
Horizon Health Network’s team members work with patients, clients, families and each other to create a safe and welcoming environment for everyone, no matter their sexual orientation or gender identity. The acronym 2SLGBTQIA+ stands for two-spirit, lesbian, gay, bisexual, transgender, queer, intersex and asexual.
This section of our website provides safe and easy navigation through the sometimes confusing path in the health system to being your authentic self – a hub for 2SLGBTQIA+ individuals and their families to find information, resources, and community connections in New Brunswick.
Horizon understands how difficult the path to becoming your true self is, and how different the path is for each person. Our goal is to provide the information needed to make this journey a bit easier.
We welcome your feedback. If you have concerns or compliments about your care, please contact our Patient Representative Services.
What is gender dysphoria?
Gender dysphoria is what you experience when your biological sex does not match your gender identity.
What are gender affirming hormones?
Gender affirming hormones are used in hormone therapy (often called hormone replacement therapy or HRT) to produce secondary sex characteristics such as hair growth or breast development.
Information on hormone therapy:
- Masculinizing/Affirming Hormones Copyright ©2016 Rainbow Health Ontario and Kelly Speck
- Feminizing/Affirming Hormones Copyright ©2016 Rainbow Health Ontario and Kelly Speck
How do I access hormones through my primary care provider, family doctor (GP) or nurse practitioner (NP)?
The first steps for accessing hormones is to have a discussion with your primary care provider. If your family doctor or nurse practitioner feels you are a candidate for HRT, they can initiate hormone therapy or refer you to an endocrinologist which is a specialist in hormonal conditions. The wait time to see an endocrinologist in New Brunswick is about a year.
Most physicians (including endocrinologists) and NPs require a “readiness letter” from a mental health care provider with training in World Professional Association for Transgender Health (WPATH) standards before proceeding with hormone therapy.
How do I access HRT through a mental health specialist?
If you do not currently have a family doctor or nurse practitioner, or do not feel comfortable discussing HRT with them, there is another option. You can obtain the “readiness letter,” as mentioned above, then contact your local Sexual Health clinic. The clinic’s nurse practitioner should be able to refer to an endocrinologist, or initiate treatment themselves.
A list of community mental health resources can be found here: Community Mental Health Resources in New Brunswick (gnb.ca)
Available Services – Specialized care for people who identify as a sexual or gender minority (LGBTQ2S+)
The following are a list of services provided by Horizon and Vitalité Health Networks and our health partners in the communities we serve.
General Services and Programs
These services are found in each region and the vast majority of areas have clinicians who are trained to work with 2SLGBTQIA+ clients to provide counselling support. These providers may also be able to write letters for gender affirming surgery for adults and hormone therapy for both adults and youth.
Virtual consultations outside of the region may be available.
Fredericton Area: 506-453-2132
Miramichi Area: 506-778-6111
Moncton Area: 506-856-2271
South East: 506-856-2444
Rexton: 506-876-3570
Saint John Area: 506-658-3737
Charlotte County: 506-466-7380
Sussex: 506-432-2217
Upper River Valley Area
Perth-Andover: 506-273-4701
Woodstock: 506-325-4419
Specialists for Transgender Patient Care
Fredericton Area
Shane Clark (they/them) MSW RSW
Region: Fredericton and New Brunswick
Address: Rebel Heart Counselling
181 Westmorland St., #104, Fredericton, N.B. E3B 3L6
office@rebelheartcounselling.com
www.rebelheartcounselling.com
Lynsey Wilson Norrad, MSW, RSW
Bridge to Wellness Counselling and Consulting
Mailing Address: 461 King St., Fredericton, N.B. E3B 1E5
Telephone: 506-450-5125
Email: Wilson.norrad@gmail.com
Marilia Paulon (she/they)
Mailing Address: Family Enrichment and Counselling Services, 356 Queen St., Fredericton, N.B. E3B 1B2
Telephone: 506-458-8211
Fax: 506-451-9437
Email: mpaulon@familyenrichment.ca
Stel Raven (they/them), MSW, RSW
Telephone: 506-259-5522
info@stelraven.com
Services provided to adults.
