in 1987. She has held her assistant professorship at the University of Kansas since 1987.


AdvertisementSupport for Dr. Lee's research has been provided by Agouron Pharmaceuticals, Inc., Abbott Laboratories, Boehringer Ingelheim, Bristol-Myers Squibb Company, GlaxoSmithKline, Merck & Co., Ortho Biotech Products, L.P., Roche and Solvay.

[SandraJane]

Jessica,

Checked the WIKI page, did not see contact info for the Kansas clinic. Any in our Great State?

SJ

[JessicaH]

The wiki hasnt been updated in a few days. I have several for TX and Louisiana that I will add tonight.

[SandraJane]

Thank You! Fantastic Job Jessica!

[tekla]

On point: I'm pretty sure that informed consent works only at the clinic you enter into the agreement with.

[kyle_lawrence]

I was going to mention the Howard Brown Health Center in Chicago, IL,  in boystown, but it seems someone beat me to it. 

My ex-girlfriend went there for hormones and was very happy with the treatment she recieved, and I would have gone there for T if circumstances hadn't forced me to move away from Chicago.

[Sarah B]

I have updated the Wiki on the doctors who can provide Informed consent.

Here is an interesting page of resources from Ann Lawerence's website.  It is hard to say which of the medical doctors will provide the necessary Informed Consent.

Warm regards
Sarah B

[JessicaH]

Catherine Mateo put this list together and mentions a lot of places I haven't heard of. Thanks for putting this info together!!!!!!


New York

COMMUNITY KINSHIP LIFE - BRONX LEBANON HOSPITAL TRANS CARE CLINIC
1650 Grand Concourse New York, New York 10457-7697 (718) 583-0542
[url=http://cklife.org/NYC-Resources.php]http://cklife.org/NYC-Resources.php
Provides: General Medical care, Hormone Replacement therapy, Therapy, HIV treatment, Hep C treatment. Contact Mr.
Cris @347-881-7005 or Cris@Cklife.org for an appointment
h/t dunimal@->-bleeped-<-.
javatimes: Does CKLife work with trans women too?
Dunimal: Sure does.

MASSACHUSETTS

ELLEN ROTTERSMAN, LICSW (CLINICAL SOCIAL WORK/THERAPIST)BROOKLINE, MASSACHUSETTS
1131 Beacon Street Suite C1 Brookline, MA (617) 730-9417 erottersmann@comcast.net
Not informed consent, but is known to be competent and quick in evaluations / writing letters.
Ellen:
• I have been working with questioning and trans clients and their families for 15 years both at Fenway Community
Health and in private practice. I take all Blue Cross plan, any PPO plan as well as a sliding fee scale."
• I do a psychological evaluation in as few sessions as possible for medical providers who require a therapist letter.
http://www.helppro.com/HP/Provider/397198259800001/Ellen_Rottersmann_LICSW.aspx
http://therapists.psychologytoday.com/rms/prof_detail.php?profid=49028&sid=1314819251.9557_14320&lastname=Rottersmann

Virginia
DR. ANTHONY ZAVADIL, SOPHIA MEDICAL ASSOCIATES CLINIC, FREDERICKSBURG, VIRGINIA
603 Kenmore Avenue, Fredericksburg, Virginia
Tel.: 540-368-9380/ Fax: 540-368-9382
http://www.sophiahealth.com/
Ratings: http://www.healthgrades.com/physician/dr-anthony-zavadil-2vpdx/office-locations
Board cerfitied in Internal Medicine and Endocrinology
Dr. Zavadil graduated with honors from Cornell University and Cornell University Medical College. His post graduate
training in Internal Medicine was at the Harvard Medical Service, Boston City Hospital and Georgetown University Hospital.
He completed his Endocrinology Fellowship at Walter Reed Army Medical Center.
Heliotroper@->-bleeped-<-

Allowed me to start HRT without a therapist's letter after signing an informed consent form.

He's also a really cool doctor, very easy going and helpful.

I'm not sure exactly how much experience he has with trans patients, or who he is willing to prescribe. I
am MtF. So far I've had no complications in my 5 months of being on HRT.

While I didn't have a therapist's letter, I did see a therapist (on and off) for a year and he spoke to my
therapist before giving me the informed consent form. I don't know if you would be able to simply call
him up and ask for HRT, but it's worth a try.

