Welcome to UW Medicine’s (UWM) Transgender and Gender Non-Binary Health Program and thank you for visiting. Our primary goal is to reduce the health disparities experienced by the transgender and gender non-binary (TGNB) community by providing inclusive and patient-centered gender-affirming healthcare access that is integrated throughout primary, surgical, specialty, and mental health services. The TGNB Health Program strives to ensure equity, diversity, and inclusion principles inform all system-wide quality improvement processes and practices, and incorporates TGNB community voices and health equity measures into program development.

We are receiving a significant number of referrals daily, and are working hard to schedule and respond to each one. Once we have received your referral and required medical documentation from your primary care provider, we will reach out to begin scheduling an appointment. Please take a look at our UW Medicine’s Services and Providers & Insurance Requirements & Coverage pages to get started

All gender-affirming surgeries must meet the World Professional Association of Transgender Health (WPATH) standards of care and have this documented by both a primary care provider and mental health provider(s), regardless of insurance coverage and payment. All gender-affirming health providers are required to follow WPATH standards of care that include provider letters, without exception.

For new patients looking for primary care: Follow the links on each provider’s page to contact their clinics and schedule an appointment. No referrals or provider letters are needed.

For patients looking for specialty care: Please contact your primary care provider (PCP) to have them fax or send a referral to the specialist provider indicating gender-affirming care and include any relevant medical notes.

For patients looking for surgical care: Please contact your primary care provider (PCP) to have them fax or send a referral to the surgeon using this Referral Request Form and including any relevant medical notes. Your PCP will also need to fax or send their letter of surgical endorsement, and your mental health provider(s) will also need to complete their evaluation for medical readiness letter that can be faxed in prior to your arrival for your consult appointment. If your provider is unfamiliar with writing these letters, the links above detail the letter requirements and provide a sample template. Please note that we currently are unable to accept surgical referrals for patients living outside of Washington.