Gender identity consultation flow chart

Gender identity consultation flow chart (PDF version)

Text only version

Flow 1: UHS Primary care, hormone initiation

1. Gender identity visit
2. Is letter of referral available?
   1. Yes, letter of referral is available
      1. Letter from UHS MH services?
         1. Yes, letter from UHS MH services
            1. See letter in UHS Chart
            2. Are hormones appropriate?
               1. Yes, hormones appropriate
                  1. Prescribe hormones
               2. No, hormones not appropriate
                  1. Answer questions, refer to MH as needed
         2. No, no letter from UHS MH services
            1. Request letter from existing provider
   2. No, no letter of referral is available
      1. Existing MH provider in community?
         1. Yes, existing MH provider in community
            1. Request letter from existing provider
         2. No, no existing MH provider
            1. Refer to Mental Health Services

Flow 2: UHS Primary care, hormone continuation

1. Gender identity visit
   1. Is letter of referral or equivalent available?
      1. Yes, letter is available
         1. Request records from prescriber, original letter of referral if possible
         2. Are hormones appropriate?
            1. Yes, hormones are appropriate
               1. Prescribe hormones
            2. No, hormones are not appropriate
               1. Answer questions, refer to resources as needed
      2. No, letter is not available
         1. Refer to Mental Health Services

Developed by Bonnie M. Benson, PhD; Rebecca L. Byers, MD; Gabriel C. Javier, MA; for use at University Health Services, University of Wisconsin-Madison, 2014. Revised 9/2015