Georgia
FEMINIST WOMEN'S HEALTH CENTER, ATLANTA, GEORGIA
1924 Cliff Valley Way, Atlanta, GA 30329 • Clinic: 404-728-7900 • 1 (800) 877-6013
http://www.feministcenter.org/HealthServices/TransHealthInitiative.php
transhealth@feministcenter.org
• Not accepting new patients at this time (2011-08)! Hopefully resuming October 2011)
• Offers sliding scale rates and STI & Wellness labs.
• Possibly FTM HRT only. They'd like to add MTF in the future.
• Their resource list for GA - http://dl.dropbox.com/u/932389/Trans/Stepping%20Forward%20-
%20Atlanta%20Resources%20from%20Feminist%20Women%27s%20Health%20Center.pdf

DR. SCOTT PARRY, INTOWN PRIMARY CARE, ATLANTA, GEORGIA
730 Ponce De Leon Place, Atlanta, GA 30306, (404) 541-0944
http://www.intownprimarycare.com/
Provides full services for FTM and MTF - not informed consent, but may help people who previously were on HRT.

DR. MARK EARHART, WINDRIDGE FAMILY MEDICINE, WATKINSVILLE, GEORGIA
1612 MARS HILL RD STE B, WATKINSVILLE GA 30677-4889 (706)769-1100
Prescribes and maintains hormones for several Trans people in the greater Athens area. Doesn't require a therapist's
support letter. Without insurance, the cost per visit is $120, and he does require periodic lab work. He and his physician's
assistant also provide Trans-friendly chest/breast and genital exams.
- http://www.t-vox.org/index.php?title=Physicians_in_the_United_States

Louisiana
DR. LAURA KIMBALL-RAVARI, BOSSIER CITY, LOUISIANA
2300 Hospital Drive Suite 360 Bossier City, LA 71111 (318) 212-7902
Endocrinology, Diabetes & Metabolism, Internal Medicine
http://www.vitals.com/doctors/Dr_Laura_Kimball-Ravari.html#ixzz1Wak0QnCS
Anon c.2009: I can do nothing but recommend her. She claims to have experience with both FtM and MtF trans patients
and doesn't require a letter to provide hormones.


DR. KENNETH COMBS, MD. NEW ORLEANS, LOUISIANA
501 Frenchman St. New Orleans, LA 70116, (504) 948-4331
Anon c.2009 : His name came up at a New Orleans support group meeting so I made an appointment. He prescribed me
Estradiol and Spironolactone on the spot! I give him a 10/10.
Anon c.2011: I would like to post a bit of an update as it pertains to the docs I've seen for HRT. It seems like Dr. Combs
expertise basically ends once the script is written. He just didn't seem to be able to determine what good T and E levels
were. However, he is good if you need meds with no letter. Anon recommends Dr. Tracy Conrad @Tulane Multispecialty
Clinic Metairie if you can get a letter.


North Carolina
DR. RICHARD WYNN, COTSWALD FAMILY MEDICINE, CHARLOTTE, NORTH CAROLINA
309 S Sharon Amity Rd, Charlotte, NC, (704) 446-2360
Anon c.2011: He seems nice, I spoke with him about my life for about an hour to 1 1/2 hour and then he gave me a
prescription without a letter of recommendation. I'm pretty sure that he also billed it as primary care and hormone
imbalance, because my insurance seems like it's going to cover it. The only problem was that there was a 6 week wait
period for new patients.

Texas- Dallas Area

GEAR (GENDER EDUCATION, ADVOCACY & RESOURCES) DALLAS, TEXAS
Nelson-Tebedo Community Clinic, 4012 Cedar Springs, Dallas TX 75219
Phone 214.528.2336 | Fax 214.528.8436
3rd Monday of each month, 6:00 p.m. - Low-cost lab work and access to medical staff (referral may be required at a
doctor's discretion) - to schedule an appointment, please contact 214-528-2336
Transgender Helpline: Every Wednesday, 6 – 9 p.m. Please call 214-528-0144
http://www.rcdallas.org/index.php?q=node/157
GEAR (Gender Education, Advocacy & Resources) was created as a program of the Resource Center Dallas in 2005, and is
the first formalized transgender program sponsored by a major gay, lesbian, bisexual and transgender (GLBT) organization
in North Texas. GEAR is dedicated to empowering transgender men and women within the community through educational
and social opportunities, outreach and medical services. GEAR focuses on increasing the well-being of all transgender
people, their families and their friends.
Yahoo Group: DallasGEAR@yahoogroups.com
Facebook: http://www.facebook.com/gear_RCD#!/profile.php?id=1541786914 twitter @GEAR_Dallas
kaliscion@->-bleeped-<-: The doctor who serves the GEAR program has always been Dr. Jaime Vazquez, but he picked up another
volunteer physician to help them take on more patients some months ago. Program is still only available once a month and
the waiting list for new patients is several months long.


