View our Specialties We have more than 30 areas of practice, including Urgent Care. I specialize in LGBTQ populations, including trans, non gender-conforming, and poly populations. Gender expression is a passion of mine. I consider it an honor to be trusted by so many in this community. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. It gives adolescents time to explore their gender. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. Care for teens and children: The providers at our Doernbecher Gender Clinic locations offer years of experience treating gender-diverse young people. We work with community partners to provide advocacy, to shape policies and to train health care professionals. Learn more on our For Health Care Professionalspage. Bethany Blvd.Beaverton, OR 97006. OHSU clinics you may visit set their own charges, though. If you have any questions about our services before booking your appointment, please don't hesitate to email us at hello@braeswoodendo.sprucecare.com or call or text us at 832-592-0407. Onsite self-injection lessons for hormone injections. We offer treatment to patients of all ages with both pediatric and adult services. Suppressants taken later in puberty dont reverse changes but can stop new ones. Our medical system currently creates many barriers to gender-affirming care. Grand rounds for health care professionals:Join quarterly online sessionson issues generated by and important to the transgender and gender-diverse community. We can also provide you with follow-up materials and walk you through the process of how to change your name or gender-marker on other documents once you receive a judgment from the court changing your name or gender marker. I enjoy working with genderqueer, non-binary, gender-fluid, and gender-nonconforming folks and provide letters to support gender-affirming related care access. A stable life: Teens may have lived comfortably in their gender identity for a year or more. 2236 SE Belmont St Portland, OR 97214 TriMet Stop ID: 408 SE Belmont & 23rd Eastbound Prism Health is a center of excellence for comprehensive, compassionate and culturally affirming healthcare for everyone with the aim of addressing long-standing health disparities in the LGBTQ+ community and promoting equitable access to healthcare. LMFT. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information Gender-Affirming Healthcare Services at Maine Family Planning include: Hormonal transition therapy & monitoring for trans people 18 years old & over. Connect with us at one of our Portland-area locations. This means that all of our providers are able to provide gender-affirming care, so you can avoid having to see multiple providers to have all your care needs met. It can also cause adolescents to be taller or shorter than the norm for their gender identity. Our Gender Pathways Clinic is located in our Interstate Medical Office East on the third floor at 3550 N. Interstate Ave. To learn more or to schedule an appointment, call 503-249-6748 or toll free at 1-800-813-2000. I am deeply sensitive to the unrelenting challenges faced by those who have been assigned a gender that conflicts with their lived experience. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. In 2003, Dr. Meltzer became the first surgeon in Arizona to specialize in Gender Surgery when he moved to Scottsdale to expand his practice. I have extensive experience working with adolescents and adults experiencing gender dysphoria. As a queer non-binary therapist I have first hand, lived experience with gender issues. As a team, we provide evidence-based treatment, and we strive for excellence in our care of our patients. Lewis & Clark 615 S. Palatine Hill Road Portland, Oregon 97219 USA 503-768-7000. Opportunities to help advance our mission by becoming a volunteer or supporter. You'll find: Puberty specialists who treat hundreds of patients a year. We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. This allows a longer duration of an electrolysis session with greater clearance of hair. To schedule a medical appointment, please call503.535.3860and select option 1. Rates are: 15 minutes for $50, 30 minutes for $65, 45 minutes for $85 and 60 minutes for $135. External We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. See our. Estrogen therapy: There are few serious health concerns, but patients may be tested for high blood pressure, higher cholesterol levels and other risks. We believe that trying to change a persons gender identity is harmful. When a family member transitions, it can put a strain on family dynamics. The Meltzer Clinic contracts with Kaiser and have also worked successfully with BCBS, UHC, Aetna, Cigna and Harvard Pilgrim. Plastic and Reconstructive Surgery . Contact the Gender Pathways Clinic Fax: 1-833-730-5020 Kaiser Permanente has joined more than 50 major companies and organizations by signing a statement in support of transgender equality. If you dont see the number you need below, call OHSUs main number: 503-494-8311. Ideas of gender are forced upon us before we are even born. Patients need a referral, usually from their pediatrician, to be seen at one of our. Call 401-444-4712 to make an appointment. Phone: 503-413-1600 Resources for families Be well informed as you accompany your child on their path. 2023 Kaiser Foundation Health Plan of the Northwest, Estrogen and anti-androgen hormone therapy, Parents, Families, and Friends of Lesbians and Gays, Counseling