I also provide readiness evaluations for those seeking medical transitions. The Gender Pathways Clinic at Kaiser Permanente Northwest provides culturally competent care to transgender and gender-expansive patients. By the time I was 17, I didn't trust anybodyexcept Outside In. Hormone therapy doses how much and how often are typically different for teens than for adults. The Transgender Health Program THP for short provides support, information and advocacy. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. When the Gender Identity Development Service for Children and Adolescents (GIDS) at the Tavistock and Portman NHS trust in London was established in 1983, it was a different era in terms of the. We do not make appointments or directly provide health care. We offer treatment to patients of all ages with both pediatric and adult services. Hormone therapy also affects people in different ways and at different rates. I wanted to belong. Meltzer is so much more than an accomplished surgeon he is an artist. Master of Arts in Marriage, Couple, and Family Therapy. Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? . I specialize in LGBTQ populations, including trans, non gender-conforming, and poly populations. See our insurance page to learn more about payment options. StoryCorps and OHSU are partners in bringing the stories of OHSU patients, providers and others to life. gynecology, nutrition, diabetes, foot and ankle, gastroenterology, surgery, urology, neurology, rheumatology, clinical pharmacy, behavioral health, radiology, x-ray. I have received academic training on working with gender non-conforming folks as well as my personal life experience. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. OHSU is an equal opportunity affirmative action institution. On average, the typical first clearance will be an average of 6+ hours. 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. We'll explore your experience and needs collaboratively and compassionately. Many are also international experts who publish studies and who speak across the nation and overseas. Consortium is an all volunteer organization, consisting of healthcare providers and researchers who work with gender diverse populations throughout the region. We are a Pediatric Surgery Clinic that specializes in Urology, ENT, General Surgery and Orthopedic Surgery. Appointments highly encouraged. Fax: 207-662-5528. But we can connect you with OHSU providers. We prefer that patients get a mental health evaluation before starting hormones. You don't have JavaScript turned on. I received training conducting evaluations within a multidisciplinary transgender health clinic. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. 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. I also support parents looking for resources while they may have a child transitioning. Through these connections I was able to get into school and graduate as a Certified Medical Assistant. 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. Like the definition of gender itself, I help you decide your own path, labels and lack of labels. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Dr. Meltzer is board-certified in both General and Plastic Surgery. We will monitor your child for potential problems. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early '90s. If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. . 12115 SW 70th Ave, Suite 101 Portland, Oregon 97223. Portland, ME 04103 Tel. It can also cause adolescents to be taller or shorter than the norm for their gender identity. Outside In made me want to be around excellence. I've spent years supporting my clients to come more deeply into their true expression. I also support folx to access medical transition like surgeries with low-barrier, single session, & sliding scale gender affirming consults. Learn more Resources for patients Help your child prepare for the many aspects of their transition. Sometimes we refer to sex as This study was from a gender clinic in Dallas, Texas. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Good health is complicateda delicate balance of body, mind and spirit. The OHSU Doernbecher Gender Clinic (DGC) provides high-quality, evidence-based healthcare to transgender and gender diverse children, adolescents, and their families. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. Fertility services: Some treatments affect fertility. You will need to provide two referrals from qualified mental health professionals for genital procedures; one referral for other procedures unless otherwise specified by insurance. Discuss your support network and access to mental health therapy. The THP and OHSUs. We believe that gender-affirming care should be comprehensive and integrated into the primary care experience, rather than through a piecemeal approach. The staff is helpful and amazing. We dont charge for support, information or patient-education classes. Dr. Meltzer will operate on minors with parental consent. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. Gender dysphoria emerged or worsened when puberty began. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information The wonderful and fresh food, the health care, the accommodations, the hospitalities. AboutPrismHealthMedical ProvidersBehavioral Health ProvidersOur Leadership TeamCareersContact Us, PrimaryCareGender-AffirmingCareBehavioral Health & Substance Support PharmacySexual HealthPrEP, MPox InformationInsuranceNotice of Privacy PracticesPrivacy PolicyGood Faith EstimateSliding Scale DiscountPatient FormsLaboratory, 2022 Cascade AIDS Project, Inc. All rights reserved. Below are some resources available within our Moda and Kaiser plans. Our drop-in and event space on North Mississippi Avenue is a frequent first stop for new arrivals in Portland, and for longtime residents who are newly out or questioning their sexual or gender identity. Stepping into who you are and living (safely) from that place, is sometimes a delicate balance - and, in my eyes, essential to being home in ourselves. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. OHSU providers work together to make sure you get the care you need. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. Stay in the loop with all things CAP, Prism Health, and Our House with our monthly newsletter! We are a multi-disciplinary administrative and clinical team, including psychologists, psychiatrists, endocrinologists and speech and language therapists. This helps us offer services that match your needs. Outside In is a Health Center Program grantee under 42 U.S.C. Doernbecher offers psychological and psychiatric care. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. Opportunities to help advance our mission by becoming a volunteer or supporter. I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. Then we generally follow WPATH guidelines for recommending treatment. He started performing Vaginoplasty at OHSU in 1993. Annual exams and screenings Fertility and family planning Pregnancy care Maternal-fetal medicine Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. offer staff training that includes culturally competent LGBTQ care. Prism Health offers affirming pharmacy services for our community through our on-site pharmacy, or you can receive your prescriptions directly to your home through mail-order! I feel safe at Outside In. View our Specialties We have more than 30 areas of practice, including Urgent Care. of care. Contact Us. I am a WPATH Standards of Care 7 (SOC7) Certified Member and a WPATH SOC7 Certified Mentor. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. We usually do not prescribe medications during the first visit. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Rose Haven is a day shelter and community center serving women, children and gender-nonconforming people in Portland. 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. Your story matters. As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. Outside In shaped me. We follow the guidelines set forth by the World Professional Association of Transgender Health (WPATH) to offer care on an informed consent basis for those who are 15 and older, per Oregon law. Adolescent medicine doctors who specialize in the needs of teens. Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. My experience includes academic training as well as my personal experience. I've worked with hundreds of transgender and gender variant people since 2015. Richmond (Southeast Portland) Scappoose South Waterfront Specialty clinics Dermatology: 503-418-3376 (laser hair removal) Doernbecher Gender Clinic: 503-346-0640 (care for children and teens) Endocrinology (adult): 503-494-3273 (specialty hormone therapy) Ear, Nose and Throat: 503-494-5947 (Adam's apple reduction, vocal surgery) Schedule is Monday through Friday, 8:00a . Outside In is an Equal Opportunity Employer. I am also qualified to write letters of recommendation for gender-affirming surgeries. 5702 North 19th Avenue, Phoenix Arizona, 85015. We take most health insurance, including OHP. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. Learn more about your options. A safe, welcoming and gender-affirming environment. It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. As part of OHSU, Oregons only academic health center, our providers are also researchers seeking improvements in care. People with gender dysphoria are typically referred to as transsexual or transgender. We look forward to partnering with you on your comprehensive health care needs. MS, QMHP, Professional Counselor Associate. Gender expression is a passion of mine. Learn how to apply. Outside In is a 501(c)(3) tax exempt organization (EIN: 93-0567549). Adolescent care: At Doernbecher, we offer specialized care for teens, including hormone therapy, contraceptives and screening for sexually transmitted diseases. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. Every person deserves to live a life in their most congruent gender. Gender identity and gender exploration is the main focus of my work. Doernbecher Children's Hospital in Portland has been . If a patient is already working with a therapist, we will talk with that therapist about treatment. Theyre designed to help patients start the puberty that matches their gender identity. 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). Transgender describes people whose gender identity or expression differs from their assigned sex at birth. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. And I'm here to write letters to help with accessing medical care too. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. Collaboration: We confer monthly with other transgender health programs. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. 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. I have worked with people who identify as male, female, transgender, gender neutral, non-binary, agender, pangender, genderqueer and all, none or a combination of these. A mere 13 months later, Ashe . We dont charge for support, information or patient-education classes. We appreciate your patience and will respond to you as soon as possible. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. The child is stable enough to start treatment. It taught me how to be kind to people less fortunate. I wanted independence and stability. Instead of questioning the obvious group-think dynamic the little girls were experiencing . New York ACLU - Changing Your Name and Gender; Please contact the TYP clinic to speak with our social worker if you have any questions or concerns about this process. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. You were sensitive to our emotions and were willing to work with our crazy work schedulesThank you for helping make us so happy. We dont require patients to transition socially before starting hormone therapy. You will also find gender-neutral restrooms across our campuses. Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. Phone: 207-662-5093or 866-860-6277 For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. MA in Marriage, Couple and Family Therapy. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico . He served as an Assistant Professor of Plastic and Reconstructive Surgery at Oregon Health Sciences University (OHSU) from 1990 to 1996, before going into private practice. I have been working with clients with Gender Dysphoria for a decade. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. 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. Find a Location Connect with us at one of our Portland-area locations. Our providers are highly-qualified and experienced in working with LGBTQIA+ folx and challenges of sexual, gender, and romantic minority (SGRM) communities. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. You will start by getting a referral, usually from your childs pediatrician. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. We are currently accepting new patients. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. We understand that the gender journey of every patient is unique, and we are here to help. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. I consider it a privilege to support clients in bridging this conflict to whatever extent they choose, from explorations of identity and experiences through social and medical transitions. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. OutCare reviews each OutList profile prior to publicly publishing. What to expect: We usually do not prescribe medications during the first visit. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . Primary care: We coordinate with pediatricians and family medicine providers to make sure patients get comprehensive care. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. for details. 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. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. Our specialists meet every month to pool their expertise on complex cases. PLEASE NOTE: Due to the weather conditions last week, we are experiencing high call volumes. Phone: 207-662-5093 or 866-860-6277 You will then be scheduled for a 1-hour telehealth orientation appointment. Insurance Coverage for Gender Care. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission. Because of him I am now a complete, functioning attractive woman. I bring my own experience of being trans and want to be here for your experience of gender: your story, your life, your identity, and your family, culture, and communities. Mental health: We offer psychological and psychiatric care for patients and families. Our medical system currently creates many barriers to gender-affirming care. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. 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. Some common signs of a gender dysphoria include cross-dressing, a feeling of being in the wrong body and a desire to live as a person of the opposite sex. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. Visit our. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. This allows a longer duration of an electrolysis session with greater clearance of hair. Our services for patients under 15 are limited for this reason. for any health care need,such as primary care, mental health care and gender-affirming services. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. They have proved safe and effective in cisgender children. If you have come because your liberation is bound up with mine, then let us work together.~Lilla Watson. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. Most often, your first appointment at a Doernbecher Gender Clinic is scheduled one to three months after we receive your referral. Fertility: Suppressants should not affect your childs ability to have children. It gives adolescents time to explore their gender. See our. The Gender Clinic at the Barbara Bush Children's Hospital in Maine says it is "dedicated to supporting the health and well-being of transgender, gender diverse and questioning youth across Northern New England. Our team is focused on the entire well-being of each patient. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. Gender identity is a persons internal sense of gender, or what a person feels their gender is. 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. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. They protected me. PrEP, a once-a-day medication to prevent HIV transmission, might be a good choice for you if you are at risk for HIV transmission or want to add more peace of mind to your life. I believe strongly that every person deserves to live healthy and full lives as their authentic selves. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. 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. Next, you will receive an intake call from the Transgender Health Program to gather some information and answer your questions. Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave, Vaginoplasty Penile Inversion with Clitoroplasty, Labiaplasty, Top Surgery Double Incision with Nipple Grafts, Peri-Areolar, Phalloplasty: Groin Flap, RFF, Combined Groin + RFF, with Urethroplasty, Glansplasty, Penile Implant. Our treatment is different for every person and we use evidence-based treatments. Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. LMFT. Current wait list for a surgery date: 12 months. If you are a new or current Kaiser Permanente member who needs a trans-competent primary care provider, please call us or contact Member Services for help. Hillsboro Medical Center Cardiology Clinic 7th Avenue Medical Plaza 333 SE 7th Ave., Suite 2500 Hillsboro, OR 97123 503-844-8280 . I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. We will explore any necessary transition steps, including social and medical transition. A Catholic Response to Gender Identity Theory addresses "tsunami" of gender ideology "We are heavily influenced by the culture around us," says Archbishop Alexander Sample of the Archdiocese of. They often take several months to start working. For more information about gender: The Gender Clinic