FELESHIA PORTER, MS, LPC, DALLAS, TEXAS
3530 Forest Lane #188 * Dallas, Texas 75234
Office (214) 904-8222 Cell (214) 454-8144
http://feleshiaporter.com - Feleshia@aol.com - $110/hr or sliding scale.
*not informed consent - but non-gatekeeping therapist in an area with few resources*
"she will not gatekeep and provide letters rapidly. Works with Dr. Karen King" - kaliscion@->-bleeped-<-

ANDREA COZBY, LPC, DALLAS, TEXAS
3530 Forest Lane, Suite 189, Dallas, Texas, 75234
(214) 912-4872 or (214) 727-4931 info@creatingwomenswellness.org
http://www.creatingwomenswellness.org/id69.html
*not informed consent - but non-gatekeeping therapist in an area with few resources*
"she will not gatekeep and provide letters rapidly. Works with Dr. Karen King" - kaliscion@->-bleeped-<-

DR. KAREN KING, DALLAS, TEXAS
9323 Garland Rd Ste 111, Dallas, TX, 75218 Phone: (214) 328-7400 Fax: (214) 328-7680
http://www.wellness.com/dir/2450389/family-doctor/tx/dallas/karen-king-do
"Dr. King will do the work right away, but she will not prescribe any hormones for a smoker, and insists you be quit (due to
her unwillingness to associate with the increased risk of stroke from the hormones). Both are very helpful about helping out
with extending or renewing prescriptions in an emergency." - kaliscion@->-bleeped-<-

DR. APRIL DAY, FAMILY MEDICAL CENTER, GARLAND, TEXAS
601 Clara Barton Boulevard, Suite 140 Garland, TX 75042 (972)272-6561
Anon says: "The staff and nurses in Dr. Day's office are all great. Since I started seeing her they've slipped up with my name
and pronouns maybe once, but generally they all call me by my chosen name (even though it's not the name on my medical
records) and treat me with the same respect and professionalism that they would any other patient."
Anon: "Family doctor who will also prescribe HRT; does not require a therapist's letter."


Texas- Houston Area
LEGACY COMMUNITY HEALTH CENTER
215 Westheimer, Houston, Texas 77006
it was a wonderful, wonderful experience. I went to a community health clinic, specializing in GLBT services (this is in the heart of
Texas, by the way, before anybody gets jealous). I met with a doctor who specializes in HRT. The office staff asked what name I
would like to be called, so the entire time everyone called me by my REAL name, not the one I was born with. My doctor talked to
me for 10-15 minutes, decided I really was serious, and got out the prescription pad.

Arizona
DR. MELANIE CLOONAN-SCHULTE, CHANDLER, ARIZONA
595 North Dobson Road, Chandler, AZ 85224, (480) 821-0788
"She is treating me under informed consent but I started DIY too. I'm not sure how it works for those just starting out."
nebarnix@->-bleeped-<-:

Minnesota
DR. ERIC MEININGER, MD, MPH, SAINT PAUL, MINNESOTA
435 Phalen Boulevard, Saint Paul, Minnesota - (651) 265-7308
Flying_Cat@->-bleeped-<-:

He is willing to prescribe to minors with parental consent

Clinic atmosphere is a bit of a downer

Make sure to double check his doses against the Waddell centre health protocols since occasionally he
does get clumsy when converting between pills and inject able doses.

Iowa
EMMA GOLDMAN CLINIC, IOWA CITY, IOWA
227 North Dubuque Street Iowa City, IA 52245 (319) 337-2111
http://www.emmagoldman.com/

Michigan
DR. MARK SIKORSKI, DO
FARMBROOKE FAMILY MEDICINE
48924 Hayes Rd, Macomb, MI, 48044, Phone: (586) 566-8270, Fax: (586) 566-8404
H@trueselves

He also takes Medicare for all those on disability.

