You may want to check with local LGBT groups for help with navigating the system in order to start HRT. I am not familiar with Alberta's requirements, but a quick Google showed that, back in 2012, they followed the WPATH Standards of Care Version 6. Version 7 is current now, and I would hope that they have upgraded their requirements to use it.
WPATH SoC V7 requires a "hormone readiness assessment" by a mental health professional, after which you can start HRT. I just finished my assessment (in Nova Scotia), and it was a painless three hours total with a psychologist. They just ask you about your history, so they know it really is gender dysphoria not some other problem, and they tell you about the effects of hormones, so that your consent is informed. That's it. Because it is an international standard, Alberta should be the same unless they are still using version 6.