Nathan Thompson, MEd LCT-C CCC
Mailing Address: Block House Counselling Services, 74 Shore St., Fredericton, N.B. E3B 1R2
Telephone: 506-459-0225
Email: nathan@blockhousecounselling.ca
Services provided to LGBTQ2S+ populations, mostly youth and young adults (16-40 year olds).
Christina Moore, RSW, MSW
Sees youth and adults in Fredericton area.
Can do referrals for hormones and surgery.
https://www.bridgetowellness.info/
Monica Smyth, BA, B.Ed, MA (Counselling Psychology), LCT/CCC
Comfort Counselling & Wellness
564 Prospect St, Fredericton NB
E3B 6G9
Telephone: 506-450-0016
Fax: 506-450-1174
Nathan Thompson
Block House Counselling and Psychotherapy
Email: nathan@blockhousecounselling.ca
Telephone: 506-459-0225
Christina Wurm
Bridge to Wellness
Email: cwurm.rsw@gmail.com
Craig Shaw
Email: craigshawcounselling@gmail.com
Cassidy Wilson
Blue Spruce Counselling & Consulting
Email: cassidy@bluesprucecounselling.com
Telephone: 506-260-0116
Kris Kelsey
Comfort Counselling and Wellness
Email: kris@comfortcounsellingnb.com
Coralie Curtis
Hale Psychological Services (The Hale Centre)
Email: coralie@halepsych.com
Telephone: 506-206-9299
Jen Nickerson
Apricity Wellness
Email: Jen@apricitywellness.ca
Lynsey Wilson Norrad
Bridge to Wellness Counselling and Consulting Ltd.
Email: connect@bridgetowellness.info
Telephone: 506-450-5125
Dr. Christa Bowes
Mailing Address: 1015 Regent St. Suite 206, Fredericton, N.B. E3B 6H5
Telephone: 506-447-4418
Fax: 506-447-4420
Dr. Jaclyn Ferris
Mailing Address: 1015 Regent St. Suite 206, Fredericton, N.B. E3B 6H5
Telephone: 506-447-4485
Fax: 506-447-4420
As per New Brunswick Medicare, the following surgeries are covered for patients 18 years of age and older: hysterectomy and bilateral salpingo-oophorectomy. To attain coverage the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters from mental health professionals.
Capital OBGYN
Dr. Erica Frecker, Dr. Christa Mullaly, Dr. Kimberly Butler, Dr. Jessica Bossé, Dr. Stephanie Coady, Dr. Shannon Laity
Mailing Address: 201-1015 Regent St., Fredericton, N.B. E3B 3Y9
Telephone: 506-457-2113
Pediatricians accept new physician referrals for children and adolescents and typically require a letter of hormone readiness from a qualified mental health professional before prescribing hormone therapy. If there are any complicating factors (medical or psychiatric) the patient may be referred on to a subspecialist which could involve an additional wait time.
Dr. Em Lane
Fredericton Downtown Community Health Centre
Mailing Address: 339 King St., Fredericton, N.B. E3B 1E4
Telephone: 506-452-5900
Fax: 506-452-5793
Dr. Lane will be accepting referrals from health care providers in New Brunswick for the services listed below, but not for general primary care. Patients without a primary care provider are encouraged to register with NB Health Link online or by calling 811.
Please fax referrals along with any relevant information and investigations to the above fax number for the following services:
– Transgender and gender diverse care
– Contraception care (including Nexplanon and IUD insertion)
– Medical abortion care
– Small procedures (i.e., lumps and bumps, skin biopsies, etc.)
Keltie Keir, MN NP
Mailing Address: 565 Priestman St., Suite 303, Fredericton, N.B. E3B 5X8
Telephone: 506-453-5379
Fax: 506-474-4522
Patients can request an appointment for gender-affirming by calling Sexual Health Services.
