Several Pathways are available to access assessment and gender-affirming hormonal treatment.
Pathway 1 - Your GP can refer you to the Gender Service at RBWHospital via the usual outpatient referral process ( a letter to Metro North Central Referral Hub.) This is a free public service. You will be referred back to your GP or another trans-friendly GP afterwards.
Pathway 2 - The Brisbane Gender Clinic will always see new clients who send in a referral for hormone therapy from a Psychiatrist or Psychologist. A GP summary is also required for health information at the first appointment.
Pathway 3 - The Brisbane Gender Clinic does a capped number of new client assessments per year which are booked after a GP referral alone. Ring to check if books are open before obtaining a referral, as it may be quicker for you to go to RBWHospital.
Pathway 4 - Gender-experienced GPs (GP hormone prescribers) will do gender assessment at their private practices. You can book these appointments by phoning the practice. The process will always be more efficient for you if you have a letter from a Mental Health Professional for the GP. A gap will be charged on top of Medicare.
PATHWAY FOR CHILDREN UNDER 18
Lady Cilento Children’s Hospital has a Gender Clinic for children under 18. Children of any age can be seen by the experienced specialists at this clinic.
The child should be referred by a GP. Ask the GP to use the LCCH template.
Children should ideally be referred by the onset of puberty. After detailed assessment the clinic can provide puberty blockers, a reversible treatment.
If an older child under 18 is suitable for cross-sex hormone therapy (not a fully reversible treatment) there is a legal requirement for a Family Court process, in which the hospital will assist.
Families are urged not to delay seeking referral for assessment. Refer as early as possible. However16 year olds and those who have just turned 17 can also be referred by their GPs
While there is a waiting list, there are active steps you/your child can take in claiming your/their gender identity. Its advised to contact a Counselor for ongoing support and to attend social groups like Jellybeans (www.opendoors.net.au (link is external)).
Parents are advised to reach out and make contact with other parents through PFLAG