for gender-affirming medical care, Hair removal (coverage varies depending on insurance plan), Speech therapy/gender-affirming communication therapy. Review treatment options, and their benefits and risks. Puberty specialists who treat hundreds of patients a year. My practice focuses on queer, trans and non-binary people, including youth ages 14+. Discuss your support network and access to mental health therapy. Schedule an Appointment Phone: 503-223-3113 MyChart Sign up for MyChart Learn more We do not believe all patients will benefit from the same services. LGBTQ HEALTHCARE SERVICES. I received training conducting evaluations within a multidisciplinary transgender health clinic. C, ontact Doernbecher Pediatric Endocrinology at, Our staff offers training in gender-affirming care to medical providers across the Northwest. Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. This is commonly age 10 or 11. My aim is to mitigate these barriers and pave the way for access to care. Trans man who transitioned when he was ELEVEN says denying young children treatment to change their gender is 'transgender genocide' - even as he admits his own double mastectomy at 15 was 'too . This state-of-the-art podiatry practice has a convenient location in the northeast neighborhood of Portland, Oregon. Prism Health | Belmont2236 SE Belmont StPortland, OR 97214, Contacte: info@prismhealth.orgp: 503.445.7699f: 503.802.0199, Primary Care Hours Monday Friday | 8:30 am 5:00 pm**For Holiday Closures, please visit capnw.org/calendar. I believe strongly that every person deserves to live healthy and full lives as their authentic selves. I am passionate about delivering gender affirming care at all stages of exploration and/or transition. You will learn about our program and have the opportunity to ask questions prior to a full program evaluation appointment. Pediatric Specialty Care The Gender Clinic Developmental Behavioral Pediatrics Endocrinology Diabetes Gastroenterology Genetics Infectious Disease Nephrology Pulmonary Medicine Contact Us Phone:207-662-5522 Toll Free: 866-860-6277 MaineHealth Maine Medical Partners Practices Pediatric Specialty Care Pediatric Specialty Care Most of my clients are transgender and/or non-binary. To improve accessibility for his patients in the Pacific Northwest, Dr. Meltzer partnered with Legacy Good Samaritan in 2019 to offer Gender Confirmation Surgery once again in Portland. One of the possible reasons an email can be . Sometimes gender identity is confused with gender expression. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Gender identity is a persons internal sense of gender, or what a person feels their gender is. It is a force than can be incredibly difficult to overcome and to stay attuned to oneself within. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. Start your transition now. Licensed Pharmacy Technician in the state of Oregon (or ability to obtain licensure within 30 days of employment) Full COVID-19 vaccination is an essential job function of this role. Testosterone: Testosterone is usually injected into muscles or just under the skin. Dr. Meltzer is a member of the American Society of Plastic and Reconstructive Surgeons, as well as the World Professional Association for Transgender Health. Our Mission Is to make gender-affirming healthcare, advice and education available to gender diverse people, and those who support them. We will talk with you about options, what to expect and possible risks. The City of Portland's benefit coverage supports gender affirming and culturally competent care for our plan participants. Meet our Doctors More than 100 doctors provide comprehensive, specialized care for you and your family. Some changes, such as to fertility or a deeper voice, may be permanent. What to expect: We usually do not prescribe medications during the first visit. As a nonbinary therapist, supporting folx in exploring their gender identity is some of the most rewarding work that I do. We're all struggling. We will: We will monitor your child throughout treatment. Hormone therapy doses how much and how often are typically different for teens than for adults. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. Over 10 years of experience working with trans and non-binary clients, providing transition related care and general life support beyond identity. We are happy to meet with you and your child before that, though. Facial Feminization Surgery: Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Implants, Lip Lift, Chin Recontouring, Jaw Recontouring, Tracheal Shave, Vaginoplasty Penile Inversion with Clitoroplasty, Labiaplasty, Top Surgery Double Incision with Nipple Grafts, Peri-Areolar, Phalloplasty: Groin Flap, RFF, Combined Groin + RFF, with Urethroplasty, Glansplasty, Penile Implant. See our. Better turn it on! As a transgender clinician, I have first-person understanding of the impact a person's identity can have on their lives and families. We follow the guidelines set forth by the World Professional Association of Transgender Health (WPATH) to offer care on an informed consent basis for those who are 15 and older, per Oregon law. If you need to reach a specific OHSU clinic to check on your referral, for example, or because youre running late for your appointment, please call the clinic directly. You will need to provide two referrals from qualified mental health professionals for genital procedures; one referral for other