Intake Form
Welcome Package
About Us
Trans Health Klinic (THK) provides transition related gender affirming medical, and psychosocial supports to gender diverse clients 16 years and older.
The THK team consists of:
- Peer Support: Available for support through lived experience, resources, and community. Advocacy for trans rights and gender care.
- Social Work: Available for gender affirming transition-related mental health or social supports, this can include help with connecting to or navigating mental health or other resources, exploring their gender identity and/or transition goals, or help navigating relationship and family challenges, etc.
- Nurse Practitioners/Physicians/Nurses: For gender affirming medical care including hormone therapy assessment, prescriptions and monitoring, surgical and non-surgical gender affirming referrals, pre- and post-operative care.
- Psychologist: Readiness assessments for gender affirming medical care, psychological intervention for mental health concerns impacting gender affirming care, and referrals for other psychological services
- Medical Assistants: Administrative support for the trans health program including communication with clients for appointment booking, program questions and waitlist management.
THK is a teaching site. We frequently have medical/nursing/social work/pharmacy learners onsite. If you are uncomfortable being seen by a student, please let us know. We will always respect your decision.
We DO NOT provide primary care, urgent care, or emergency care. We require our clients to have a primary care provider, for example a Nurse Practitioner or Doctor. If you do not have a primary care provider, please contact Family Doctor Finder:
- Phone: 204-786-7111 or Toll free: 1-866-690-8260
- www.gov.mb.ca/health/familydoctorfinder
Transitioning Care
Journey at Trans Health Klinic
Overview
Intake Process
Self Referral
The Intake Form can be found here. Community Webpage. Please fill it in and drop off your completed intake form at the Klinic reception desk or mail it to Klinic c/o THK Program.
Intake Form
PCP referral
Your primary care provider can refer you to THK. You can also ask your PCP to consider prescribing Gender Affirming hormones if that is something you are interested in.
If your primary care provider needs support and guidance in terms of hormone prescribing and gender affirming primary care services (eg: pap test, prostate exam, chest exam, etc.), they can consult the provider section of this website or send an e-consult or fax to a TH medical practitioner. For ideas on how to discuss this with your primary care provider please check out How Can I Start a Conversation with my Primary Care Provider about Trans Health Care?
Once your referral form is received, you will be added to the THK intake waitlist. This waitlist varies between 9-12 months.
Transition Process
The THK program will continue to monitor hormones, send referrals and provide mental health and social support according to each individuals unique needs and goals.
Once you reach a stable hormone therapy dose, we will transfer hormone management to your primary care provider (family doctor or nurse practitioner). Your primary care provider will continue to prescribe, monitor and adjust your hormone therapy. You can continue to see us for ongoing referrals, pre- and post-operative care.
Discharge from THK will occur once all transition related gender affirming medical care has been completed. The door is always open if new needs/goals develop, or if there are any questions or concerns related to your transition. PCP’s can also consult with the THK team with questions/concerns to help support you.
(list of trans-friendly primary care providers available)
Gender Affirming Procedures/Surgeries
Publicly-funded Procedures/Surgeries
Procedures | Where is it performed? | Coverage |
Laser Hair Removal Face & neck Phalloplasty skin graft site |
Winnipeg | Covered |
Voice Training | Winnipeg, Deer Lodge Centre | Covered |
Upper surgeries
Chest augmentation |
Winnipeg | Covered |
Gonadectomy surgeries
Orchiectomy |
Winnipeg | Covered |
Lower surgeries
Vaginoplasty |
Centre de Chirurgie, Montreal | Covered |
Procedures/Surgeries that are NOT publicly-funded
Procedures | Where is it performed? | Coverage |
Tracheal/Adam’s Apple Shaving | Winnipeg Centre de Chirurgie, Montreal |
Not Covered |
Gender Affirming Facial Surgery | Winnipeg Centre de Chirurgie, Montreal |
Not Covered |
Electrolysis | Not Covered | |
Gender Gear | Manitoba/outside province | Not covered |
Legal Name & Gender Marker Change | Manitoba | Costs involved.
EIA participants can obtain coverage one time only |
Fertility treatments | Heartland Fertility Clinic | Not covered (tax credit available) |
Hormones | Initiated at Trans Health Klinic or Primary Care Provider | Prescriptions fully or partially covered with private insurance/EIA/Treaty |
Referrals for surgeries
Gender Affirming Surgeries are an integral part of the transition process for many trans and non-binary folks. Provincial funding is available for many of these surgeries. There are many different kinds of surgeries available and taking the time to review all of the options and their benefits and risks is very important to be able to make informed decisions regarding your care.
Some good resources to start your research are:
- https://www.grsmontreal.com/en/home.html
- http://www.phsa.ca/transcarebc/surgery
- https://www.rainbowhealthontario.ca/trans-health-knowledge-base/what-should-i-expect-in-a-surgical-planning-meeting/
Currently, to be eligible for funding, Manitoba Health requires a referral letter signed by an “approved provider” with diagnosis of Gender Dysphoria. All of the practitoners at THK are able to write these letters. If you are interested in any referrals, please discuss this with a THK physician/nurse practitioner to make a plan.
Free Resources at Klinic
Binder Exchange
Klinic has a selection of used chest binders to donate/exchange .
Please ask us about available sizes.
Please consider donating your gently used chest binder if you no longer need it.
Counselling Support
Additional Resources
Community Resources
Transgender Hormone Injection Guide (step by step)
Trans Health Klinic Welcome Package (PDF)
Effects and Expected Time Course of Hormone Replacement Therapy (PDF)
Voice Training Information Sheet (PDF)
Primed – A Sex Guide for Trans Men into Men (PDF)
Brazen – Trans Women’s Safer Sex Guide (PDF)