Specialized care for people who identify as a sexual or gender minority (2SLGBTQIA+) List of services provided by Horizon and Vitalité Health Networks and our health partners 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. Gender Affirming Care At Horizon Health Network, we value gender and sexual diversity. We strive to provide a safe and welcoming health care experience to everyone accessing our services, no matter their sexual orientation or gender identity. The 2SLGBTQI+ acronym stands for two-spirit, lesbian, gay, bisexual, transgender, queer, and intersex. The plus sign indicates there are many more identities along the spectrums of sexual orientation, biological sex, gender identity, and gender expression. Our team members work with patients, clients, families, and each other to create an inclusive environment where people can access the care that they need to be their most authentic selves, however they identify. This webpage serves as a central location for information about gender affirming care services available within Horizon Health Network and provides links to several other important sources of information outside of Horizon regarding access to gender affirming care for New Brunswickers. We welcome your feedback. If you have concerns or compliments about your care or the information presented on this page, please contact our Patient Representative Services. What is Gender Affirming Care? Gender affirmation is the process of changing aspects of one’s gender expression (external characteristics) to align with their gender identity (internal experience). There are many possible actions that a person may take to affirm their gender identity. Some of these actions require the assistance of a health care provider and fall under the umbrella of gender affirming care. Listed below are some common actions that a person may take to affirm their gender identity, and information on how to access these in New Brunswick. Each person has a different path to becoming their most authentic self that may or may not involve the below items, and all paths are equally valid: Gender Affirming Care for Youth Gender affirming care for youth is provided by health care professionals with specialized training in developmental processes, puberty and physical development, evolving identity exploration, legal and social transition challenges, parental and caregiver involvement, and the impact of peer, school, and community environments. If you are seeking care for your child or adolescent, you or the youth can self-refer to the Integrated Service Delivery (ISD) Child and Youth Team within Horizon Health Network, Child and Youth Addiction and Mental Health Services within Vitalité Health Network, or a specialized mental health professional in your area. Additionally, you can also seek a referral to a pediatrician through your primary care provider. For more information about specific providers, see the list of providers below. For more information about gender affirming care for youth, see Gender Creative Kids or BC Children’s Hospital – Gender Resources. Social Affirmations Social affirmations include changes that a person can make on their own to alter the way their gender is perceived by themselves and others. These can be done without the assistance of a health care provider, however it may be helpful to have a provider’s support through these changes. Some social affirmations may include changes to: Name (informally) and/or pronouns Clothing/accessories Hairstyle/makeup Body/facial hair (ex: removal by laser or electrolysis) Bathroom/dressing room type Use of gender gear (ex: binder, packer, padding, gaff, etc.) Take care to use gender gear safely to reduce the risk of injury. For more information on safer use of gender gear, see Binding, packing, tucking & padding | Trans Care BC Legal Affirmations Legal affirmations involve changes that a person can make to their legal name and/or gender marker through the provincial and/or federal government. A health care provider does not need to be involved for legal name changes; however, a form is required to be completed by a health care provider for provincial gender marker changes in New Brunswick. If it is not possible to have this form completed by a health care provider, there is a section of the form where a person can request an exemption to this requirement. There are 3 options for gender markers on government documents in Canada: F, M, or X. A summary of the steps necessary to make these changes is listed below. More information can be found on the Chroma NB website: Legal transition: a visual how-to guide to changing your legal name or sex designation in New Brunswick – Chroma NB Step 1: Change Provincial Documents Provincial documents include driver’s license or photo identification card, Medicare card, birth certificate, etc. For residents of New Brunswick: Gender marker change: Change of Sex Designation (snb.ca) – a form from a professional is required (such as a physician, psychologist, nurse practitioner, registered nurse, or social worker) although a request can be made on the form to be exempt from this requirement Legal name change: Change of Name (gnb.ca) – documentation from a health