procedures unless otherwise specified by insurance. All adults, ages 15 and up (No guardian required)Ages 13 through 14 (with guardian), Outside In1132 SW 13th Ave, Portland, OR 97205. We look forward to partnering with you on your comprehensive health care needs. Working together so our communities are the healthiest in America. A mental health professional can help with these and other challenging aspects of gender dysphoria. gynecology, nutrition, diabetes, foot and ankle, gastroenterology, surgery, urology, neurology, rheumatology, clinical pharmacy, behavioral health, radiology, x-ray. I have worked in various roles alongside trans and non-binary people to provide therapy, advocacy, and documentation/letters for surgery. They also share findings through the Transgender Health Program Research Collaborative started by OHSU. It may match their sex assigned at birth, or may be different. I am a genderfluid and queer identified psychologist with lived experiences of being queer within multiple climates within the United States. 5702 North 19th Avenue, Phoenix Arizona, 85015. I am trained in LGBTQIA+ related concerns, and have been educated by past experiences working as a trans counselor with gender diverse clients and supervisors. Beware of drug interactions. And throughout it all, Dr. Meltzer treated me with the utmost competence, caring, dignity, respect and most of all kindness. I am an active member of World Professional Association for Transition Health (WPATH) and a former WPATH board member. Volunteering: Our volunteer opportunities offer you the chance to share your experience, help others, shape our program, and advance our mission. We confer monthly with other transgender health programs. As a queer person, it is important to me to create space in my practice to serve my community. . I have experience with working with young adults as well as adults who are questioning their gender, going through gender transition or those who simply need a safe and supportive space to talk about life as a trans, gender non-confirming person. I'm competent at helping clients with sexual and relational concerns (including non-monogamy, kink and BDSM) as well as gender identity and expression. I consider it a privilege to support clients in bridging this conflict to whatever extent they choose, from explorations of identity and experiences through social and medical transitions. Today, as Reed recovers from her own gender confirmation surgery, the map is spreading on social media again, now with 862 mapped locations and almost 1.8 million views. The Gender Identity Development Service (GIDS) is for children and young people, and their families, who experience difficulties in the development of their gender identity. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Outreach clinics: Call Doernbecher Pediatric Endocrinology at 503-494-3273 for information about care offered in other parts of Oregon and in southwest Washington. The OutList is an international directory that recognizes LGBTQ+ affirming providers who identify as affirming in the provision of care, treatment, and services of LGBTQ+ communities. offer staff training that includes culturally competent LGBTQ care. Find a Location Connect with us at one of our Portland-area locations. This is not to be confused with 4 treatments. I have attended several specialized trainings for working with gender identity issues before and during that time. APA Fact Sheet: Gender Diversity and Transgender Identity in Children, World Professional Association for Transgender Health (WPATH) Standards of Care, The Endocrine Society Clinical Practice Guideline: Gender Dysphoria/Gender Incongruence, Consultation with spiritual care (Chaplain), Ongoing consultation between mental health and medical providers (related to gender), Menstrual suppression (stopping unwanted periods), Puberty blockers (ways to stop puberty hormones), Gender affirming hormone therapy (estrogen or testosterone), Surgical consultation (mental health letter of referral), Ask your primary care provider (or your childs pediatrician) to make a referral to The Gender Clinic through the. Meltzer is so much more than an accomplished surgeon he is an artist. Our services for patients under 15 are limited for this reason. People with gender dysphoria are typically referred to as transsexual or transgender. Medicaid (Apple Health) and PacificSource are also accepted at the Portland location. I wanted to belong. Dr. Meltzer is widely recognized as one of the leading surgeons in the field of Gender Surgery, having completed over 4000 gender-affirming surgeries. We also recommend that patients and their families get mental health support throughout transition. The Portland Clinic Blog Health Matters Categories: #COMMUNITY #FITNESS #FOOD&NUTRITION #MEETYOURDOC #NEWS #YOUR HEALTH #YOUR HEALTH If it tingles, it's carpal tunnel, right? Possibly do a physical exam and blood test to assess the extent of puberty. The Gender Clinic at the Barbara Bush Children's Hospital in Maine says it is "dedicated to supporting the health and well-being of transgender, gender diverse and questioning youth across Northern New England. Staying on them and then taking gender-affirming hormones may permanently reduce your childs fertility, though. Dr. Toby Meltzer, MD is a plastic and reconstructive surgeon who has been performing Gender Reassignment Surgery since the early 90s. Non-binary describes people who do