I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. I enjoy working with genderqueer, non-binary, gender-fluid, and gender-nonconforming folks and provide letters to support gender-affirming related care access. Fax: 207-662-5528. Stephanie Shields will be available every Wednesday from 12pm-6pm for electrolysis. 2001-2022 Oregon Health & Science University. We take most health insurance, including OHP. Transgender describes people whose gender identity or expression differs from their assigned sex at birth. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. You will also find gender-neutral restrooms across our campuses. On this page Gender Affirming Care with Kaiser Permanente Gender Affirming Care with Moda Health Culturally Specific Resources for Moda Members Specialties: About Broadway Foot and Ankle Clinic At Broadway Foot and Ankle Clinic, the dedicated team of expert podiatrists provides comprehensive foot and ankle care for children, adults, and seniors. External Bridge City Family Medical Clinic's Founder, Teri Bunker (FNP), specializes in the care of the LGBT and other gender or sexual non-conforming individuals of all ages. Our transgender health services are offered as part of our primary care clinic, where all our providers are trained to write referrals for gender-affirming surgeries as well as manage gender-affirming hormones (GAH). Health care professionals in the community can request training on providing affirming, welcoming care. Portland, ME 04103 Tel. Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. OHSU is an equal opportunity affirmative action institution. Discuss your support network and access to mental health therapy. We are happy to meet with you and your child before that, though. Delaying puberty too long may carry risks such as harm to bone density. Job Description. Southside Fertility Center. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. 254b, and a deemed Federal Tort Claims Act (FTCA) Public Health Service organization under 42 U.S.C. Bone-building exercises and taking calcium and vitamin D can help. Well discuss all aspects of this treatment to help you make an informed decision. Doernbecher offers psychological and psychiatric care. You will then be scheduled for a 1-hour telehealth orientation appointment. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). Patients: The THP serves as an umbrella for gender-affirming services at OHSU. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. We do not make appointments or directly provide health care. He started performing Vaginoplasty at OHSU in 1993. Call us at 503-413-5600. Your partner in inclusive, affirming health care, Request for Transgender Health Services referral form, talk about transitioning as a new employee, Dedicated clinics for gender-diverse care, Half of transgender patients leave home state for surgery, study finds, Surgeon-scientist centers patients in research to improve transgender care, Transgender and gender-expressive communities can count on OHSUs support, Honoring International Transgender Day of Visibility, Why gender-affirming care for youth is important, OHSU earns top score in Human Rights Campaign Foundations 2022 Healthcare Equality Index, OHSU expands, improves transgender health services, Affirming health care is lifesaving for transgender youth. We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. Pride Clinic. Hillsboro Medical Center Cardiology Clinic 7th Avenue Medical Plaza 333 SE 7th Ave., Suite 2500 Hillsboro, OR 97123 503-844-8280 . When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. The clinic is held on the first Tuesday of every month, 6:30pm-8:30pm, helping individuals complete court documents to change their name and/or gender-marker. I've completed professional training in gender-affirmative care and I have experience working with binary trans, non-binary, agender, and other gender-diverse folks. Our team is focused on the entire well-being of each patient. Most of my clients are transgender and/or non-binary. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits . I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. I have experience supporting individuals and families who are navigating the transition process and I'm able to write letters in support of your process as needed. An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. Dr. Nick Esmonde, MD, MPH is a plastic surgeon in Portland, Oregon who has extensive knowledge about Gender Affirmation Surgery and works almost exclusively with transgender and non-binary patients. This is not to be confused with 4 treatments. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . One of the nations most comprehensive transgender health programs, with therapies not available elsewhere in the Northwest. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Medical treatment usually doesnt begin until puberty. Prism Health | Belmont2236 SE Belmont StPortland, OR 97214, Contacte: info@prismhealth.orgp: 503.445.7699f: 503.802.0199, Primary Care Hours Monday Friday | 8:30 am 5:00 pm**For Holiday Closures, please visit capnw.org/calendar. We will: We will monitor your child throughout treatment. We dont charge for support, information or patient-education classes. Onsite self-injection lessons for hormone injections. offer staff training that includes culturally competent LGBTQ care. We are currently accepting new patients. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. I received training conducting evaluations within a multidisciplinary transgender health clinic. See our For Health Care Professionals page for details. What to expect: We usually do not prescribe medications during the first visit. They treat hundreds of patients a year. Vancouver Clinic is searching for a full time Medical Assistant to join the Internal Medicine team at NW Portland! If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. Fax: 207-662-5528. The Meltzer Clinic Providers - The Meltzer Clinic PC. 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. And I'm here to write letters to help with accessing medical care too. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. The wonderful and fresh food, the health care, the accommodations, the hospitalities. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). We are unfortunately not currently able to manage adolescent and pediatric gender-affirming care, such as puberty blockers (GnRH agonists). Our clinic primarily provides gender-affirming medical care (such as puberty blockers and gender-affirming hormones). On average, the typical first clearance will be an average of 6+ hours. Review treatment options, and their benefits and risks. I have experience working with children, teens and adults who are questioning their gender, going through gender transitioning, or just needing a safe space to discuss life as a gender non-conforming person. Answer your questions and help you find any resources you need. They have proved safe and effective in cisgender children. I love Outside In people. Alexa Adams (she/her/hers) Licensed Marriage Family Therapist. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. Learn more about your options. offer you the chance to share your experience, help others, shape our program, and advance our mission. APA Fact Sheet: Gender Diversity and Transgender Identity in Children, World Professional Association for Transgender Health (WPATH) Standards of Care, The Endocrine Society Clinical Practice Guideline: Gender Dysphoria/Gender Incongruence, Consultation with spiritual care (Chaplain), Ongoing consultation between mental health and medical providers (related to gender), Menstrual suppression (stopping unwanted periods), Puberty blockers (ways to stop puberty hormones), Gender affirming hormone therapy (estrogen or testosterone), Surgical consultation (mental health letter of referral), Ask your primary care provider (or your childs pediatrician) to make a referral to The Gender Clinic through the. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. You will also find gender-neutral restrooms across our campuses. Gender Clinic; OUT Maine; LGBTQ+ Resources At Northern Light Health, we provide high-quality care that is focused on the needs of each person regardless of sexual orientation or gender identity. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. We can refer you to fertility experts to discuss options. Deciding on suppressants involves weighing physical risks against the mental health risks of gender dysphoria, which can include: Long-term effects: Suppressants have been used for decades to treat children who start puberty too early. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. Changing lives. If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. Gender expression is a passion of mine. I work with clients exploring their gender identities and working on questions about their self-image and embodiment. Rising anxiety: 8 ways to reclaim your calm. Ashe underwent a gender-change surgery in 2016 at the Oregon Health and Science University (OHSU) Hospital in Portland, to change his appearance from male to female. Opportunities to help advance our mission by becoming a volunteer or supporter. We value input from patients, providers and community members. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Sex is decided based on anatomy, hormones and DNA. We take most health insurance, including OHP. for details. The team of compassionate doctors and medical practitioners specialize in . If a patient is already working with a therapist, we will talk with that therapist about treatment. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. As more transgender children seek medical care, families confront many unknowns IN TREATMENT: Ryace Boyer, a 14-year-old high-school student, prepares to take the female hormone estrogen as part of. The Gender Clinic I wanted to belong. The Doernbecher Gender Clinic works with the, Call Doernbecher Pediatric Endocrinology at, Bridges Program (Pediatric Palliative Care), Childrens Palliative Care FAQ and Resources, Emotional Support and Preparation for Siblings, Facility Dogs and Animal-Assisted Therapy, Adolescent and Young Adult Hematology/Oncology, World Professional Association for Transgender Health (WPATH) guidelines for care. See our insurance page to learn more about payment options. The group meets quarterly to advise the program about programs and services. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. You don't have JavaScript turned on. MA in Marriage, Couple and Family Therapy. These are usually replaced every one to two years if pubertal suppression continues. We assess each child individually. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. Learn how to apply. All Rights Reserved. Were working with the Pediatric Endocrine Society to develop more research and education about gender-affirming health. I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. We prefer that patients get a mental health evaluation before starting hormones. I provide affirming space to explore sexuality and gender identity and to process how that may be implicated in relationships with family, friends, intimate partner violence, and sexual trauma. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. They may be prepared for transition mentally, physically and emotionally. Gender Clinic The Northern Light Eastern Maine Medical Center is committed to caring for children, adolescents, and young adults with gender dysphoria, gender fluidity or those who are questioning. A stable life: Teens may have lived comfortably in their gender identity for a year or more. Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. Some changes, such as to fertility or a deeper voice, may be permanent. Our services for our transgender and gender diverse individuals include: Outside In provides high quality and supportive healthcare to all our clients, whether you are questioning your gender or have been transitioning for years. Simply stated, our society has not caught up with what it means to identify as a gender other than the one you were assigned at birth. Located on Powell Blvd in Portland, OR. Clinic RN - Pediatric Surgery. Do you need a letter, or support on your gender journey? If you are not currently a Kaiser Permanente member and are interested in becoming one, please check out your options on. And build relationships that last. We will: Get your childs medical history and family history. This allows a longer duration of an electrolysis session with greater clearance of hair. I have been working with clients with Gender Dysphoria for a decade. I consider it an honor to be trusted by so many in this community. You will start by getting a referral, usually from your childs pediatrician. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Team-based care: OHSU providers work together to make sure you get the care you need. By signing up, you agree to receive news about CAP, Prism Health, Our House, and our services via our email newsletter. Outside In offers a range of services dedicated to transgender and other gender diverse patients. Doernbecher Children's Hospital offers which provides advice for the "safe tucking" of a boy's genitals and links to a sex shop in Portland. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. Doernbecher Children's Hospital in Portland has been . Delaying puberty has two main goals, according to WPATH: Pubertal suppressants (GnRHa or GnRH) are modified natural hormones that stop your childs body from making estrogen or testosterone. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. Adding your gender identity & preferred name to your health record helps your VA providers personalize your care. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. This is commonly age 10 or 11. For patients having Vaginoplasty, the Meltzer Clinic offers a spermatic cord anesthesia block prior to your electrolysis session. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. Our specialists meet every month to pool their expertise on complex cases. Gender is a unique and complicated space, and no two people's process around their gender identity will look the same. If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. The result is less pain plus fewer overall number of sessions, which reduces cost. . We can answer questions and discuss: We recommend that your child see a specialist in treating puberty-related conditions, such as: Some treatments affect fertility. Your provider would answer any questions that you have, and make sure that you fully understand everything on the form before you sign it. We're all struggling. Schedule is Monday through Friday, 8:00a . Hormone therapy mimics the bodys production of estrogen or testosterone. The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. Learn more on our For Health Care Professionalspage. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington.
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