care provider is not required, but it may be helpful to have an advocacy document written by a health care provider and signed by a notary. For people born outside of New Brunswick: Birth certificate changes must be done through the vital statistics agency where the person was born. If born elsewhere in Canada: Member organizations (statcan.gc.ca) If born outside of Canada, please contact the appropriate local vital statistics agency Step 2: Change Federal Documents Updated provincial documents can be used for changes to federal documents through Service Canada (ex: SIN, passport, CRA account, etc.) Helpful links: Social Insurance Number: Receiving and updating your SIN – Canada.ca Choose or update the gender identifier on your passport or travel document – Canada.ca Changing the name on your passport or travel document – Canada.ca Update your CRA information: Change your name – Canada.ca Step 3: Update Elsewhere Consider updating name/gender marker in other settings such as: Workplace/school Health care providers’ offices Banks/financial institutions Elections Canada Health insurance or extended health benefits Legal documents (ex: will, estate, power of attorney, etc.) Medical Affirmations Medical affirmations involve non-surgical changes that are made with the assistance of a health care provider and may include gender affirming psychotherapy, voice therapy, reproductive care, and hormone therapy. Gender affirming psychotherapy, offered by some mental health professionals both within and outside of Horizon Health Network, can be helpful in supporting a person through exploring their gender identity and the changes they may wish to make along their gender journey. Gender affirming voice therapy, offered by some speech language pathologists both within and outside of Horizon, can be helpful in assisting a person to change their voice and speech patterns to be more aligned with their gender. Services from Horizon-based providers are covered by Medicare, but services outside of Horizon are not (however they may be covered by a person’s private health insurance). Gender affirming reproductive care is still an actively evolving field and there are currently no fertility clinics within Horizon Health Network. At this time the sole fertility clinic in New Brunswick is Conceptia located in Moncton, however there is also Atlantic Assisted Reproductive Technologies (AART) in Halifax. A referral from a physician or nurse practitioner is required to access services at either of these clinics. Services may include fertility preservation by retrieving and storing eggs or sperm for future use and/or assistance with family building. Family building can take many different forms and may include connection with donor egg/sperm, a gestational carrier, or assisted reproductive technologies (ex: in utero insemination (IUI), in vitro fertilization (IVF), ovulation induction, etc.). Fertility treatments are not covered by New Brunswick Medicare, but patients can apply for a one-time grant of up to $5,000 to assist with covering the cost of treatment. Gender affirming hormone therapy (GAHT) can be accessed through some primary care providers, some of whom require a referral from another health care provider and/or a hormone readiness assessment letter from a mental health professional. A gender-affirming hormone assessment letter, following WPATH Standards of Care (SOC) 8, is a document written by a qualified health care provider to support a transgender or gender-diverse individual’s access to gender affirming medical treatment. It typically includes the client’s identifying characteristics, results of a biopsychosocial assessment with any diagnoses, the provider’s relationship with the client and history of evaluation or treatment, confirmation that surgical criteria have been met with a clinical rationale, a statement of informed consent, and an offer for care coordination. GAHT can also be accessed through some pediatricians and endocrinologists, however they usually have longer wait times than primary care providers, require a referral from a physician or nurse practitioner, and may also require a hormone readiness assessment letter from a mental health professional. If a person seeking GAHT already has a mental health provider, they can ask if this person is able to provide a letter for them. Alternatively, they can contact someone from the list below which also provides details on referral requirements for Horizon-based GAHT providers. All Horizon-based physician and nurse practitioner services are covered by Medicare; services accessed outside of Horizon to obtain a readiness letter are typically not covered by Medicare and require out of pocket payment or payment via private insurance (if covered). There are usually two parts to the fee charged for the letter: one for the consultation session, and one to compose the letter. This is dependent on the individual provider’s practice and people are encouraged to communicate about this with their provider before the initial consultation takes place. Feminizing GAHT: usually involves two medications; one for testosterone suppression and one for estrogen supplementation Testosterone suppression: in Canada