My only side note on him is that he tends to have a narrow view of femininity. Be that as he may, he only
brings this up when recommending surgery options. Other then that, he's a good doc for the cheap
especially for getting hormones without letters.

He also keeps you informed of what your levels are and goes over them with you and helps explain them.

KANSAS
JEANETTE LANIER, ARNP, WICHITA, KANSAS
1001 N. MINNEAPOLIS, WICHITA KS 67214, (316) 293-1840
http://mpa.kumc.edu/midtown/physicians.html
Will give hormone prescription without therapist's letter. KU Med Clinic also provides diabetes, eating disorder, and
HIV/AIDS services. If homeless or low-income, KU Med *should* work with you or you can research the needed blood tests
and get Hunter Health Clinic to help with labwork.

California- Bay Area
LYON-MARTIN HEALTH SERVICES, SAN FRANCISCO, CALIFORNIA
http://www.lyon-martin.org/transgender.php - SEEING NEW PATIENTS STARTING SEPTEMBER 1, 2011!
TOM WADDELL HEALTH CENTER, SAN FRANCISCO, CALIFORNIA
http://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/TransgenderHlthCtr.asp
DR. MADELINE (MADDIE) B. DEUTSCH, MD, SAN FRANCISCO, CALIFORNIA
San Francisco Office: 3150 18th St., Suite #222 Mailbox #503 San Francisco, CA 94117
ph 415-797-7136 | fax 323-679-0389
http://westbaywellness.com/?page_id=593
info@WestBayWellness.com

TURK CLINIC, BAART PROGRAMS, SAN FRANCISCO, CALIFORNIA
433 Turk St, San Francisco, CA 94102, (415) 928-7800
http://www.baartprograms.com/turk.html
dunimal@->-bleeped-<-:

Danny the NP can help you out.

You need to have healthy SF or SF health plan, Medical, Medicaid, Medicare. You'll have to call if you have
private insurance.

When we started back in the day, it was a drug treatment program only. Today BAART TURK ST (Other
BAARTs are single focused) offers primary care, programs for low income pregnant women, mental
health, and drug treatment. HRT is through the primary care clinic.
R. SHAWN K. HASSLER, SAN FRANCISCO, CALIFORNIA
870 Market St., Suite 600 San Francisco, California 94102 (415) 397-0700 Fax: (415) 397-6805
* Private insurance only *
http://www.cpmc.org/providersearch/?sitecfg=49&action=providerdetail&masterid=10728&isLevelOne=1


TRANS VISION, TRI-CITY HEALTH CENTER (HABLA ESPANOL),FREEMONT, CALIFORNIA
39184 State Street, Fremont, CA 94538 - Fax#: 510-739-1239
Tiffany Woods - Program Coordinator (510) 713-6690 ext 6121 tiffany.woods@earthlink.net
TransVision Info Line 713-6690 ex6237
100% of TransVision's staff are Transgender women, Serving F-t-M,M-t-F, GenderQueer
No Insurance- OK, Private Insurance not accepted, Medi-Cal accepted, Non-Alameda County Resident-OK
http://www.transvisiontricity.org/main.html
http://www.transvisiontricity.org/docs/TransvisionTRIFOLD2008.pdf
Primary Care Services
Hormone Assessment
HIV Care & Treatment
Free HEP A & B Vaccination
Free Confidential HIV testing & counseling
STD Screening
HIV Prevention Services for Trans women such as
Individual/Group Support
Safe, trans positive space in Fremont
In-Service Trainings for providers
Free Hormone needle exchange/disposal
Anon@->-bleeped-<-:
• I went there for my first appointment in August 2011 and it was very easy and pleasant.
• I think they accept patients from anywhere, but if you live in Alameda County and are uninsured and low-income, then
they can help set you up with HealthPAC.

CALIFORNIA - SANTA CRUZ
DR. JENNIFER HASTINGS, PLANNED PARENTHOOD WESTSIDE HEALTH CENTER, SANTA CRUZ, CALIFORNIA
1119 Pacific Ave. Suite 200 Santa Cruz, CA 95060 P: 831.426.5550 | F: 831.425.0106
catamorphism : She sees both trans women and trans men.
hadrianne@->-bleeped-<-: Dr. Hastings is taking new patients; there can be quite a wait for an appointment but PP has a very fair
sliding scale, understands if your insurance doesn't cover trans stuff, and, oh yeah, she's totally awesome.
Djcapelis@->-bleeped-<-: There can be a long wait if you just call up, but if you manage to reach Jenn, she usually tries to find a a
way to cut through the wait if possible. She's really passionate about making sure people can get access to the care they need.

