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Equinox: Protocols for the Initiation of Hormone Therapy for Trans and Gender Diverse Patients

These guidelines are designed to reduce barriers and improve health outcomes for trans and gender diverse (TGD) people accessing hormone replacement therapy (HRT).

Under an ‘Informed Consent’ model of care General Practitioners would perform the initial assessment, play a key role in mental health and risk assessments for TGD clients, and organise referral for secondary consultation where required. It would
be envisaged that the General Practitioner would remain the primary treating physician for the majority of clients.

These protocols have been developed to reduce unnecessary barriers in accessing HRT. There can be long waiting times at the public Gender Clinics and significant costs involved through the private system. People living in rural and remote areas are often unable to access appropriate health services.


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