this is usually an oral medication such as spironolactone or cyproterone Estrogen supplementation: can be oral, topical, or injectable estrogen For an introduction to feminizing GAHT: Estrogen-based hormones | Trans Care BC For more information on feminizing GAHT: Primary Health Care for Trans Patients: Feminizing Hormone Therapy | Rainbow Health Ontario Masculinizing GAHT: involves one medication for testosterone supplementation Testosterone supplementation: in Canada this can be topical or injectable testosterone For an introduction to masculinizing GAHT: Testosterone-based hormones | Trans Care BC For more information on masculinizing GAHT: Primary Health Care for Trans Patients: Masculinizing Hormone Therapy | Rainbow Health Ontario Surgical Affirmations Surgical affirmations include a variety of possible surgical changes that are done with the assistance of several health care providers. To access gender affirming surgery that is covered by New Brunswick Medicare, a referral to a surgeon from a physician, nurse practitioner, or mental health provider with training in gender affirming care, as well as the completion of the Medicare Prior Approval Form is required. For chest surgery, one referral letter is required. For genital surgery, two referral letters are required. A requirement for all surgeries is that the person has access to post-operative follow-up care through a primary care provider or surgeon. There are many gender affirming surgical procedures available globally, however only some of these are currently covered by New Brunswick Medicare as indicated below. Some private health insurance companies may offer coverage of some costs associated with gender affirming surgery, and people are encouraged to reach out to their insurance provider to check what coverage they may have and the criteria to be eligible for this coverage. Gender affirming surgeries currently available within New Brunswick include mastectomy (removal of breast tissue) with or without chest contouring, hysterectomy (removal of the uterus) with or without salpingo-oophorectomy (removal of fallopian tubes and ovaries), and orchiectomy (removal of testes). Other genital surgeries covered by New Brunswick Medicare are performed at GRS Montreal, but the individual is responsible for their own travel costs. Feminizing surgeries: Covered by NB Medicare: orchiectomy, penectomy, vulvoplasty, vaginoplasty Not covered by NB Medicare: breast construction/augmentation, facial surgery, tracheal shave, voice surgery, liposuction/lipofilling Masculinizing surgeries: Covered by NB Medicare: mastectomy (chest contouring coverage depends on surgeon), hysterectomy (with or without salpingo-oophorectomy), clitoral release, urethra construction, metoidioplasty, phalloplasty, penile and/or testicular implants Not covered by NB Medicare: pectoral augmentation, liposuction/lipofilling 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 Integrated Service Delivery (ISD) Child and Youth Teams /Addiction and Mental Health Services 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 Mental Health Professionals Licensed Counselling Therapists Social Workers Psychologists Primary Care Providers Nurse Practitioners Pediatricians Endocrinologists Gynecologists Urologists Speech Language Pathologists Mental health professionals offer psychotherapy to address gender dysphoria, minority stress, and coexisting mental health concerns, while also helping clients navigate social and medical transition. Additionally, they can provide WPATH-compliant referral letters for gender-affirming medical interventions, such as hormone therapy and surgeries, when required by health care providers or Medicare. Nathan Thompson, MEd, LCT, CCC (he/him) Block House Counselling and Psychotherapy Telephone: 506-459-0225 Email: nathan@blockhousecounselling.ca https://blockhousecounselling.ca/ Monica Smyth, B.Ed, MA, LCT, CCC (she/her) Comfort Counselling & Wellness Mailing Address: 564 Prospect St, Fredericton NB, E3B 6G9 Telephone: 506-450-0016 Fax: 506-450-1174 https://www.comfortcounsellingnb.com/ Cassidy Wilson, MEd, CCC, LCT-C (she/her) Blue Spruce Counselling & Consulting Email: cassidy@bluesprucecounselling.com Telephone: 506-260-0116 https://bluesprucecounselling.com/ Kris Kelsey, MA, LCT-C, CCC (she/they) Comfort Counselling and Wellness Email: kris@comfortcounsellingnb.com Telephone: 506-450-0016 Fax: 506-450-1174 https://www.comfortcounsellingnb.com/ Coralie Curtis, MA, LCT-C (she/her) Hale Psychological Services (The Hale Centre) Email: coralie@halepsych.com Telephone: 506-206-9299 https://halepsych.weebly.com/ Jen Nickerson, MEd, CCC, LCT-C, CPAT (she/her) Apricity Wellness Email: Jen@apricitywellness.ca https://www.apricitywellness.ca/ Coralie Curtis Honeybeam Therapy Email: info@honeybeam.ca Phone: 506-304-0801 https://www.honeybeam.ca/ Shane Clark, MSW, RSW (they/them) Rebel Heart Counselling Email: office@rebelheartcounselling.com www.rebelheartcounselling.com Lynsey Wilson Norrad, MSW, RSW (she/her) Bridge to Wellness Counselling and Consulting Ltd. Email: connect@bridgetowellness.info Telephone: 506-450-5125 https://www.bridgetowellness.info/ Christina Wurm, MSW, RSW (she/her) Bridge to Wellness