In Crisis? 
About the Trans Health Klinic
Team Approach
Specialty Clinic
Client’s Journey at Trans Health Klinic
Transfer of Care
- Once the client is at a stable dose of their hormone therapy, care will be transferred to their primary care provider
- Trans health practitioners will send a formal transfer of care letter to primary care providers which details trans health lab monitoring and primary care screening guidelines, and providers are more than welcome to seek further consultation about hormone monitoring and prescribing
Consultation
- If you are a health care provider seeking consultation for hormone therapy adjustment or dosing, please fax a letter to Klinic or send an e-consult
- Since practitioners utilize a shared care model, address the consultation letter as, Attention: Trans Health Klinic Practitioners
- The available practitioner will consult with you
Trans Health Klinic Learners
- The trans health klinic promotes capacity building by encouraging health care provider learners to shadow the trans health team
The Basics
Guidelines/Fact Sheets
- Trans Terminology pdf by Klinic Community Health
- Gender Inclusive Language fact sheet by Transcare BC
- Making Mistakes and Correcting them fact sheet by Transcare BC
- Creating a Trans Health Program (see page 11) by Centre of Excellence***
Free Training Modules/Webinars/Videos
- “Pronouns/Trans/One word” video- Watchcut
- “Transgender healthcare horror stories” video – The Oregonian
- Transgender Issues webinar series by Canadian Aids Society
Primary Care & Hormone Therapy
Guidelines/Fact sheets
- Hormone therapy prescribing pdf by Klinic Community Health
- Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People by World Professional Association for Transgender Health (WPATH)– Worldwide clinical guideline for transgender health***
- Guidelines and Protocols for Hormone Therapy and Primary Health Care for Trans Clients pdf by Sherbourne Health Centre– Ontario’s clinical guidelines for hormone therapy and primary care***
- Gender-affirming Care for Trans, Two-Spirit, and Gender Diverse Patients in BC: A Primary care toolkit pdf – British Columbia’s clinical guideline for primary care of trans patients***
Sexual and Reproductive Health
Guidelines/Fact sheets
- Sexual Health screening from the Primary Care Tool Kit– British Columbia’s guidelines for sexual health screening of trans patients pdf
- Reproductive Options for Trans People pdf by Rainbow Health Ontario***
Mental Health
Guidelines/Fact sheets
Free Modules/Webinars/Videos
- Behavioural Health Care for Transgender Adults webinar by Fenway Institute
- Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters webinar by Fenway Institute
Surgery
Manitoba Health Requirements
- Manitoba Health requires a diagnosis of Gender Dysphoria (GD) by approved practitioners for surgeries to be funded
- Manitoba Health requires a referral letter by an approved Manitoba Health practitioner AND a referral letter by an approved Manitoba Health psychologist to confirm GD
- Surgeries can only be funded if clients see Manitoba Health approved surgeons otherwise expenses will be out-of-pocket
Trans Health Klinic Referral Process
- Step 1: Individuals must become clients at the Trans Health Klinic in order to request for the following referrals: voice therapy, hair removal, top/upper surgery, bottom/lower surgery
- Step 2: Clients can request for referrals from a Trans Health practitioner during an appointment
- Step 3: The Trans Health practitioner will complete a psychology checklist to ensure that clients meet the criteria for surgery
- Step 4: The Trans Health practitioner will refer clients to Trans Health’s in-house psychologist who will perform an in-depth surgical readiness assessment. The client will book their psychology appointment at the Klinic front desk.
- Our Trans Peer Supporter can provide support if clients have inquiries regarding their psychology appointment
- Step 5: Clients will attend their psychology appointment. Afterwards, the psychologist will write a psychology report and psychology short letter about the client’s surgical readiness.
- Step 6: Once the psychology report is complete, the Trans Health practitioner will write their referral letter
- Step 7: Referral letters by the psychologist and Trans Health practitioner will be sent to the an approved Manitoba Health surgeon and Manitoba Health
Procedure/Surgery/Social Transitioning Coverage
Surgery Information
Medical Forms
- HRT consent forms (feminizing: here and masculinizing: here) & template letters
- Klinic intake form pdf
- Phone intake form pdf
Local Resources