CALIFORNIA- SANTA MONICA

DR. MARKI J. KNOX
2121 Wilshire Blvd #303 Santa Monica, CA 90403 (310) 264-1777
Works / Consults with Dr. Maddie Deutsch
Her practice is primarily in Women's Health, particularly fertility and obstectrics. Her clinic has a policy of charging fees that
insurance does not cover rather than billing first as a paperwork saving measure. This is perhaps the only serious knock I
have against the practice.
http://www.yelp.com/biz/marki-j-knox-md-santa-monica
"I had already been on HRT for almost 10 months when I first saw Dr. Deutsch. She did ask questions about why I wanted
HRT, and various things related to it. It was less than 10 minutes for that stuff."

CALIFORNIA- LOS ANGELES
DR. MADELINE (MADDIE) B. DEUTSCH, MD, Main practice is in San Francisco but she also travels to Los Angeles 1-2 times a month to see patients there.
LA Gay and Lesbian Center: (twice a month) 1625 N Schrader Blvd. Los Angeles, CA 90028 323-993-7518
http://laglc.convio.net/site/PageServer?pagename=YH_Transgender_Health_Care
LAGLC accepts insurance and does sliding scale. On site pharmacy. Serves both trans men and trans women. There can be a
backlog for accepting new patients. Don't be discouraged!

CALIFORNIA - LOS ANGELES
DR. RICHARD HOROWITZ M.D.
#855W 8635 West 3rd Street, Los Angeles, CA (310) 358-7200
RICHARD HOROWITZ, MD, F.A.C.P., is board certified in internal medicine and has been a clinical faculty member of the
Department of Medicine at Cedars-Sinai Medical Center in Los Angeles since 1991. Dr. Horowitz received his medical degree
from Université François Rabelais in Tours, France in 1983. He completed a fellowship in reproductive immunology at
Institut Louis Pasteur in Paris and was Chief Medical Resident of internal medicine at New York's Mount Sinai City Hospital
until 1986. He has been the Chairman and member of Executive Committees at several Los Angeles hospitals, in addition to
his academic appointment as an Assistant Professor of. Medicine at UCLA Center for Health Sciences, Harbor-UCLA Medical
Center and Wadsworth Veterans Administration Medical Center. A private practitioner and specialist in the area of
hormonal reassignment, Dr. Horowitz is a member of the World Professional Association of Transgender Health, the
American College of Physicians and the American Society of Nephrology. (A43197, 1987)

CANADA

MONTREAL, QUEBEC
DR PIERRE-PAUL TELLIER, HEAD AND HANDS CLINIC,
833 SHERBROOKE OUEST MONTRÊAL QC / C.P. 446, Succ. N-D-G. MONTRÊAL QC H4A 3P8 (514) 481-0277
One person said in 2007: 'Dr Tellier prescribes hormones without the need of a referral letter. He follows the liberal protocols
established by some US clinics, with the objective to avoid young Trans people self-medicating. You have to sign a discharge
and go through several blood tests, but usually you get your prescription within a month of the first visit. His usual dosage is
150mg Spironolactone and 7.5 mg Premarin, but he will prescribe other forms of oestrogen if you ask for it. You have to
return to the clinic every 3 months to have blood tests. He is very serious about health issues. My own HRT was delayed
because I had some liver issue he wanted to investigate. Unfortunately, his clinic is opened only to people 25 and younger ...
don't bother going there if you are older. I don't know if he will take patients outside of the province Québec.' [

