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San Francisco Health Network

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Transgender Health Services

Transition Surgery Eligibility and Referral Process

Important Note: If your clinic has access to the DPH e-referral system ("LCR"), please submit your referral there. If your clinic does NOT have access, please this form.

Eligibility and Referral Process

PDF version of the Eligibility and Referral Process chart

Para español, haga clic aquí

Transition Surgery Flowchart

Policies and Required Documentation for Surgery

Patient Education Documentation

Surgery Preparation and Aftercare Instructions for Patients