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SFDPH Resources

New Pre-Surgical Assessment for Clinicians This is the “mental health letter” a patient needs in order to access Gender Affirming Surgeries. Please also see the ‘Gender Affirming Surgery Edibility, Referral, and Readiness Process” page for more helpful documents under “Clinician forms & helpful documents when writing Pre-Surgical Assessments” header.

Hormone Tx All in One

SFDPH Guidelines for Primary Care with Transgender People (2013)

Tom Waddell Hormone Protocols (2013)

Patient Education for Transgender Feminizing Hormone Therapy - English | Spanish

Patient Education for Transgender Masculinizing Hormone Therapy - English | Spanish

Additional Resources

WPATH Standards of Care

UCSF Center of Excellence for Transgender Health Primary Care Protocol for Transgender Patient Care

Transline (Project of Lyon Martin and Transgender Law Center)


Gender Health SF
San Francisco Department of Public Health
628.206.7979 Main Line | 629.206.7999 Fax
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