Thank you for your interest in our Trans Health Program. We are pleased to inform you that the Southwest Local Health Integrated Network has provided dedicated funding for a full-time registered nurse to support transgender health services at the Health Centre. This additional staffing will help us better serve the community.
Please note that only people who reside in our catchment of London, Ontario are eligible for services at the Health Centre. For anyone living outside this area, please consult your local Community Health Centre or Rainbow Health Ontario.
Trans Health Referral Form: 2021 Trans Health Referral Form
Trans care follows an informed consent model which is explained at https://patient-centred.ca/
Services involved in Trans related care include:
- Hormone Replacement Therapy, initiation and dosage titration following Guidelines for Gender-Affirming Primary Care with Trans and Non-Binary Patients, produced by Rainbow Health Ontario / Sherbourne Health https://www.rainbowhealthontario.ca/product/4th-edition-sherbournes-guidelines-for-gender-affirming-primary-care-with-trans-and-non-binary-patients/
- Blood (serum) monitoring for the therapeutic effect of hormones, and associated known possible common or usual eventualities at prescribed intervals (Can be coordinated with Outpatient Labs)
- Referral for Trans Related Surgery through MOHLTC and surgical services
- Collaboration with Trans affirming surgeons and post Trans related surgical assessment and support
- Mental Health support regarding Transition
- Pubertal suppression (as per Rainbow Health Ontario Guidelines)
- Counseling and support to children/prepubescent adolescents
- Clinical mentoring support to regional partners and services
- Referral to endocrinology – gynecology or other specialties when indicated
- Identification – identity remediation supports
The London Intercommunity Health Centre’s Trans Health Program operates in collaboration with clients’ own personal medical providers (doctors/nurse practitioners), and as such, only manages aspects of Transgender care.
In 2016, the province deregulated Trans care from the only centralized option at the Centre for Addiction and Mental Health in Toronto, and placed it where it rightly belongs, in the purview of primary care providers across the province, in an individual’s home communities.
Trans care starts with your primary care provider. Here is a link about having that conversation: https://www.rainbowhealthontario.ca/trans-health-knowledge-base/how-can-i-start-a-conversation-with-my-existing-primary-care-provider-about-trans-health-care/
Don’t have a doctor? You can start with Health Care Connect: https://www.ontario.ca/page/find-family-doctor-or-nurse-practitioner
Trans lifeline Canada 1-877-330-6366 or https://translifeline.org/
Access to continuing education through Rainbow Health Ontario: https://www.rainbowhealthontario.ca/2020/06/rainbow-health-ontario-launches-new-online-learning-platform-for-health-and-social-service-providers-to-learn-about-lgbt2sq-health/
Trans Health Knowledge Base: https://www.rainbowhealthontario.ca/lgbt2sq-health/trans-health-knowledge-base/
World Professional Association of Transgender Health: https://www.wpath.org/
WPATH Standards of care: https://wpath.org/publications/soc
Culturally appropriate clinical care for Trans Survivors of Sexual Assault: https://www.sadvtreatmentcentres.ca/training-nurse-examiners-to-better-respond-to-trans-survivors-of-sexual-assault.html
Open Closet program for 2LGBTQI+ youth 14-18 with Regional HIV/AIDS Connection: https://hivaidsconnection.ca/opencloset
PFLAG London – Peer Support to 2LGBTQI+ Youth, Individuals, Parents and Allies: http://www.pflaglondon.ca/
Coming Out Over Coffee – Family Services Thames Valley: https://www.familyservicethamesvalley.com/services/group-programs/