Working together so our communities are the healthiest in America. 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 Meltzer Clinic, 7025 N. Scottsdale Rd., #302, Scottsdale, AZ, 85253, US. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. Team-based care: OHSU providers work together to make sure you get the care you need. 25 received pubertal suppression . I often write letters for gender-affirming procedures in a single session, and I offer free or reduced-fee letters for BIPOC folks. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. By browsing TransHealthCare.org, you consent to our use of cookies and other tracking technologies. Well discuss all aspects of this treatment to help you make an informed decision. Doernbecher Children's Hospital offers which provides advice for the "safe tucking" of a boy's genitals and links to a sex shop in Portland. Our pediatricians, pediatric endocrinologists, adolescent medicine doctors and psychologists specialize in providing team-based care for children and teens. Non-binary describes people who do not identify (or do not exclusively identify) as male or female or man or woman. They may identify as no gender, as a gender other than male or female, or as 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. WPATH-informed. Our specialists meet every month to pool their expertise on complex cases. We usually do not prescribe medications during the first visit. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. For New Patients. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! Hillsboro Medical Center Cardiology Clinic 7th Avenue Medical Plaza 333 SE 7th Ave., Suite 2500 Hillsboro, OR 97123 503-844-8280 . If you are interested in numbing injects, you must book the first appointment of her day so the doctors can administer the necessary injection. Our specialists meet every month to pool their expertise on complex cases. We can answer questions and discuss: We recommend that your child see a specialist in treating puberty-related conditions, such as: Some treatments affect fertility. Patients need a referral, usually from their pediatrician, to be seen at one of our. Do you need a letter, or support on your gender journey? The Doernbecher Gender Clinicoffersexpert, family-centered care for children and teens. 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. This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. I am a parent, a husband, and an artist. I have done many assessments for hormones and surgery and have worked collaboratively with medical professionals to ensure appropriate treatment of those struggling with gender dysphoria. Transition desires: Most teens with gender dysphoria will carry it into adulthood. 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. Many teens want to go through puberty with their peers. The result is less pain plus fewer overall number of sessions, which reduces cost. Ideas of gender are forced upon us before we are even born. Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. This allows a longer duration of an electrolysis session with greater clearance of hair. They protected me. Currently, there is limited information about the long-term effects in gender-diversepatients. Training for OHSU employees and for health care professionals in the community. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). I couldnt have asked for a better experience with Dr. Meltzer and his staff. View our Specialties We have more than 30 areas of practice, including Urgent Care. . If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. Comprehensive care that includes experts in primary care, hormone therapy and mental health. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. Gender affirming care should be a human right. A stable life: Teens may have lived comfortably in their gender identity for a year or more. To that end, I support all family members in the transitioning process to build understanding and deepen familty connection. I wanted to belong. If you met me today, you might never imagine I spent countless nights sleeping under the Burnside Bridge. Not necessarily. I have attended several specialized trainings for working with gender identity issues before and during that time. Doernbecher Childrens Hospital700S.W. Brandy is the Program Manager for The Gender Clinic Program at Maine Medical Partners/ The Barbara Bush Children's Hospital. And build relationships that last. I've worked with hundreds of transgender and gender variant people since 2015. Locations at Doernbecher Childrens Hospital and at our Cornell West building in Beaverton, as well as outreach clinics. She is also a member of . Fax: 207-662-5528. 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. Genetics may play a role in how fast changes happen, how big breasts get or how thick facial hair is. Fertility services: Some treatments affect fertility. 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. for details. Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. The New England Gender C.A.R.E. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. My practice focuses on queer, trans and non-binary people, including youth ages 14+. Navigating our gender identity can be layered with confusion, influenced thoughts or feelings from society, parents, or ourselves. I am also qualified to write letters of recommendation for gender-affirming surgeries. Risk to bones: Suppressants cant be used indefinitely without hormone therapy because of health risks such as weak bone density. Learn how to apply. This is not to be confused with 4 treatments. 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. You will then be scheduled for a 1-hour telehealth orientation appointment. The Meltzer Clinic Providers - The Meltzer Clinic PC. To improve accessibility for his patients in the Pacific Northwest, Dr. Meltzer partnered with Legacy Good Samaritan in 2019 to offer Gender Confirmation Surgery once again in Portland. OHSU created the Academic Gender Center Coordinators Consultation so participants can share information to improve care. Ophthalmology . Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. I specialize in LGBTQ populations, including trans, non gender-conforming, and poly populations. (The call is private and personal to your questions and concerns.) I found Outside In. Doernbecher Gender Clinic locations offer a full range of services for transgender and gender-nonconforming children and teens. Adolescent medicine doctors who specialize in the needs of teens. Guidelines include: Hormone therapy helps teens go through the puberty that matches their gender identity. We also work with members of the hospitals clinical ethics and spiritual careteams on a regular basis. As a queer person, it is important to me to create space in my practice to serve my community. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. They often take several months to start working. Small implants placed under the skin of the inner upper arm. See our insurance page to learn more about payment options. OHSU is dedicated to inclusive care and to offering welcoming facilities. Meetings, open to anyone, are 5 to 6 p.m. on the third Wednesday of each month. offer you the chance to share your experience, help others, shape our program, and advance our mission. Patients we treat: Our clinic accepts new patients through age 18. MS, QMHP, Professional Counselor Associate. Many are also international experts who publish studies and who speak across the nation and overseas. . It's a national specialised service, based in London and Leeds, and is the only one of its kind in Great Britain. We prefer that patients get a mental health evaluation before starting hormones. Discuss your support network and access to mental health therapy. Vermont and New York medical insurance companies provide a wide range of coverage for gender-related care. Pubertal suppression doesnt necessarily lead to social transition or gender-affirming treatment. I continue to provide affirmative care for the community and their families. Access to family-centered services for children and teens. Call 401-444-4712 to make an appointment. WPATH standards of care are used in therapy and letter writing. I support folks in exploring their lived experience of gender, finding where misalignment occurs, and getting creative about realizing gender euphoria. Expertise: OHSU providers who work with the THP specialize in gender-affirming health care. Today, as Reed recovers from her own gender confirmation surgery, the map is spreading on social media again, now with 862 mapped locations and almost 1.8 million views. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. We support each individual by accepting them without judgment and letting their gender identity and expression unfold over time. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. OHSU pioneered a unique physical therapy treatment for vaginoplasty patients. Fertility: Suppressants should not affect your childs ability to have children. 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. You will start by getting a referral, usually from your childs pediatrician. It may match their sex assigned at birth, or may be different. 1132 SW 13th Ave, Portland, OR 97205 Contact 503.535.3860 transinfo@OutsideIn.org Clinic Hours *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. I am a non-binary gender therapist with lived experience and interest in unique identities. Typically, we see patients every three to four months. You don't have JavaScript turned on. Visit ourevents page and scroll down to "Calendar" to find a meeting. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . Relaxing on the sofa, the expectant mum displayed her tummy by lifting up her sweatshirt to show the kids her bump - which was covered by leather-look leggings. The Gender Clinic at Maine Medical/ The Barbara Bush Children's Hospital (207) 662-5093 (207) 662- 5528 fax . Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information Theyre designed to help patients start the puberty that matches their gender identity. Stepping into who you are and living (safely) from that place, is sometimes a delicate balance - and, in my eyes, essential to being home in ourselves. The group meets quarterly to advise the program about programs and services. Psychological, medical or social problems that could disrupt treatment have been addressed. 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. Dr. Meltzer is board-certified in both General and Plastic Surgery. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. We assess each child individually. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. Some common signs of a gender dysphoria include cross-dressing, a feeling of being in the wrong body and a desire to live as a person of the opposite sex. I have experience providing assessments and letters of support for gender-affirming medical care. I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. Our Portland women's health team brings together broad clinical expertise and deep understanding of the unique needs of women during every phase of their lives to provide the whole-person care you need and deserve every step of the way. Joe has trained and presented widely in the area of gender studies as well as having worked extensively with clients around issues related to gender transitions, including assessment and documentation for medical needs. Need assistance after hours? There is no additional fee. An online community of Portland area mental health professionals seeking to make the experience of finding a therapist easy. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Meltzer is so much more than an accomplished surgeon he is an artist. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. While recovering from surgery in Scottsdale, I ended up having to call Dr. Meltzer in the early morning hours and he knew exactly what it was and made it a point to drop by the hotel later that day. We welcome concerns, success stories and anything else youd like to share. Dr. Ley coordinates with a team for FTM Bottom Surgery, which includes a Urologist, and a Gynecologist. Patients: The THP serves as an umbrella for gender-affirming services at OHSU. Community health workers and student nurses are available to address medical needs. Find a Location Connect with us at one of our Portland-area locations. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. I also worked on a project with 29 brave individuals honoring their journey in gender expression. Contact Dr. Meltzers office to book your consultation and youll hear back with more details. Contact Us Southern California Kaiser Permanente members can call the Transgender care line at 323-857-3818 Monday through Friday 7:30 am to 5:00 pm to speak to a nurse case coordinator. If you have come to help me, you are wasting your time. Health care professionals in the community can request training on providing affirming, welcoming care. An MA I is expected to perform in accordance with established policies, procedures, and regulations. 2016 Kaiser Foundation Health Plan of the Northwest N Interstate Exit 303 N Going St Interstate West Overlook Town . The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. Gender expression is different, it is how a person looks on the outside (clothing, hair, voice, behavior, interests). He is a regular presenter at transgender conferences, including WPATH, First Event, Gender Spectrum, Gender Odyssey, Keystone, and Southern Comfort. Therapy may start earlier for reasons such as: Gender dysphoria: Appearing sexually immature in the mid- to late teens can worsen gender dysphoria. A mere 13 months later, Ashe . I have extensive experience providing gender affirming care for transgender and gender diverse individuals. A safe, welcoming and gender-affirming environment. E-mail is not an appropriate way to contact us regarding anything urgent or critical. Insurance Coverage for Gender Care. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. He also accepts insurance. 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. We take most health insurance, including OHP. 7025 N. Scottsdale Road #302. Injections are only available with a minimum of one hour of electrolysis. We focus on medical care (adult and pediatric endocrinology and adolescent medicine)and mental health (child & adolescent psychiatry and clinical social work). Testosterone: Testosterone is usually injected into muscles or just under the skin. If they do so without starting hormone therapy, they will resume puberty based on the sex that was assigned at birth. The Gender Clinicis dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. These are usually replaced every one to two years if pubertal suppression continues. People talking to me, listening to me. For NB, trans, and gender fluid folx seeking gender affirming surgery, I am happy to offer you a letter writing session. If you have any questions about our transgender and gender diverse services, you can email us attransinfo@outsidein.orgor call503.535.3860and select the option 6 to speak to the Transgender Services Coordinator. The Gender Clinic We are currently accepting new patients. Portland, OR 97239 : F : English : Ross Passo, M.D. But we can connect you with OHSU providers. Our team is focused on the entire well-being of each patient. As more transgender children seek medical care, families confront many unknowns IN TREATMENT: Ryace Boyer, a 14-year-old high-school student, prepares to take the female hormone estrogen as part of. We also provide treatment into young adulthood for some patients, and we help them move into adult care. Hormone therapy mimics the bodys production of estrogen or testosterone. It taught me how to be kind to people less fortunate. We offer treatment to patients of all ages with both pediatric and adult services. 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. A typical "full" clearing would consist of the entire mapped area being treated and the electrologist making the area hair free by the end of service. We do not believe all patients will benefit from the same services. Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. We repect your privacy. Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. The investigation has also revealed that doctors from the clinic advised teachers to "affirm" an entire group of fifth graders - ages 10 and 11 - who showed up to the clinic en masse asking to be transitioned from female to male. My values align with the Informed Consent for Access to Trans Health (ICATH) model of care. We also recommend that patients and their families get mental health support throughout transition. Our team is focused on the entire well-being of each patient. We value input from patients, providers and community members. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. 207.878.6170 Fax 207.878.6172. about. Brief mental health support focused on family decision making and mental health documentation prior to initiating gender-affirming care is also available. Q Center also serves as an information hub for friends, partners, community, and family members of LGBTQ2SIA+ individuals. Full-Time. Many are also international experts who publish studies and who speak across the nation and overseas. We will be a safe, affirming, and affordable thrift store serving Portland's trans and queer community and those who love and support us. During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Molly Palmer and her wife, Melissa,reflect on Mollys transition. Delaying puberty too long may carry risks such as harm to bone density. We will: Get your childs medical history and family history. Gender Pathways is a unique place for Kaiser Permanente members to receive integrated care in a comfortable, supportive setting. The Gender Clinic is dedicated to supporting the health and well-being of transgender, gender diverse and questioning people across Northern New England. They treat hundreds of patients a year. And I'm here to write letters to help with accessing medical care too. Current wait list for a surgery date: 12 months. The team of compassionate doctors and medical practitioners specialize in . Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. Contact Doernbecher Pediatric Endocrinology at 503-494-3273 for locations and times. How they love us, care for us. Sex is decided based on anatomy, hormones and DNA. It may be safer for teens to appear physically mature as they get older. They may want to begin their transition as soon as possible. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. I wanted independence and stability.