@Paige, if you live in Toronto, there is a possibility you could find a Doctor to do hrt, may have to go to a gender therapist first, or you can try informed consent, which is what I did. Seeing as Lesley lives well away from Toronto that is why I suggested trying to recruit her own personal gp. Worth a try, nothing to lose.
As far as CAMH, if you are going that route for SRS & you have started hrt, you are one step ahead in the process before going there for SRS. Lets say for example if I wanted to do SRS, I had my hrt with my gender Doctor at my local East Mississauga Health Center, when ready then my gender Doctor would refer me to CAMH. I wouldn't doubt that is the way some patients arrive at CAMH, so I don't think that is an issue.
Self medicating, I got your observation & know you weren't promoting it nor am I.
At East Mississauga Health Center, after being on hrt a short while, between my Doc & Endo it was determined a reaction I had precluded my from continuing in partial transition only.
@Lesley, my apologies, I didn't mean to hijack your thread in another direction.