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Improving the health and well being of LGBT populations by raising awareness about homophobia, heterosexism, transphobia and the impact they have on us all.

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Reference list for clinicians trained in transgender health

PLEASE NOTE:
– WPATH SoC 7 requires a minimum of an MA degree or equivalent in order to provide letters of support for hormone therapy or surgeries.
– All information provided will be available to the general public. If you need to update your information over time, please fill out the form again.

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You are filling out this form in order to be included in a publicly available reference list of trans-knowledgeable providers.
Terms of use*
I understand that ALL the information I am about to provide, including email, office address, details regarding my practice, etc. will be made available to the public.

Region(s) of practice
Region(s) of practice*
Select all applicable regions
Please specify*

Name and Address
Name*
Only individuals can fill out this list. If you work for an organization you can mention it in the "Other details…" field near the end of this form.
First Last
Your pronouns

Address
Street Address Address Line 2 City Province Postal Code

Contact details
Email*
This email will be available to the public

Office phone number
Click the "+" icon on the right to add phone numbers

Website

Professional Information
Profession(s) / Title(s)*
Check all that apply
Psychotherapist
Psychologist
Sexologist
Social worker
Couple and family therapist
Family physician
Endocrinologist
Psychiatrist
Nurses
Nurse Practitioner
Other
Please specify*

Most recent diploma*

Type of practice*
Check all that apply
Private practice
Public sector
I offer e-counselling/distance therapy*

Yes

No
Language(s) of practice*
French
English
Other
Please specify*

Population(s) served*
Ages are approximate
Children: 3-7
Prepubescent children: 7-11
Teens
Young adults up to 25
Adults
Couples
Families
Other details regarding your practice
Approache(s), areas of specialty, etc…
Responsibility
WPATH standards of care*
I confirm that I adhere to the latest version of the WPATH Standards of Care
You can consult the most recent SOC document here: https://www.wpath.org/publications/soc
I am qualified to make an assessment to provide a letter of support for hormone therapy or surgeries*

Yes

No
Practice authorization*
I confirm that I am authorized to practice the services I have listed in the regions I have indicated
Hidden
Notes
Comments
This field is for validation purposes and should be left unchanged.

If you have any questions about this form, please contact us.

Request a training

No two organizations are alike which is why we can customize any of our trainings for your specific requirements. Tell us all about your needs by filling out our request form.

Clinical Supervision

Individual and group clinical supervision can help expand your knowledge base and increase your confidence level in working with gender diverse individuals.

Consultation

Is your organization seeking to improve its welcome to gender diverse employees, clients, or students? We welcome the opportunity to offer our expertise in achieving your goals. Read more about our consultation services.