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Gender Clinic

Refer a Patient

How to Refer a Patient

Appointment availability

Updated May 2026.

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A referral is required from a provider; patients may not self-refer. We offer both telehealth and in-person visits. The first visit in the Gender Clinic will be with a mental health therapist before seeing a medical provider. A parent or guardian is required to attend the initial visit, please ensure that patients and families are aware of this. Our current wait time for initial visits is 1-3 months.

Seattle Children’s Hospital does not accept new adult patients 18 years and older. Please see options for gender-affirming care for adults.

    Referral requirements

    We ask that providers submit a referral that is complete. A complete referral helps us schedule an appointment for your patient in a timely manner and match them with the right specialist and clinic location. It ensures a productive and smooth first appointment for your patient. It also helps us assess the needs of our community and plan to have the capacity to meet those needs. 

    Please include:

    • Reason for referral: What is the clinical question for the specialist?
    • If the referral is urgent (see within 4 weeks) or routine (next available)
    • ICD-10 diagnosis – required
    • Visit type:
      • New patient consult, transfer of care, second opinion or return visit/ongoing care
    • ALL relevant clinical documents:
      • Clinic notes
      • Medication history
      • Growth charts/curves 
      • Lab reports
      • Imaging and diagnostic reports
      • Previous specialty evaluations
    • Patient’s full name (legal name and chosen name, if different), DOB, sex, address, guardian contact information and insurance
    • Referring provider’s name, phone, fax and the referral coordinator’s email address so that we may contact you if additional information is needed
    • Preferred clinic location, if applicable
    • If an interpreter is needed
    • Any known barriers to performing a successful telehealth (video) visit with the family

    Submit a referral

    We’re committed to partnering with you

    • For non-urgent clinical questions, consider placing an eConsult for Gender Clinic. For more details on eConsults, visit our EpicCare Link and eConsults page
    • For urgent clinical questions, defined as a clinical question that requires immediate attention due to its potential impact on patient health or safety but is not life-threatening, you can call the Provider-to-Provider line (206-987-7777) to speak to our on-call provider.
    • Referring or transporting a patient to our Emergency Department or Urgent Care: call 206-987-8899 or, toll-free, 866-987-8899 (Emergency Department Communications Center).
    • Learn more about managing your patients at Seattle Children’s, including viewing your patient’s records.
    • See our locations.

      Resources for Providers

      See our comprehensive Education and Resources for Healthcare Professionals.

      To suggest additional resources from Seattle Children’s that would be useful to primary care providers, please email us.