London, ON
DR. JAMES MARTIN, SOUTHERN ONTARIO FERTILITY TECHNOLOGIES
555 Southdale Rd, East, Suite 107 London, ON, N6E 1A2
Phone: (519) 685-5559 Fax: (519) 685-5519 E-mail: info@soft-infertility.com http://www.soft-infertility.com/
Anon@trueselves:
I can't really recommend him highly enough. He and his staff are abnormally friendly and completely accepting of trans
people. He's had hundreds of trans clients already, so it's nothing new to them. When you first talk to them, regardless
if you look like a boy or a girl, they'll ask you what name you would like put on the file, and how you would like them to
address you, etc. At worst, I was treated indifferently by one of the clerical staff. I've had several bad doctors in my own
city, so I travel 2 hours to a different city to visit him.
He does NOT require you to have any letters from psychologists or psychiatrists. He does however advocate that you
should have someone to talk to during the process because he's genuinely concerned for your health, mental and
otherwise. He's also very receptive to hearing your input on how you want to deal with things.
The prescriptions he gives are a little bit different from 'standard'. But I know he'd be willing to give you a different
prescription if you were concerned.
The medications he prescribed me are:

Estradiol

Prometrium (progesterone - and a pretty high dose)

Suprefact (Buserlin - a gonadotropin releasing hormone)
My only complaint is the Suprefact is given as a nasal spray. It just bothers me, but we discussed it and it's supposed to
work better with this delivery method.



MISSISSAUGA, ONTARIO

DR. LOUIE CHAN,
East Mississauga Community Health Centre, 2555 Dixie Rd. Mississauga, ON L4Y 4C4, (905) 602-4082
Amber Powell:
Dr. Chan is a very kind and understanding man who has training in trans issues and trans people care. The office is also very
trans friendly - all the washrooms for example are gender neutral.
My experience with him has been very good. He does not require you to see a therapist although he can refer you to one
who works out of the same facility. I was prescribed hormones on my 5th visit (approx 3 months) which is his protocol. He is
quite thorough in discussing all of the issues around transitioning, he knows how to go about getting your documentation
changed, he can refer you to a plastic surgeon (he did so for me), he has a nurse on staff who takes your blood as well. The
entire office and staff are very positive and supportive. He is also very familiar with hormone regimens at least for MTF. He is
now my full time family doctor - He isnt hard to get an appointment with if you are flexible about the time."
43 Stepping Forward - Catherine Mateo, draft rev: 9/2/2011 2:30:00 PM
ALL GENDERS WELLNESS CENTRE, VANCOUVER BRITISH COLUMBIA
http://allgenderswellness.com
Locations and dates (1x a month) may vary, check their website for details
(Please note: Services vary slightly on different clinic dates. Check the calendar for details.)
Our services:
- Are open to all trans and gender diverse people, regardless of home address
- Are open to all ages
- Are free
- Don't require health cards or ID
- General health care including primary and preventative health care, pelvic exams, chest exams, pre- and post-op support,
hormone support, and mental health support
- Free hormone injection equipment + education about safe hormone injection techniques
- Education about hormones, gender confirmation surgeries, sexual health, harm reduction, etc.
- advocacy letters, surgical referrals
- One-on-one support from a community worker
- Massage therapy
o Ray has experience with relieving pain and correcting dysfunctional posture caused by chest binding
o Geared towards any transfolks who can't afford Massage Therapy Treatment
o In a safe, communicative environment where you don't have to answer questions about your body
o Please book in advance by emailing ray.ranger.rmt@gmail.com
o Appointments are 45 min. long , booked for 12pm, 1pm, 2pm and 3pm during each clinic opening.

[Sophie]

Melissa dear,,,, can you do me a favor and call Dr. Marlowe to check if he is still taking new trans patients? I think there are several people that are very intrested in knowing.   

I scheduled an appointment a month ago (First of Nov) with Dr. Marlowe. I informed the receptionist I had a letter which she said wasn't nesccesary. I had my appointment today, which I carried my letter with me any way. He made a copy of it for his records.

He asked how I had heard about him, which I told him I seen his web page earlier this spring. I told him I was concerned when I called to make an appointment that perhaps he wasn't accepting new patients because the webpage about treating transgendered people had been down for some time. He informed me he was in the process of try to have a his website updated.

I hope that helps.

Soph

[RhinoP]

I can't believe it's literally been almost three months since I've looked at this thread, and look at all the news! So many non-letter clinics to choose from! Especially that heaven-clinic in Kansas, sounds right down my alley - no letter, willing to help people in poverty, ect ect. This is such great news!

[♥ Dutchess]

Sorry for grave-digging, but I though this was a great thread that popped up on the first page of Google for me when I was researching this exact topic and I thought it was great for some of who have no doubts that this is what they want.

My only question, is anyone aware of any in the NW Portland Metro Area?