Counselling and Consulting Ltd Email: cwurm.rsw@gmail.com https://www.bridgetowellness.info/ Marilia Paulon, MSW, RSW (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 https://www.familyenrichment.ca/ Craig Shaw, MSW, RSW (he/him) Email: craigshawcounselling@gmail.com Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 Email: info@stelraven.com Virtual Practice Services provided to adults. Amy Otteson, MA, LPsych Telephone: 506-471-3621 Email: amy@ottesonpsych.com http://www.ottesonpsych.com/ Dr. Justine MacLean Legge, PhD, LPsych Email: dr.justineml@gmail.com http://www.ottesonpsych.com/ Elizabeth Gaudet, MEd, LPsych Email: elizabeth@ottesonpsych.com http://www.ottesonpsych.com/ Primary care providers (physicians and nurse practitioners) play a vital role in gender-affirming care by initiating and managing hormone therapy, conducting routine health screenings, and addressing overall health needs in an inclusive manner. Physicians: 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. 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.) 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 Accepts referrals for adults from health care providers. Please fax referral. Trina Cluney, MN, NP Telephone: 506-476-4625 Fax: 506-452-5793 Accepts referrals for adults from any health care provider. Please fax referral. If patients do not have a health care provider, they can self-refer by calling Under One Sky (506-458-9269), as long as they are already established on GAHT (i.e., lost their prescriber) or have a referral letter from a mental health professional/primary care provider trained in WPATH SOC 8. Keltie Keir, MN, NP http://www.unpolishedwellness.ca/ Accepts referrals for adults. Please note, this service is not currently covered by Medicare or third-party insurance providers. 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. Dr. Rachel Ouellette Telephone: 506-206-5999 Fax: 506-206-5955 Dr. Lyndsay Russell Telephone: 506-447-4445 Fax: 506-447-4494 Dr. Trinda Hayden Telephone: 506-443-2606 Fax: 506-443-2683 Dr. Alanna Ward Telephone: 506-450-7495 Fax: 506-450-7493 Endocrinologists are specialist physicians who diagnose and treat hormone-related conditions. They can provide expertise in hormone therapy, particularly for patients with complex medical histories, such as those with significant metabolic, cardiovascular, or endocrine disorders. However, for most transgender and gender-diverse individuals, primary care physicians or nurse practitioners can safely initiate and manage gender-affirming hormone therapy. Endocrinology referrals are typically reserved for cases requiring specialized assessment or management due to medical complications. Dr. Jaclyn Ferris Mailing Address: 1015 Regent St. Suite 206, Fredericton, N.B. E3B 6H5 Telephone: 506-447-4485 Fax: 506-447-4420 The following gynecological 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 and accompanied by a referral letter from an approved mental health professional. 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 https://capitalobgyn.ca/ Orchiectomy is covered for patients 18 years of age and older. To attain coverage, the Gender Confirming Surgery Prior Approval Request Form must be completed and accompanied by a referral letter from an approved mental health provider. Urologists can also provide post-operative care to patients who have undergone phalloplasty or metoidioplasty. Dr. Jill Hudson Mailing Address: Dr. Everett Chalmers Regional Hospital, 700 Priestman St., Fredericton, N.B. E3B 5N5 Telephone: 506-459-6601 Speech-language pathologists (SLPs) can help transgender and non-binary individuals modify their voice and communication patterns to align with their gender identity. This can include pitch modification, resonance adjustments, speech rhythm, and nonverbal communication to ensure safety, vocal health, and authenticity. SLPs also provide support for voice dysphoria, offering strategies to build confidence and reduce vocal strain while fostering a voice that feels affirming and sustainable. Therapeutic Services at the Doctor Everett Chalmers Hospital Telephone: 1-833-928-2070 Patients can self-refer. Moncton Area Mental Health Professionals Social Workers Psychologists Primary Care Providers Physicians Pediatricians Endocrinologists Gynecologists Plastic Surgeons Speech Language Pathologists Mental health professionals offer psychotherapy to address gender dysphoria, minority stress, and coexisting mental health concerns, while also helping clients navigate social and medical transition. Additionally, they can provide WPATH-compliant referral letters for gender-affirming medical interventions, such as hormone therapy and surgeries, when required by health care providers or Medicare. Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 Email: info@stelraven.com Virtual Practice Services provided to adults. Dr. Joanne Brideau-Hachey Telephone: 506-857-0354 Email: dr.joanne.brideauhachey@gmail.com Services provided to adults. 