Keltie Keir can also be accessed through evisitNB.ca/lgbtq
Dr. Kathleen Taylor, MD CCFP
Mailing Address: 206 Rookwood Ave, Suite 201, Fredericton, N.B. E3B 2M2
Telephone: 506-455-1946
Fax: 506-455-4600 (to refer adult patients)
Dr. Sandra Byers
Mailing Address: 445 George St., Fredericton N.B. E3B 1J8
Telephone: 506-454-6417
Dr. Byers is a Canadian expert in gender and sexuality.
Services provided to the adult population.
Amy Otteson, L.Psych.
Mailing Address: 77 Westmorland St. Suite 140, Fredericton, N.B. E3B 6Z3
Telephone: 506-471-3621
Services provided to children, adolescents, and adult populations. Virtual consultations are offered.
Dr. Margaret Relja
Address: 65 Brunswick St., Fredericton, N.B. E3B 2L5
Phone: 506-453-2132
Fax: 506-444-3271
Dr. Relja will accept referrals for youth under age 19.
Dr. Jill Hudson
Mailing Address: Dr. Everett Chalmers Regional Hospital, 700 Priestman St., Fredericton, N.B. E3B 5N5
Telephone: 506-459-6601
Services provided include urinary tract function and orchiectomy in the transgender population.
*Orchiectomy is covered by the New Brunswick Medicare program for patients 18 years of age and older. To attain coverage, the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters.
Trina Cluney
Various locations in Fredericton area (Bilijk, Sitansisk, Under One Sky)
Telephone: 506-452-5793
Moncton Area
Zivi Richard (they/them), MSW, RSW
Clinical Social Worker
www.ZiviRichard.com
Telephone: 506-712-0907
Marie-Hélène Landry MTS, TSI \ MSW RSW
Child & Youth team
Telephone: 506-856-2271 or 506-856-2530
Fax: 506-856-2320
Stel Raven (they/them), MSW, RSW
Telephone: 506-259-5522
info@stelraven.com
Services provided to adults.
Dr. Tania Gallant (Adult only 16+)
Mailing Address: 100 Arden St. Suite #222, Moncton, N.B. E1C 4B7
Telephone: 506-857-5758
Fax: 506-857-5086
As per New Brunswick Medicare, the following surgeries are covered for patients 18 years of age and older: hysterectomy and bilateral salpingo-oophorectomy. To attain coverage the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters from mental health professionals.
Dr. Jeanne Bernardin (Currently on leave)
Mailing Address: 100 Arden St. Suite 123, Moncton, N.B. E1C 4B7
Telephone: 506-855-0062
Fax: 506-855-0064
Dr. Stéphane Foulem
Mailing Address: 100 Arden St. Suite 427, Moncton, N.B. E1C 4B7
Telephone: 506-855-6700
Fax: 506-389-2141
Dr. Erin Hemsworth
Mailing Address: 100 Arden St. Suite 223, Moncton, N.B. E1C 4B7
Telephone: 506-382-2163
Fax: 506-854-9738
Dr. Carole LeBlanc
Mailing Address: 100 Arden St. Suite 516, Moncton. N.B. E1C 4B7
Telephone: 506-857-4242
Fax: 506-854-2556
Dr. LeBlanc has experience following transwomen after they have received genital surgery (penectomy, vaginoplasty, clitoroplasty, vulvoplasty). Patients can be seen 2-3 months post-op or sooner if concerns (the 6-week follow-up is usually done via a teleconference with the patient’s surgeon).
Pediatricians accept new physician referrals for children and adolescents and typically require a letter of hormone readiness from a qualified mental health professional before prescribing hormone therapy. If there are any complicating factors (medical or psychiatric) the patient may be referred on to a subspecialist which could involve an additional wait time.
As per New Brunswick Medicare, Mastectomy with chest masculinization is covered for patients 18 years of age and older. To attain coverage the Gender Confirming Surgery Prior Approval Request form must include one referral letter and be completed by a mental health professional. This form is then sent to the surgeon who will complete and submit the form to Medicare for approval.
Available surgeries that are not covered by Medicare include: Chest contouring, liposuction, pectoral implants, and breast augmentation.
