Changing lives. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. Most of my clients are transgender and/or non-binary. The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. Our services for patients under 15 are limited for this reason. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Care for teens and children: The providers at our Doernbecher Gender Clinic locations offer years of experience treating gender-diverse young people. Fertility services: Some treatments affect fertility. At the OHSU Transgender Health Program, we know that high-quality health care in affirming, welcoming environments can be lifesaving. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. As a queer fat femme, I anchor a healing space that celebrates the fabulousness and fulness of your gender. Patients need a referral, usually from their pediatrician, to be seen at one of our. We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. who we . I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. Our Gender Pathways Clinic is located in our Interstate Medical Office East on the third floor at 3550 N. Interstate Ave. To learn more or to schedule an appointment, call 503-249-6748 or toll free at 1-800-813-2000. 602-246-1966. I believe strongly that every person deserves to live healthy and full lives as their authentic selves. I consider it an honor to be trusted by so many in this community. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. . Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. Services We Provide We are currently accepting new patients. Menu. I identify as nonbinary/genderqueer, and I understand the complexities of gender and transition. I hold a healing space where trans and nonbinary folx can enter into your healing work without having to explain yourself or make yourself smaller. We strive to create a safe, affirming, and comfortable environment where everyone is treated with the dignity and respect that they deserve. We can connect you with OHSU providers who are international leaders in caring for gender-diverse patients of all ages. If the child is not old enough to give medical consent, the parents or guardians have consented and will support their child through treatment. Endocrine Society guidelines suggest that patients, families and care teams decide together when to start hormone therapy, based on the patients individual needs. TriMet Stop ID: 408SE Belmont & 23rd Eastbound. Outside In is a Health Center Program grantee under 42 U.S.C. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. She is also a member of . Community involvement: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. As a patient at Outside In, the dignity, compassion, and respect that I was shown by staff truly had a lasting impact on me and directly resulted in me wanting to get involved in helping my community. When treatment starts: Medical treatment usually doesnt begin until puberty. I have experience working with teens and young adults in exploring gender identity. Find a Location Connect with us at one of our Portland-area locations. Testosterone therapy: Long-term risks are unclear. Connect with us at one of our Portland-area locations. This study was from a gender clinic in Dallas, Texas. Our providers publish papers in academic journals. We can answer questions and discuss: Specialists: We recommend that your child see a specialist in treating puberty-related conditions, such as: Our specialists, for example, can identify the start of puberty. The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Training for OHSU employees and for health care professionals in the community. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. The child is stable enough to start treatment. We accept referrals from all over the UK for people with issues related to gender. Learn more Resources for patients Help your child prepare for the many aspects of their transition. 400 Oakland, CA 94612 . I found Outside In. Adolescent medicine doctors who specialize in the needs of teens. VA LGBTQ+ and related identities care See VA's policies, training, and outreach efforts around caring for Veterans who identify as LGBTQ+ or a . I have experience providing assessments and letters of support for gender-affirming medical care. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. Background image: THP - Transgender Health Program volunteer Jess G. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaard, Help arranging health care services. We also provide treatment into young adulthood for some patients, and we help them move into adult care. We do not approve of any kind of conversion therapy. Transition desires: Most teens with gender dysphoria will carry it into adulthood. We will discuss risks and fertility-saving options with you. Whatever decisions you make about your health, we listen and provide support without judgment. I am also qualified to write letters of recommendation for gender-affirming surgeries. We welcome concerns, success stories and anything else youd like to share. 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. Pride Clinic. The Medical Assistant (MA) I works under the delegation of a licensed practitioner to perform duties as directed to assist in providing basic patient care to assigned patients. The team of compassionate doctors and medical practitioners specialize in . Some parts of this site won't work without it. Your feedback: We value input from patients, providers and community members. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. Address: The Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. Some changes, such as to fertility or a deeper voice, may be permanent. Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. Our specialist team consists of providers from internal medicine, gynecology, psychiatry, surgery, social work, nursing, and community health navigation who provide high-quality, gender-affirming: Our compassionate providers are leaders in their fields who have developed best practice guidelines in transgender health that are used throughout Kaiser Permanente. OHSU providers also speak nationally and internationally to expand access to gender-affirming treatment. Scottsdale, AZ 85253. We'll explore your experience and needs collaboratively and compassionately. On average, the typical first clearance will be an average of 6+ hours. Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. The child has given informed consent. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. I have taught masters level classes for other therapists on how to support clients around gender, and helping people explore their own gender identity is one of my favorite parts of being a therapist. My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. Beware of drug interactions. Members apply to serve two-year terms. She believes in a holistic approach to care and works with each patient on a treatment plan specific to their individual needs. I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. I help clients to embrace their identities through coming out, social and medical transition, & more. Grand rounds for health care professionals: We work with community partners taking part in health fairs and other events, for example to improve access to inclusive health care. Fax: 207-662-5528. These are usually replaced every one to two years if pubertal suppression continues. We are happy to meet with you and your child before that, though. 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. 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. Outside In shaped me. more than one gender. Office : 480-657-7006. 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. Prism Health provides free and fast screening for HIV and other STIs through our dedicated walk-in clinic, Pivot, as well as a stigma free environment to address any of your sexual health concerns. Want to use our data? Need assistance after hours? I also provide readiness evaluations for those seeking medical transitions. Our Transgender Clinic's Vision Is a world where gender variant people can embrace their gender identity, free from discrimination and prejudice. Do you need a letter, or support on your gender journey? I am a queer, genderqueer person. We assess each child individually. Milwaukie High School Health and Wellness Center, Mental Health and Substance Use Recovery Supports, Gender Affirming Hormones (GAH, also called HRT), Breast/chest health and preventative screenings, Pelvic wellness, including cervical cancer screenings, HIV/STI screening, treatment, and prevention (including PrEP), Behavioral health services and counseling resources, Information, advocacy and limited financial aid for obtaining legal name and/or gender changes. It is important to have people and spaces we can explore being ourselves with in a safe and supportive way. We take most health insurance, including OHP. See our. OHSU medical student Corey Gallet de St. Aurin talks with roommate Nicole Ovregaardabout deciding to transition. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. I have extensive experience working with adolescents and adults experiencing gender dysphoria. Gender dysphoria emerged or worsened when puberty began. Jean Bryant, grateful that her worst fears about transitioning did not come true, now helps others. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Comprehensive care that includes experts in primary care, hormone therapy and mental health. You are invited to our quarterly Grand Rounds. My aim is to mitigate these barriers and pave the way for access to care. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. We will: Get your childs medical history and family history. Bridge City Family Medical Clinic's Founder, Teri Bunker (FNP), specializes in the care of the LGBT and other gender or sexual non-conforming individuals of all ages. Hormone therapy also affects people in different ways and at different rates. Currently, there is limited information about the long-term effects in gender-diversepatients. To schedule a medical appointment, please call503.535.3860and select option 1. They have proved safe and effective in cisgender children. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . This includes supportive therapy for children, adolescents, and adults who are in the early stages of exploring/questioning their gender identity, as well as assessment and letter-writing for clients pursuing hormones and/or surgery. We dont charge for support, information or patient-education classes. But your clinic always operated in a timely manner, and made us feel welcome. Flu vaccines are available. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. Suppressants taken later in puberty dont reverse changes but can stop new ones. 233(g)-(n). Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. UnitedHealth Group will adhere to all federal . Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. Gender Clinic; OUT Maine; LGBTQ+ Resources At Northern Light Health, we provide high-quality care that is focused on the needs of each person regardless of sexual orientation or gender identity. Clinic RN - Pediatric Surgery. Were studying how testosterone is given to teen patients to find the best methods. Being transgender or non-binary presents a unique set of personal and social challenges. Its really nice to have a doctor who makes house calls when one is recovering from surgery. The staff took my concerns seriously, and took a holistic approach. I couldnt have asked for a better experience with Dr. Meltzer and his staff. How can you contact us? We repect your privacy. For information about your benefits coverage, please contact Member Services at 800-464-4000. Collaboration: We confer monthly with other transgender health programs. Get the details here >>, Get the latest news from The Portland Clinic. Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. External Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. She provides assessment, therapy, coordination of medical and mental health services, and program development within a multidisciplinary setting. Phone: 207-662-5093 or 866-860-6277 Their Federally-Qualified Clinic provides medical services for youth ages 13-14 (with a guardian), teenagers, adults and seniors. If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. Many are also international experts who publish studies and who speak across the nation and overseas. Your child also may receive hormone treatments such as: Puberty produces hormones in pulses that spur development, but suppressants deliver a steady amount. I also support parents looking for resources while they may have a child transitioning. Bone-building exercises and taking calcium and vitamin D can help. Taking several meds or supplements? Campus DrivePortland, OR 97239, Cornell West1500 N.W. Better turn it on! WPATH standards of care are used in therapy and letter writing. 