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 Université de Moncton students. Sophie LeBlanc Roy, L.Psych. also has a private practice: 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. Primary care providers (physicians and nurse practitioners) play a vital role in gender-affirming care by initiating and managing hormone therapy, conducting routine health screenings, and addressing overall health needs in an inclusive manner. Dr. Sara Thomas MD, CCFP Location: Tantramar Primary Health Care Clinic Please send referrals to: North End Wellness Centre, 223 Victoria St., Saint John, NB, E2K 1L9 Phone: 506-649-2704 Fax: 506-649-2761 Please specify the preferred location as Sackville. Patients can self-refer or be referred by any health care provider. 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. Dr. Marc Nicholson Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, N.B. E2L 4L2 Telephone: 506-648-6814 Fax: 506-648-6790 Endocrinologists are specialist physicians who diagnose and treat hormone-related conditions. They can provide expertise in hormone therapy, particularly for patients with complex medical histories, such as those with significant metabolic, cardiovascular, or endocrine disorders. However, for most transgender and gender-diverse individuals, primary care physicians or nurse practitioners can safely initiate and manage gender-affirming hormone therapy. Endocrinology referrals are typically reserved for cases requiring specialized assessment or management due to medical complications. 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 The following gynecological 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 and accompanied by a referral letter from an approved mental health professional. Dr. Jeanne Bernardin 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). Mastectomy with chest masculinization surgery is covered for patients 18 years of age and older. To attain coverage, the Gender Confirming Surgery Prior Approval Request Form must be completed and accompanied by a referral letter from an approved mental health professional. Can be referred from primary care provider or qualified mental health professional. Available surgeries that are not currently 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 Speech-language pathologists (SLPs) can help transgender and non-binary individuals modify their voice and communication patterns to align with their gender identity. This can include pitch modification, resonance adjustments, speech rhythm, and nonverbal communication to ensure safety, vocal health, and authenticity. SLPs also provide support for voice dysphoria, offering strategies to build confidence and reduce vocal strain while fostering a voice that feels affirming and sustainable. 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) Telephone: 506-384-7156 Email: lindawalsh.slp@gmail.com Therapeutic Services at the Moncton Hospital Telephone: 1-833-944-0860 Patients can self-refer. Saint John Area Mental Health Professionals Licensed Counselling Therapists Social Workers Physiotherapist Psychologists Primary Care Providers Physicians Pediatricians Endocrinologists Gynecologists Plastic Surgeons Speech Language Pathologists Mental health professionals offer psychotherapy to address gender dysphoria, minority stress, and coexisting mental health concerns, while also helping clients navigate social and medical transition. Additionally, they can provide WPATH-compliant referral letters for gender-affirming medical interventions, such as hormone therapy and surgeries, when required by health care providers or Medicare. Steven Butler, MEd, LCT, CCC Mailing Address: 117 Carleton St., Saint John, N.B. Telephone: 506-497-6090 Email: stevenbutler@thebft.ca https://www.thebft.ca/ Can support folks 18 years and older. Sara Hayward, MEd, LCT, CCC Mailing Address: Family Plus Life Solutions Inc., 199 Chesley Dr., Saint John, N.B. E2K 1P6 Telephone: 506-634-8295 Email: saraccc@rogers.com Works with children, adolescents, families, and adults. https://www.familyplus.ca/sara-hayward Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Virtual Practice Services provided to adults. Ricky McIntyre, MSW, RSW Mailing Address: 89 Canterbury Street, Suite 200, Saint John, NB E2L 2C7 Telephone: (506) 700-2540 https://www.lauragatien.com/meet-ricky Vanessa MacDonald Physiotherapist, Pelvic Health Telephone: 506-847-2037 70B, Hampton, Rothesay, NB Mark Vickers, MA, LPsych Telephone: (506) 847-7792 Email: markvickerspsychology@gmail.com Primary care providers (physicians and nurse practitioners) play a vital role in gender-affirming care by initiating and managing hormone therapy, conducting routine health screenings, and addressing overall health needs in an inclusive manner. Dr. Sara Thomas MD, CCFP Mailing address: North End Wellness Centre, 223 Victoria St., Saint John, NB, E2K 1L9 Phone: 506-649-2704 Fax: 506-649-2761 Patients can self refer or be referred by any health care provider. 