not identify (or do not exclusively identify) as male or female or man or woman. They may identify as no gender, as a gender other than male or female, or as We can answer questions and discuss: We recommend that your child see a specialist in treating puberty-related conditions, such as: Some treatments affect fertility. I wanted independence and stability. Gender expansive work, honoring all identities including trans folks, non-binary, gender non-conforming. The TransActive Gender Project at Lewis & Clark provides a holistic range of services and expertise to empower transgender and gender expansive children, youth, and their families in living healthy lives that are free of discrimination. My experience working with transgender individuals includes over 7 years of experience with over 100 individual and family clients. Hillsboro Medical Center Cardiology Clinic 7th Avenue Medical Plaza 333 SE 7th Ave., Suite 2500 Hillsboro, OR 97123 503-844-8280 . Together, we can ensure equal access to high-quality, individualized care for members of the LGBTQIA+ community and beyond. Our behavioral health providers offer culturally-affirming therapy designed to bring meaningful and lasting improvement to the lives of all people in our community. PLEASE NOTE: Due to the weather conditions last week, we are experiencing high call volumes. You don't have JavaScript turned on. Training: Our staff offers training in gender-affirming care to medical providers across the Northwest. As a co-conspiritor, I honor your process-- YOU are the expert on YOU! 2001-2022 Oregon Health & Science University. You will then be scheduled for a 1-hour telehealth orientation appointment. Typically, we see patients every three to four months. Community health workers and student nurses are available to address medical needs. Flu vaccines are available. Doernbecher Children's Hospital offers which provides advice for the "safe tucking" of a boy's genitals and links to a sex shop in Portland. OHSU is an equal opportunity affirmative action institution. Members apply to serve two-year terms. Transgender Health Program Community Advisory Board: This group is made up of transgender and gender-nonbinary people who have received program services or who represent served communities. Visit our. Often, in the flood of e-mail that we receive each week, something is invariably either lost or detained by our spam filters. Washington. Booking a Consultation Dr. Meltzer is available for in-person consultations in either Scottsdale or Portland for a fee of $100. . If you are a Kaiser Permanente Northwest provider, please refer transgender patients appropriate for Gender Pathways Clinic via Referral for Transgender Assessment. It prevents the development of sex traits that may be hard or impossible to reverse later. It typically causes an increase in muscle mass and strength, and prompts hair to grow on the face and body. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. Research into improving treatments and outcomes. Below are some resources available within our Moda and Kaiser plans. Dr. Nick Esmonde, MD, MPH is a plastic surgeon in Portland, Oregon who has extensive knowledge about Gender Affirmation Surgery and works almost exclusively with transgender and non-binary patients. Adolescent medicine doctors who specialize in the needs of teens. See our insurance page to learn more about payment options. 2023 Maine Medical Partners. These are usually replaced every one to two years if pubertal suppression continues. (480) 657-7006. 602-246-1966. You will also find gender-neutral restrooms across our campuses. Sex is often assigned at birth and is usually decided based on appearance of outside genitalia as male or female. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. He also accepts insurance. Maybe that feeling that something doesn't feel right with your gender has been knocking at your brain for awhile? Help the Transgender Health Program build access to inclusive, affirming health care. If you have come because your liberation is bound up with mine, then let us work together.~Lilla Watson. Some common signs of a gender dysphoria include cross-dressing, a feeling of being in the wrong body and a desire to live as a person of the opposite sex. Contact the OHSU Transgender Health Program at: Parking is free for patients and their visitors. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. He graduated from LSU Medical School in 1983 and completed his plastic surgery residency at the University of Michigan. 207.878.6170 Fax 207.878.6172. about. I have been working with clients with Gender Dysphoria for a decade. Regular doses can cause breasts to develop, and fat to form under the skin and in hips and thighs. Affirming and welcoming transgender care Legacy Health offers complete services for transition-related, primary, and specialty care in an affirming and welcoming environment. I provide affirming space to explore sexuality and gender identity and to process how that may be implicated in relationships with family, friends, intimate partner violence, and sexual trauma. Our transgender health services are offered as part of our primary care clinic, where all our providers are trained to write referrals for gender-affirming surgeries as well as manage gender-affirming hormones (GAH). The Doernbecher Gender Clinic works with the Pediatric Endocrine Society to develop research into improving treatment. Portland, OR 97239 : F : English : Ross Passo, M.D. The Transgender Health Program THP for short provides support, information and advocacy. You may be invited to take part in a patient registry to track the outcomes of our treatments, helping us improve care. Gender dysphoria emerged or worsened when puberty began. Whatever decisions you make about your health, we listen and provide support without judgment. I have experience working with transgender and gender non-conforming children, teens, and adults. You will also find gender-neutral restrooms across our campuses. Bridge City Family Medical Clinic's Founder, Teri Bunker (FNP), specializes in the care of the LGBT and other gender or sexual non-conforming individuals of all ages. He is also involved with the Human Rights Campaign (HRC), Phoenix Pride, Fenway Health Center and Harvard Medical. This study was from a gender clinic in Dallas, Texas. The staff took my concerns seriously, and took a holistic approach. more than one gender. Learn how to apply. Lesbian, gay, bisexual, and transgender, queer, and questioning (LGBTQ+) patients have historically been an underserved community with unique health . And his wonderful staff did likewise. Patient who had Vaginoplasty, Facial Feminization and Breast Augmentation. Delaying puberty too long may carry risks such as harm to bone density. I've spent years supporting my clients to come more deeply into their true expression. Dr. Meltzer will operate on minors with parental consent. Annual exams and screenings Fertility and family planning Pregnancy care Maternal-fetal medicine 2022 Cascade AIDS Project, Inc. All rights reserved. For example, several key staff members from The Meltzer Clinic are still based in Portland. Current wait list for a surgery date: 12 months. We appreciate your patience and will respond to you as soon as possible. We work with OHSU fertility and endocrinology specialists to offer fertility-preserving options for children and teens. 233(g)-(n). Changing lives. Outside In made me want to be around excellence. I work with families and individuals to explore the gender spectrum in support of exploration with who we are as unique human beings and how to navigate systems: society's idea of who we are (binary polarities) and other essential areas. When it comes to healthcare, LGBTQ+_ patients face many barriers, including concerns about confidentiality, fear of discrimination and negative attitudes toward treatment. We value input from patients, providers and community members. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. Housing at Outside In is so much more than a roof over your head. Gender Clinic The Northern Light Eastern Maine Medical Center is committed to caring for children, adolescents, and young adults with gender dysphoria, gender fluidity or those who are questioning. . Our specialists meet every month to pool their expertise on complex cases. We welcome concerns, success stories and anything else youd like to share. 7025 N. Scottsdale Road #302. We usually do not prescribe medications during the first visit. I have been honored to work with individuals on their journey in living their truth and feeling safe to do so. Transgender community resources: Regional: Basic Rights Oregon OHSU Transgender Health Program Northwest Gender Alliance National: WPATH Transgender Law Center We may recommend gender-affirming surgery for patients having difficulty with basic activities such as school, work or sports. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. I have experience providing assessments and letters of support for gender-affirming medical care. Located on Powell Blvd in Portland, OR. Rising anxiety: 8 ways to reclaim your calm. They may want to begin their transition as soon as possible. Insurance Coverage for Gender Care. Fertility: Suppressants should not affect your childs ability to have children. Medical Clinic Downtown Portland Clinic 1132 SW 13th Ave Portland, OR 97205 East Portland Clinic 16144 E. Burnside St. Portland, OR 97233 Schedule Appointment or Get Help: 503.535.3860 Fax: 503.535.3868 Se habla espaol Young Adult Support 1132 SW 13th Ave Portland, OR 97205 General Inquiries: 503.535.3800 Fax: 503.223.6837 Se habla espaol If a patient is already working with a therapist, we will talk with that therapist about treatment. We understand that the gender journey of every patient is unique, and we are here to help. For New Patients. I honestly cant say enough good things about Dr. Meltzer and his staff! Patient. I also worked on a project with 29 brave individuals honoring their journey in gender expression. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. We also provide treatment into young adulthood for some patients, and we help them move into adult care. The THP and OHSUs Center for Diversity and Inclusion offer staff training that includes culturally competent LGBTQ care. Bone-building exercises and taking calcium and vitamin D can help. WPATH-informed. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. Its really nice to have a doctor who makes house calls when one is recovering from surgery. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. We consider timing, especially for teens seeking surgery before leaving for college. Whether you're exploring your gender identity for the first time, need support coming out, or looking for referrals for gender affirming medical care, I can help! This helps us offer services that match your needs.