Make a referral – Information for health professionals

The Gender Clinic is a state-wide specialist team of gender specialists providing assessment and individualised client centred care for trans, gender diverse and non-binary people.

We also access ancillary services through key partnerships such as Endocrinology, Speech Pathology, Gender Affirming Surgery, Gynaecology, Fertility Preservation and more. Below is a guide on how to refer to the Gender Clinic.

Important information

In 2019 the Department of Health and Human Services undertook a review of current Gender Services in Victoria to identify future statewide models. This review recommended Gender Clinic move away from Mental Health to the Specialist Clinic area. We are pleased to announce that the Gender Clinic will commence operating as a Specialist Clinic commencing August 2020. This comes with many changes including how consumers access this service, starting on 3rd August, referrals from a health practitioner will now go through a centralised intake process page: https://monashhealth.org/health-professionals/referrals/ . Their contact details are: Phone 1300 342 273; Fax (03) 9594 2273.

Inclusion Criteria

  • 17 years or older
  • Resident of Victoria or Tasmania
  • Medicare or Private Health Insurance
  • Australian Citizen or Permanent Resident Visa

For referrals for patients under 17 years old please send to Royal Children’s Gender Service. We can also provide services to Asylum Seekers and to some border towns in NSW (eg Albury/Wodonga). If you are unsure whether your patient is eligible for services via Gender Clinic please contact us on (03) 9556 5216 or e-mail genderclinic@monashhealth.org

Intake Criteria

We encourage referral of TGDNB people who require any of the following services:

  1. Laser hair removal for birth assigned males (provided at $50 per session at Monash Medical Centre). This service is suspended (August 2020) due to equipment breakdown, but is still accepting referrals.
  2. Voice therapy (provided at no cost by La Trobe University voice clinic).
  3. Endocrinology secondary consultation (where advice is sought if a client is already taking hormones).
  4. Mental health assessment prior to gender affirming surgery as per WPATH standards of care.
  5. Financial support for gender affirmation masculinising chest surgery or feminising genital surgery.
  6. Medical and mental health support for any client who experiences regret and/or may wish to de-transition / re‐transition.

We also accept referrals of clients who would like to see a mental health professional to gain a deeper understanding of their gender and to explore the available options to manage any dysphoria they may be experiencing.

For clients who only wish to commence hormone therapy we encourage referral to one of the clinics listed below that provide care under the informed consent protocol, unless they have complex needs or who would benefit from more comprehensive mental health assessment and support, particularly if they present with concerns beyond the scope of your usual practice.

This may include clients who currently present with:

  • Psychotic disorders (such as schizophrenia) or severe mood disorders (including major depression and bipolar disorder),
  • Trauma related disorders such as PTSD, Borderline Personality Disorder and
  • Dissociative Disorders (including Dissociative Identity Disorder),
  • Body Dysmorphic Disorder,
  • Autism Spectrum Disorder,
  • Cognitive impairment (including acquired brain injury, dementia and intellectual disability),
  • Significant psychosocial factors (such as lack of support or unrealistic expectations), and
  • Impaired or unknown capacity to give informed consent due to any of the above

If you are unsure whether you should refer a client, we are able to provide secondary consultation.

Unfortunately, we are unable to manage your client’s mental health condition or crisis presentation, except as it is related to their gender incongruence. We are instead able to direct you to the most appropriate mental health service.

List of informed consent clinics

Equinox (Fitzroy)  equinoxadmin@thorneharbour.org   www.equinox.org.au

TGDiCH (Ballarat and Preston)  https://www.yourcommunityhealth.org.au/service-access/trans-and-gender-diverse-health/ 

Kardinia Health (Geelong) 52029333  admin@kardiniahealth.com.au 

Northside Clinic (Nth Fitzroy) 9485 7700  http://northsideclinic.net.au/ 

Referral information required

Please complete the form available at GP referral template and fax to (03) 9594 2273, including the following information:

  • Patient’s title, name and preferred pronoun
  • Date of Birth
  • Medicare Number
  • Contact with other service providers such as mental health
  • Patient’s contact details such as address, phone number and e-mail (where available)
  • Any interpreter needs and if so for which language
  • Diagnostic impression. Include a brief assessment of current functioning, co-morbidities and risk issues.

A confirmation letter or email will be sent by our admin staff once a complete referral is received. Please note due to a high demand for our service there may be a waiting time of up to 12 months. Please discuss with your patient prior to sending your referral and consider whether a private practitioner is a better option. Gender Clinic staff will then contact your patient to arrange an intake assessment. A report detailing our findings will be sent to you outlining the next steps you can take with your patient.

Secondary Consultation

Gender Clinic provides secondary consultation to health professionals working with trans, gender diverse or non-binary patients. All health practitioners working with gender diverse people who have complex needs, who may have an atypical gender presentation and/or have complex physical and psychiatric co-morbidities can access this service. If you are interested in this service please contact Gender Clinic via e-mail genderclinic@monashhealth.org

Guidelines, education and training

Online group and community of practice

GPDU for Gender Affirming Healthcare provides a Facebook forum for GPs to ask other GPs questions about how to assist their trans, gender diverse and non-binary clients https://www.facebook.com/groups/483154695810266

Victorian Trans and Gender Diverse Health Community of Practice is a multidisciplinary monthly session run by Thorne Harbour Health, which include a presentation from an expert panel member and a case discussion. Contact Julian.Grace@thorneharbour.org for more information.

HealthPathways Melbourne 

A referral guide for GPs in Melbourne.

HealthPathways West

A referral pathway for GP’s in Western Victoria.

TGDNB Online Training Module

A training module teaching TGDNB inclusive practices for Health Professionals

LGBTIQ people talk about their experiences accessing health care

A video by North Western Melbourne Primary Health Network

Get the latest information about coronavirus (COVID-19).Find out more
+