Working with trans and gender-diverse clients

​​RACE Line 'Transgender Care' option​

The Rapid Access to Consultative Expertise (RACE) advice line allows Physicians (SPs and FPs), Medical Residents (MRes), Nurse Practitioners (NPs) and Midwives to speak directly with specialists. Select 'Transgender Care' option to connect with an expert on gender-affirming care.

Primary Care Learner ​Pathw​ay

​​​​​Trans Care BC's online learning courses are designed for primary care providers in BC to increase their knowledge about transgender health and develop​​ the skills to provide gender-affirming care. All training is online and free. Clinical courses earn Mainpro+ learning ​credits.

Forms, referral forms, consent forms and recommendation template​​s

Trans Care BC

Trans primary care guide

Rainbow Health Ontario (Canada)

Point-of-care quick reference guide

Rainbow Health Ontario​ (Canada) - find summaries of feminizing and masculinizing hormone monitoring and the effects and expected time courses for feminizing and masculinizing hormones.​​

Hormones

General information on accessing gender-affirming hormone therapy in BC; more specific information on effects and risks of gender-affirming hormone therapies. ​

Pathways​ for patient access to hormones or puberty blockers

​In B.​C., there are three primary pathways to access hormone therapy and puberty blockers. The availability of these options may depend on location and a client's primary care provider(s).​

Medication Administration Policy

Cross-site medication administration policy for VCH, PHSA, PHC. Includes information on safety checks and documentation.

Intramuscular injections pamphlet

Recommended patient teaching material - a guide to giving yourself intramuscular hormone injections by Trans Care BC and BC Centre for Disease Control (BCCDC) Harm Reduction Services.

Subcutaneous injections pamphlet

​Recommended patient teaching material - a guide to giving yourself subcutaneous hormone injections by Trans Care BC and BCCDC Harm Reduction Services.

Transgender Health: Injection Guide

​​​Fenway Health: A step-by-step guide for intramuscular (IM) and subcutaneous (SubQ) injections.

How to access free hormone injection s​​upplies

Many harm reduction sites across BC offer free injection supplies. Use the Towards the Heart site finder to find the nearest site.

Trans Care BC - Hormone Therapy Forms

Trans Care BC

Trans Care BC health navigation services information

VCH Trans Specialty Care

Trans Specialty Care offers knowledgeable and specialized care to transgender and gender-diverse persons 15 years and older who reside in the VCH region.

​The Gender Clinic - BC Children's Hospital​​

The Ge​​nder Clin​​ic ​supports the needs of transgender and gender-questioning youth up until their 17th birthday with puberty blockers and/or gender-affirming hormones.

VCH Primary Care Clinics

Clients who meet the mandate for VCH​​ primary care clinic attachment may be able to access gender-affirming care at their home clinic.

The World Professional Association for Transgender Health (WPATH)

The World Professional Association for Transgender Health (WPATH) is a non-profit, interdisciplinary professional and educational organization devoted to transgender health.

​WPATH Standar​ds of Care

WPATH has established internationally accepted Standards of Care (SOC) for the treatment of individuals with​​ gender dysphoria. These internationally accepted guidelines are designed to promote the health and welfare of transgender, transsexual and gender-variant persons in all cultural settings. The Standards of Care are updated and revised as new scientific information becomes available.

​Trans Care BC - Surgery Overview​​

Directory of gender-affirming surgeries.

Trans Care BC - Health professionals surgery page

Trans Care BC is committed to helping health-care professionals provide the best possible clinical guidance to trans, Two-Spirit, non-binary patients.

Surgical summary sheets

Created by Rainbow Health Ontario. ​Information to facilitate discussion of surgeries between primary care providers and patients. It is not exhaustive and does not replace the informed consent process between surgeon and patient.

Workbook for Chest Construction Surgery in BC

Trans Care BC

​Workbook for Phalloplasty, Metoidioplasty, and Erectile Tissue Release Surgeries in BC

Trans Care BC

Workbook for Vaginoplasty and Vulvoplasty Surgery in BC

Trans Care BC

Gender Surgery Program BC

Offers both feminizing and masculinizing procedures consistent with the guidelines established by the World Professional Association of Transgender Health (WPATH).

Creating aff​irming services​

These downloadable resources help providers create clinical environments that are affirming and culturally safe for trans, Two-Spirit and non-binary people. 

​​Gender inclusive language - with new clients

Trans Care BC

Gender inclusive language - clinical settings with new clients

Gender Diversity, Equity and Inclusion in Healthcare (Trans 101)​​​

LearningHub

Advancing Healthcare Equity for Gender Diverse populations (Trans 201)​​

LearningHub

Understanding Gender

Trans Care BC

Intro to Gender Diversity

LearningHub

​Intro to Gender Diversity Expanded

LearningHub

Supporting gender-creative children and their families

LearningHub

Indigenous gender diversity: creating culturally relevant and gender-affirming services

LearningHub

Advancing Healthcare Equity for Gender Diverse populations (Trans 201)​​

LearningHub

Glossary of terms

Trans Life Line

HIM Health Centres

Provide STBBI testing for gender-diverse people and GBQ men.

BCCDC STI clinic

Get Checked Online

Self-Swab Cervical Screening Kit

BC Cancer - instructions and Order Form for Clients

Estrogen-Based Hormone Therapy Effects

Testosterone-Based Hormone Therapy Effects

Sex and intimacy

Trans Care BC

HIV PrEP Considerations for Gender Diverse Patients

Trans Care BC

Reproductive Health Info and Resources

Trans Care BC

Fertility care for trans and gender-diverse people

Video - P​resented by Dr. Beth Taylor, MD, FRCSC and moderated by Trans Care BC's medical director, Dr. Marria Townsend. (Nov. 2020)

Trans-Inclusive Abortion Services Manual

Options for Sexual Health

​Mind Map BC

A custom-made database of outpatient mental health services focused on services that are affirming of 2S/LGBTQ+* people

Trans Lifeline

a grassroots hotline and microgrants funded​ non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community.

Trans Lifeline

A grassroots hotline and microgrants funded​ non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community.

People who use drugs

Health Initiative For Men (HIM)

Resources for people who use drugs

Health Initiative For Men (HIM)

Vancouver Addiction Matrix Program (VAMP)

Outpatient stimulant add​​​​iction treatment program, includes programming specific for trans and GBQ men

Peak House

LGBT​Q+ competent voluntary treatment program for youth

​Virtual Hospice: Proud, Prepared, and Protect​​ed

My Choices for Safe and Inclusive Healthcare

Planning for My Care

The My Choices for Safe and Inclusive Healthcare and Planning for My Care doc​​uments may be used to help advise healthcare providers learn what is important to their patients and to respect their gender identity and expression.

ED Trans Care ​​​​Best Practices

Emergency Care BC

Gender-affirming Patient Care in a Hospital Setting