Yes, you don't need CAMH to get hormones. Just see a therapist for a few months, get a letter, get your doc to refer you to an endo, get on HRT! CAMH will not fault you for being on HRT before they would "approve it". I had my first appointment with them Jan 11 2011. I got on HRT the end of March that year. In May, I got a letter from them giving me an appointment "For possible approval for hormones". I wrote back and said I'd been on hormones since the end of March. Presently I got a different letter with an appointment for six-month follow-up. No problem.