Resources for Gender-Affirming Care

Letters of Support

Hailey can provide letters of support for gender-affirming care and can also provide you with a list of other therapists who can do this after meeting with you. Hailey does not work with those under the age of 18, but we will try to connect you with someone who is safe and can write that letter for you!

Gender-Affirming Surgery

For top surgery, you will typically need one letter of support unless your insurance, provider, or surgeon tells you otherwise. For bottom surgery, you may need two letters of support depending on the provider or your insurance. Below are links to several places in the Portland area where you can access surgical care:

Affirming Surgery Information

Gender-Affirming Hormone Therapy

In Oregon, gender-affirming hormone therapy can be obtained via an informed consent process between you and your doctor. This means that you do not need a letter of support for hormonal transition. Below are a few clinics that offer HRT via the informed consent process:
  • Outside In offers gender-affirming hormone therapy via informed consent from ages 15 up. Ages 13-15 need a guardian for HRT at this clinic. Outside In.
  • Planned Parenthood also offers gender-affirming HRT. Planned Parenthood Salem, OR.
  • Bridge City Family Medicine is equipped to provide various forms of gender affirming care including HRT. Bridge City Family Medicine.
Professional medical and mental health organizations reaffirm support for gender-affirming care for minors and call for an end to discrimination and disinformation:

Resources

This list above is not inclusive of every provider in Oregon or surrounding areas. If you know of a resource that should be added, please email me at ClarkCounselingLPC@gmail.com. Remember that people have varied experiences with providers or hospitals, and my inclusion of any resource is to increase your awareness of the access to services in our current system.
LAND ACKNOWLEDGMENT We acknowledge that the land now known as Bend, Oregon, rests on the traditional homelands of the Northern Paiute, Wasco, and Warm Springs peoples. These lands were ceded to the United States in the Treaty with the Tribes of Middle Oregon in 1855, leading to the forced removal of these peoples to the Confederated Tribes of Warm Springs. Today, the descendants of these communities maintain a vital and enduring connection to this region, continuing their stewardship and cultural practices. We honor their history, their resilience, and their ongoing presence on these ancestral lands.
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