What to expect

• Referrals for ongoing management of GAHT
• Referrals for mental health
• Direct referrals to Speech Pathology, Psychology, Social Work
• Referrals for neurodevelopmental assessment
• Referrals for support to access NDIS, DSP, etc
• Referrals for gender-affirming surgery (surgery is currently only available through private health options)

Eligibility 

• Referrals must come from a patient’s primary care provider, or their GP must have knowledge of the referral and understand that the patient will be discharged into their care for ongoing medical management of GAHT (where patients are initiated medical treatment in the service)
• Patient must be aged 17 years or above, at the time of referral
• Patients must be eligible for Medicare, or have appropriate health cover

Essential Information to include in the referral:

• If the patient is seeking to commence GAHT, or if they are being referred for a specialist medical consultation, the following pathology results must be included in the referral

               FBE; E/LFTs; glucose, lipids, TSH, FSH, LH, prolactin, oestrogen, testosterone, progesterone

• Brief gender-related history- preferred name, assigned sex at birth, gender identity, pronouns used.
• Patient’s goals from gender service e.g., wants masculinising hormones with goal of deeper voice, facial hair, fat redistribution.
• Relevant social history, including any safety concerns for the patient (including if nil issues).
• Capacity or medicolegal issues (including if nil issues).
• Nicotine (via smoking or vaping), alcohol and other substance use.
• Patient’s current risk of pregnancy and current pregnancy prevention.
• Patient’s desire to preserve their fertility with gamete (egg or sperm) freezing.
• Mental Health diagnoses (including if no mental health diagnoses or issues).
• Physical Health diagnoses (including if no physical health diagnoses or issues).
• Neurodevelopmental diagnoses
• Current medications (including if no current medications)
• Allergies