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. Dr. Marc Nicholson Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, N.B. E2L 4L2 Telephone: 506-648-6814 Fax: 506-648-6790 Endocrinologists are specialist physicians who diagnose and treat hormone-related conditions. They can provide expertise in hormone therapy, particularly for patients with complex medical histories, such as those with significant metabolic, cardiovascular, or endocrine disorders. However, for most transgender and gender-diverse individuals, primary care physicians or nurse practitioners can safely initiate and manage gender-affirming hormone therapy. Endocrinology referrals are typically reserved for cases requiring specialized assessment or management due to medical complications. The following gynecological 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 and accompanied by a referral letter from an approved mental health professional. Dr. Suma Satya Mailing Address: 122-555 Somerset St, Saint John, N.B. E2K 4X2 Telephone: 506-214-6581 Mastectomy with chest masculinization surgery is covered for patients 18 years of age and older. To attain coverage, the Gender Confirming Surgery Prior Approval Request Form must be completed and accompanied by a referral letter from an approved mental health professional. Available surgeries that are not currently 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 Requires referral from primary care provider. Speech-language pathologists (SLPs) can help transgender and non-binary individuals modify their voice and communication patterns to align with their gender identity. This can include pitch modification, resonance adjustments, speech rhythm, and nonverbal communication to ensure safety, vocal health, and authenticity. SLPs also provide support for voice dysphoria, offering strategies to build confidence and reduce vocal strain while fostering a voice that feels affirming and sustainable. Therapeutic Services at the Saint John Regional Hospital Telephone: 1-506-648-6255 Patients can self-refer. Northern NB and the Acadian Peninsula Mental Health Professionals Social Workers Psychologists Pediatricians Primary Care Providers Nurse Practitioners Endocrinologists Speech Language Pathologists Mental health professionals offer psychotherapy to address gender dysphoria, minority stress, and coexisting mental health concerns, while also helping clients navigate social and medical transition. Additionally, they can provide WPATH-compliant referral letters for gender-affirming medical interventions, such as hormone therapy and surgeries, when required by health care providers or Medicare. Denis Jonatan Dubé Kedgwick, N.B. 506-526-0109 Stel Raven (they/them), MSW, RSW Telephone: 506-259-5522 info@stelraven.com Virtual Practice Services provided to adults. Eve Arseneau, M.A.Ps., LPsych. 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 https://www.centremieux-etre.ca/ Services are provided to children, adolescents, and adults. Bilingual services are available. Natalie Mallet Boudreau, M.A.Ps., LPsych 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 https://www.centremieux-etre.ca/en Natalie Arseneault, L.Psych. 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. Lucie Sonier, L.Psych. Mailing Address: 3520 Rue Principale, Tracadie-Sheila, N.B., E1X 1C9 Telephone: 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. 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. Dr. Marc Nicholson Mailing Address: Saint John Regional Hospital, PO Box 2100, Saint John, N.B. E2L 4L2 Telephone: 506-648-6814 Fax: 506-648-6790 Primary care providers (physicians and nurse practitioners) play a vital role in gender-affirming care by initiating and managing hormone therapy, conducting routine health screenings, and addressing overall health needs in an inclusive manner. Martine Guignard Mailing Address: 29 rue de l’Hôpital, Lamèque, N.B. E8T 1C5 Telephone: 506-344-3538 Fax: 506-344-3534 Endocrinologists are specialist physicians who diagnose and treat hormone-related conditions. They can provide expertise in hormone therapy, particularly for patients with complex medical histories, such as those with significant metabolic, cardiovascular, or endocrine disorders. However, for most transgender and gender-diverse individuals, primary care physicians or nurse practitioners can safely initiate and manage gender-affirming hormone therapy. Endocrinology referrals are typically reserved for cases requiring specialized assessment or management due to medical complications. Dr. Jean-Luc Dupuis (Adult only 16+) Mailing Address: 325, Boul. Vanier, Suite 3, Bathurst, N.B. E2A 3N1 Fax: 506-350-3040 Dr. Oscar Diaz (Adult only) Mailing Address: 3 Stanley Street, Campbellton, N.B. E3N 1G7 Telephone: 506-789-5417 Fax: 506-789-6830 Patients must be referred by a physician or NP, and the consultation must include a referral letter from a WPATH trained mental health professional. Speech-language pathologists (SLPs) can transgender and non-binary individuals modify their voice and communication patterns to align with their gender identity. This can include pitch modification, resonance adjustments, speech rhythm, and nonverbal communication to ensure safety, vocal health, and authenticity. SLPs also provide support for voice dysphoria, offering strategies to build confidence and reduce vocal strain while fostering a voice that feels affirming and sustainable. Clinique Collabor’Action Stéphanie Maillet, Speech-language pathologist Telephone: 506-588-2970 or 506-547-5698 Virtually throughout New-Brunswick & Nova Scotia or in person in the Chaleur region stephanie.maillet@cliniquecollaboraction.ca