Adolescent Medicine: Transgender Youth Referral Criteria

Primary health-care providers, internal or external referrals

Under 17 years of age

The following criteria are required for the patient to be accepted:

• has initiated puberty (presence of breast buds in assigned females, increased testicular volume in assigned males)

Gender dysphoria and/or gender identity questions 

• Has not initiated puberty 
• Over the age of 17  
• Is already being prescribed gender-affirming hormones by a provider in the community
• Has a provider in the community that is willing to provide gender care
• Has a closer alternative gender care provider to listed address (will provide alternative with referral rejection)

We are not an urgent clinic – if the youth being referred is at risk of harm to self or others, please have them present to their nearest emergency department for evaluation.

• None required
• May provide lab work or supporting clinical documentation as needed

For additional resources, visit the Transgender Youth Clinic page.