Trans Health Care – Forms

UPDATE: As a result of staffing changes and a recent increase in client numbers, prospective clients may experience a short wait period before being contacted by the Health Centre. Please be patient as we work through our client waitlist. As always, please ensure your referral form is accurately completed including by your physician. If you are self-referring, you may not be rostered to a family physician in Ontario. As of June 1, 2023, the estimated wait time is September 2023.

London InterCommunity Health Centre Referral Form

London InterCommunity Health Centre Referral Information for Primary Care Providers

OHIP Surgical Funding Form

Letter Template (GRS)

Name Change Template

An affirming approach to caring for transgender and gender-diverse youth (Canadian Paediatric Society, June 20, 2023)