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 hormones 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 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/ 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. 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 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 About Us 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 Licensed Counselling Therapists 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. Nadrina Whatley, LCT, CCC Mailing Address: PO Box 101, Moncton, NB E1C 8R9 Telephone: (506) 382-0298 Email: info@atlanticwellness.org Home Zivi Richard (they/them), MSW, RSW Telephone: 506-712-0907 Fax: 506-990-3055 www.ZiviRichard.com 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. 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 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 Mark Vickers, MA, LPsych Telephone: (506) 847-7792 Email: info@kvpsychology.ca Mark Vickers 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: 506-648-6573 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. 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 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: 506-394-3764 Fax: 506-394-3770 Email: lucie.sonier@gnb.ca Services are provided to child, adolescent and transgender adult populations. 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. 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