Referrals to our clinic
To refer a patient to the Gender Clinic at BC Children’s Hospital, please follow the referral process outlined below.
Two steps are required:
- A referral needs to be sent to our clinic by a family physician, nurse practitioner, pediatrician, or psychiatrist. Please attach any relevant reports (labs, history). Use
this referral form.
- An assessment needs to be completed by a trans-competent mental health professional (usually a psychologist or psychiatrist who has training and experience working with transgender and gender-questioning children/youth). For recommended practitioners, please contact us. The assessment completed by the mental health professional must be forwarded to our clinic.
Once our office has received
both these items, the patient will be contacted for an appointment with the Pediatric Endocrinologist.
Frequently asked questions
Why is an assessment by a mental health professional required prior to seeing a pediatric endocrinologist?
Our clinic, as do most clinics caring for transgender and gender-questioning children/youth in Europe and North America, follows the
Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People, version 7 established by the
World Professional Association for Transgender Health (WPATH).
These guidelines recommend that a trans-competent mental health professional assess transgender and gender-questioning children/youth prior to consideration of medical treatment (puberty blockers/cross hormones) by the pediatric endocrinologist. These guidelines have been carefully established to ensure the health, safety, and well-being of children and youth.
What can I expect from a mental health assessment?
The goals of the mental health assessment, conducted by a trans-competent mental health professional, are to independently evaluate the child’s gender status and identity, to understand the child’s and the family’s unique needs and challenges, and to provide information relevant to the possible initiation of medical treatment.
The assessment provides information regarding a child’s mental health status, developmental concerns, and family and social support, as well as the child’s ability to consent or assent to reversible and potentially irreversible treatment in a developmentally appropriate manner.