What to Expect
Gender Clinic Visit
Our clinic primarily provides gender-affirming medical care. We also provide short-term mental health support focused on family decision-making and mental health readiness before starting gender-affirming medical care.
Before your appointment
- We do not provide ongoing mental health therapy appointments in the Gender Clinic. If you are looking for ongoing therapy, we recommend you start care with a mental health professional in the community. For more information, see How to Find a Therapist(PDF) (Spanish). Visits with our mental health providers are focused on providing decision-making support for patients who are interested in receiving gender-affirming medical care and their families.
- Please talk to your primary care provider if you want to learn more about menstrual suppression(PDF) (Spanish), contraception, sexual health or medicine for mental health conditions. Many primary care providers offer this care and may be able to provide these services before your first Gender Clinic visit. Your primary care provider can submit an eConsult if they would like to consult with a member of the Gender Clinic team.
- Provide any test results related to your hormones or puberty stage so you do not have to repeat tests. This may include lab results or bone age X-rays(PDF). You can either bring copies to your appointment, ask your primary care provider to fax them to 206-985-3499 or send them to us through MyChart (instructions for signing up below) (Spanish).
- Most clinic visits can be done in person or by telehealth (video visits). Please let us know when you call to schedule If you would prefer a telehealth visit.
- Sign up for a MyChart account (Spanish) to manage your child’s care and communicate with their healthcare team more easily.
- Learn more about appointments at Seattle Children’s.
During the first visit
Your first visit will be with a mental health provider. After your first visit, we will schedule another visit with the mental health provider or we will schedule a visit with a medical provider who specializes in adolescent health or endocrinology to talk more about starting medications.
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What to expect during visits with a mental health provider
- You will have 1 to 4 visits with a mental health provider from the Gender Clinic. We will discuss goals, options and decisions related to gender-affirming care with you and your caregiver. During these visits, the mental health provider will discuss gender dysphoria and whether you meet the criteria for this.
- The Gender Clinic asks that your parent or caregiver attend these visits with you. Part of the first visit will be with you and your parent or caregiver together. The second part of the visit will be a confidential visit between you and the mental health provider.
- After the first visit, the mental health provider will create a plan with next steps for you and your parent or caregiver. This may include scheduling more visits with a mental health provider, connecting you and your family to supportive resources or referring you to medical care or other services within the hospital. Since mental health support in the Gender Clinic is a short-term service, the care team can refer you to mental health providers in the community for ongoing support.
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How long is an appointment?
Your first visit is usually 60 to 90 minutes. It may take longer if you need lab tests. Follow-up visits are usually 30 to 60 minutes. The providers you see at each visit depend on your needs.
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Directions, parking and entering
Our clinic is in Seattle. We will provide location details when we confirm your appointment. Please check in 15 minutes before your appointment to allow time for registration.
More information
For more information on visiting Seattle Children's clinics, please see Your Child's Clinic Visit.
Contact Us
Contact the Gender Clinic at 206-987-2028 to make an appointment or for questions about scheduling.
Patients or families who need additional support or resources that are not available on our website can contact our care navigators at 206-987-5768. The care navigators are not able to help with scheduling questions.
Providers, see how to refer a patient.
Paying for Care
Learn about paying for care at Seattle Children’s, including insurance coverage, billing and financial assistance.