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. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. Minors aged 13 to 18 can withhold mental health records from parents for " sensitive " conditions, which include both "gender dysphoria" and "gender-affirming care." Insurers in Washington must cover a wide array of "gender-affirming treatments" from tracheal shaves to double mastectomies. I wanted independence and stability. We offer treatment to patients of all ages with both pediatric and adult services. It's OK to ask for help. I'm well versed in the WPATH & the emerging 'Informed Consent' standards of care, as well as associated psycho-social challenges (e.g., social anxiety) experienced by transgender and gender-queer people. TPC email access. Because of him I am now a complete, functioning attractive woman. When theyre given: Pubertal suppressants are usually given in the early stages of puberty, after changes have begun. Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. We appreciate your patience and will respond to you as soon as possible. You'll find: Puberty specialists who treat hundreds of patients a year. Description. I wanted to belong. We evaluate surgery for teens on an individual basis and in line with WPATH guidelines. What a racket. 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. Deciding on suppressants involves weighing physical risks against the mental health risks of gender dysphoria, which can include: Long-term effects: Suppressants have been used for decades to treat children who start puberty too early. Your one-time or recurring gift will help us ensure everyone in our community has access to safe, compassionate, and affirming primary care, behavioral health, and pharmacy services, regardless of ability to pay. Gender affirmation surgery (previously gender confirmation surgery) for individuals looking to transition: transfeminine or transmasculine. . We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. 12115 SW 70th Ave, Suite 101 Portland, Oregon 97223. They often take several months to start working. Housing at Outside In is so much more than a roof over your head. Our specialists meet every month to pool their expertise on complex cases. And I'm here to write letters to help with accessing medical care too. Hand numbness, tingling or pain can have many causes and treatments. Patients we treat: Our clinic accepts new patients through age 18. 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. I am a non-binary gender therapist with lived experience and interest in unique identities. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! See our For Health Care Professionals page for links to published studies by OHSU providers. How they love us, care for us. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. We will: We will monitor your child throughout treatment. Prism Health | Belmont2236 SE Belmont StPortland, OR 97214, Contacte: info@prismhealth.orgp: 503.445.7699f: 503.802.0199, Primary Care Hours Monday Friday | 8:30 am 5:00 pm**For Holiday Closures, please visit capnw.org/calendar. Mabel Wadsworth Center offers a safe and affirming environment." Services include: Abortion Care Annual Wellness Exams Birth Control Cancer Screenings Colposcopy Infertility Consultation Intrauterine Insemination LGBTQ Healthcare Gender Affirming Hormone Therapy Men's Health Menopause Consultation Mental Health Counseling http://bethannshort.com/gendersummit.html. 25 received pubertal suppression . We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). I'm here to help. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. Not all non-binary people identify as transgender. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. This could be longer or shorter based on the client's hair growth density. Gender Language ; Monica Llado-Farrulla, M.D. 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. I believe gender is not secondary to personality, but pervades how we think, act, love, and operate in the social order. LGBTQ HEALTHCARE SERVICES. Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. 3550 N Interstate Ave Portland, Oregon 97227 800-813-2000 genderpathways.org Christina E. Milano Top Doctor: Transgender Medicine OHSU Primary Care Clinic - Richmond - Family Medicine 3930 SE Division St Portland, Oregon 97202 503-418-3900 ohsu.edu 921 SW Washington Street, Suite 750 Portland, OR 97205 Phone: 503-222-5144 Fax: 503-227-8777 We value input from patients, providers and community members. 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. for any health care need,such as primary care, mental health care and gender-affirming services. OHSU is building a pediatric patient registry to better track outcomes and improve treatments. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. Medical Clinic Downtown Portland Clinic 1132 SW 13th Ave Portland, OR 97205 East Portland Clinic 16144 E. Burnside St. Portland, OR 97233 Schedule Appointment or Get Help: 503.535.3860 Fax: 503.535.3868 Se habla espaol Young Adult Support 1132 SW 13th Ave Portland, OR 97205 General Inquiries: 503.535.3800 Fax: 503.223.6837 Se habla espaol Transgender health: We work in cooperation with the OHSU Transgender Health Program and follow World Professional Association for Transgender Health (WPATH) guidelines for care. 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. They also understand how to pair treatments with the pace and sequence of changes. People talking to me, listening to me. #FOOD&NUTRITION Food myth #1: Carbs are bad Tips from our nutrition team offer staff training that includes culturally competent LGBTQ care. Bethany Blvd.Beaverton, OR 97006. 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