Dr. Jayson Dool
Mailing Address: Dool Plastic Surgery, 860 Main St., Suite 600 A, Moncton, N.B. E1C 1G2
Telephone: 506-382-3665
Fax: 506-382-5887
www.doolplasticsurgery.ca
Dr. Brent Howley
Mailing Address: 585 Mapleton Rd. Moncton, N.B. E1G 2K5
Telephone: 506-853-5164
Fax: 506-853-4104
www.drhowley.com
Dr. Joanne Brideau-Hachey
Telephone: 506-857-0354
Email: dr.joanne.brideauhachey@gmail.com
Services provided to adults. Bilingual services are available.
Felipe Ramirez Hinrichsen
Mailing Address: Botsford St. Moncton, N.B. E1C 4X4
Telephone: 506-700-2522
Email: felipe@psycheservices.ca
Services are provided to children and youth. Bilingual services are available.
Sophie LeBlanc Roy, L.Psych.
Mailing Address: Université de Moncton, Campus of Moncton Pavillon, Leopold-Taillon
18 Antonine-Maillet Av., Moncton, N.B. E1A 3E9
Telephone: 506-858-4007
Email: sophie.leblanc.roy@umoncton.ca
Services provided to full-time students.
Sophie LeBlanc Roy, L.Psych. also has a private practice:
Region: Dieppe/Moncton
Telephone: 506-874-8940
Email: sleblancroy@gmail.com
Services provided to adolescents and young adults. Letters of referral may be provided to clients. Bilingual services are available.
Tatiana Villalon
Mailing Address: 187 Botsford St., Moncton, N.B. E1C 4X4
Telephone: 506-871-6670
Services provided to children, youth and adults. French service is available.
Dr. Jerome Doucet
Mailing Address: 1685 Main St. Unit B, Moncton, N.B. E1E 1G8
Telephone: 506-854-2663
Fax: 506-854-8731
Dr. Doucet will accept referrals for diagnostic clarification of gender dysphoria in patients 16 years of age and older; see patients with psychiatric co-morbidities; and assess patients in order to draft a letter of support for medical or surgical management.
Michele Theriault
Mailing Address: Dr. Georges-L.-Dumont University Hospital Centre, Speech-Language Pathology Department, 330 University Ave, Moncton, N.B. E1C 2Z3
Telephone: 506-862-4170
Fax: 506-869-2162
Bilingual services are available to the transgender population. You can either self-refer by calling the phone number listed or be referred by a physician.
Allyson Trainor
Mailing Address: Mountain Road, Suite 201, Moncton, N.B. E1G 1A6
Phone: 506-855-2014
Email: allyson@metrohsc.com
Private practice Speech-Language Pathologist offering voice and communication services for people along the gender spectrum.
Linda Walsh MHSc, SLP(C)
Mailing Address: Moncton, N.B. Private Practice
Telephone: 506-384-7156
Email: lindawalsh.slp@gmail.com
Saint John Area
Stel Raven (they/them), MSW, RSW
Telephone: 506-259-5522
info@stelraven.com
Services provided to adults.
Steven Butler – Licensed Counselling Therapist-Candidate (LCT-C)
Mailing Address: 117 Carleton St., Saint John, N.B.
Telephone: 506-497-6090
Email: stevenbutler@thebft.ca
Private practice clinician, WPATH trained, CPATH member, can provide letters of support for gender-affirming care along with other mental health support. Can support folks 15 years and older.
Sara Hayward, CCC LCT
Mailing Address: Family Plus Life Solutions Inc., 199 Chesley Dr., Saint John, N.B. E2K 1P6
Telephone: 506-634-8295
Email: saraccc@rogers.com
Sara Hayward, CCC LCT also works for the Child and Youth Team
Telephone: 506-650-3802
Email: sara.hayward@gnb.ca
Jaclyn Trecartin McAdam
Mailing Address: 89 Canterbury St., Suite 200; Saint John, N.B. E2L 2C7
Telephone: 506-647-3772
Email: jaclyn@trecartintherapy.com
Services provided to children, teens, adults and families.
Dr. John Dornan
Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, N.B. E2L 4L2
Telephone: 506-648-8167
Fax: 506-632-9656
As per New Brunswick Medicare, the following surgeries are covered for patients 18 years of age and older: hysterectomy and bilateral salpingo-oophorectomy. To attain coverage the Gender Confirming Surgery Prior Approval Request form must be completed by a mental health professional and accompanied by two referral letters from mental health professionals.
Dr. Suma Satya
Mailing Address: 122-555 Somerset St, Saint John, N.B. E2K 4X2
Telephone: 506-214-6581
Pediatricians accept new physician referrals for children and adolescents and typically require a letter of hormone readiness from a qualified mental health professional before prescribing hormone therapy. If there are any complicating factors (medical or psychiatric) the patient may be referred on to a subspecialist which could involve an additional wait time.
Dr. Marc Nicholson
Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, N.B. E2L 4L2
Telephone: 506-648-6814
Fax: 506-648-6573
As per New Brunswick Medicare, Mastectomy with chest masculinization is covered for patients 18 years of age and older. To attain coverage the Gender Confirming Surgery Prior Approval Request form must include one referral letter and be completed by a mental health professional. This form is then sent to the surgeon who will complete and submit the form to Medicare for approval.
Available surgeries that are not covered by Medicare include: Chest contouring, liposuction, pectoral implants, and breast augmentation.
Dr. Ian Maxwell
Mailing Address: Saint John Regional Hospital PO Box 2100 Saint John, N.B. E2L 4L2
Telephone: 506-653-2937
Fax: 506-653-2934
Dr. Janet Krantz
Mailing Address: Krantz Psychological Services, 199 Chesley Drive, Suite 207, Saint John, N.B. E2K 4S9
Telephone: 506-609-2352
Miramichi Area
Stel Raven (they/them), MSW, RSW
Telephone: 506-259-5522
info@stelraven.com
Services provided to adults.
Eve Arseneau, M.A.Ps., LPsych.
Region: Bathurst
Mailing Address: Mind at Peace Centre, 470 Murray Av., Bathurst, N.B. E2A 1T5
Telephone: 506-252-2976
Fax: 506-546-8594
Email: mpclme@gmail.com
Eve is a specialist in trans health. She is the co-founder of the Trans-Action support group which is a support group for families with a transgender child. Services are provided to children, adolescents, and adults. Bilingual services are available.
Natalie Arseneault, L.Psych.
Region: Campbellton
Mailing Address: Community Mental Health, 6 Arran St., Campbellton, N.B. E3N 1K4
Telephone: 506-789-2440
Email: natalie.arseneault@gnb.ca
Services provided to the adult population.
Natalie Mallet Boudreau, M.A.Ps., LPsych
Region: Bathurst
Mailing Address: Mind at Peace Centre, 470 Murray Av., Bathurst, N.B. E2A 1T5
Telephone: 506-252-2976
Fax: 506-546-8594
Email: mpclme@gmail.com
Lucie Sonier
Region: Tracadie-Sheila
Community Mental Health
3520 Rue Principale, Tracadie-Sheila, N.B., E1X 1C9
Telephone: 506-394-3764
Switchboard: 506-394-3760
Fax: 506-394-3770
Email: lucie.sonier@gnb.ca
Services are provided to child, adolescent and transgender adult populations. Bilingual services are available.
Upper River Valley Area
Martine Guignard
Mailing Address: 29 rue de l’Hôpital, Lamèque, N.B. E8T 1C5
Telephone: 506-344-3538
Fax: 506-344-3534
Stel Raven (they/them), MSW, RSW
Telephone: 506-259-5522
info@stelraven.com
Services provided to adults.
Claude Beaulieu, L.Psych.
Region: Edmundston
Mailing Address: Imagigo Wellness Centre, 45 Rue de l’Église Edmundston, N.B. E3V 1J4
Telephone: 506-223-0900
Email: info@imagigo.ca