Resource Library

The RPT resource library is divided into three sections, clinical resources, community resources and organizational inclusion resources.

Community Member & Family Resources

Self-Advocacy Resources for Trans People  
  • Support and Education for Trans Youth (SAEFTY) developed a short zine to support trans youth in better understanding their rights, healthcare needs and opportunities for self-advocacy.
  • Trans Care BC has created a self-advocacy tipsheet to support trans and gender diverse people to advocate for themselves within healthcare contexts.
  • How can I start a conversation with my existing primary care provider about trans health care?
Supporting Parents and Families of Trans and Gender Creative Children
  • Parents and families play an important role in supporting their trans and gender diverse children, youth and family members. The Families in Transition guide, created by Central Toronto Youth Services (CTYS) is a phenomenal resource for families and caregivers looking to learn more about trans people and how to support their trans loved ones.
  • For a list of books and resources for parents of trans and gender diverse children and youth, including books to support their own learning journey, and books to share with their children, youth and families, Trans Care BC’s resource list is available.

Organizational Trans Inclusion

Organizational Assessment Tool

Trans Care BC created an organizational assessment tool. Through this assessment, organizations can review their current capacity to serve and support trans communities, and identify viable next steps to improve trans inclusivity.

An Implementation-Based Approach to Trans Inclusion

Wisdom2Action and the Canadian Public Health Association created a brief guide to support organizations in the development and implementation of trans inclusion within health and social services. The guide provides a flexible process that organizations can use to inform their approach to trans inclusion.

Creating More Trans Inclusive and Welcoming Care Environments

Creating inviting and trans inclusive clinic and care environments is an important way to model inclusivity and demonstrate your commitment to trans inclusion. Wisdom2Action and the Canadian Public Health Association created a guide on creating an inclusive care environment.

Clinical Resources

Understanding Transition-Related Surgeries

RHO Transition-Related Surgery Fact Sheets

Intended for use by primary care providers, these summary sheets about transition-related surgeries (TRS) provide information to facilitate discussion of TRS between primary care providers and patients.

Please note that they are not exhaustive and do not replace the informed consent process between surgeon and patient.

The Surgery Fact Sheets cover key information on the following procedures:

  • Breast augmentation
  • Chest reconstruction
  • Clitoral release
  • Hysterectomy
  • Metoidioplasty
  • Orchiectomy
  • Phalloplasty
  • Vaginoplasty

The Ministry of Health and Long-Term Care Request for Prior Approval for Funding of Sex-Reassignment Surgery form, which must be completed by a primary care provider (nurse practitioner or physician) following Transition-Related Surgery planning visits.

Understanding Hormone Replacement Therapy

Rainbow Health Ontario has guidelines for gender-affirming primary care with trans and non-binary patients includes pertinent information for primary care providers on feminizing and masculinizing hormones, assessing hormone readiness and monitoring dosage.

For more detailed information about hormone replacement therapy, view the full Guidelines and Protocol for Hormone Therapy and Primary Health Care for Trans Clients here.

For a detailed walk through of key information and steps to beginning a client on hormone replacement therapy, you can access the RHO guide to caring for trans and gender diverse patients here.

Hormone-Related Checklists for Patient Review

Patient-ready overview documents on the expected risks and benefits of feminizing or masculinizing hormone replacement therapy, created by Rainbow Health Ontario, can be accessed below: 

Supporting Gender Marker Changes

For a Template Letter in Support of an Application For Change of Sex Designation on an Ontario Birth Registration, click here.

For a Template Letter in Support of an Application For Change of Sex Designation on an Ontario Driver’s License, click here.

Financial Support Letters and Forms

For a Sample Support Letter for Trans Patients Applying for EI Through the Just Cause Mechanism, click here.

For patients covered by ODB, a Sample Request for an Unlisted Drug Product, Testosterone Enanthate (Delatestryl) can be found here.*

For patients covered by ODB, a Sample Request for an Unlisted Drug Product, Testosteron Cypionate (Depo-Testosterone) can be found here. *

*It is recommended to submit both of these requests to the Exceptional Access Program so that delays in access do not result when one formulation is on backorder or not locally available.

Providing Inclusive Services

Adopting Inclusive Language

Trans Care BC has created an introductory guide to gender-inclusive language for service providers and primary care practitioners.

For a short review of terms best avoided, or to only be utilized in particular circumstances, Wisdom2Action’s guide on harmful terminology can be accessed here, and additional insights on gender-neutral language here.

Assessing Your Capacity: Service Provider Reflection Tool

Created by Trans Care BC, this resource is intended to help service providers reflect on their knowledge, confidence and capacity to effectively support trans and gender diverse patients.

Managing Mistakes and Missteps

Created by Trans Care BC, this resource provides a practical guide to how to address mistakes, such as the use of an incorrect name or pronoun.

Creating Inclusive Intake Forms

Implementing inclusive intake forms is integral to creating a trans inclusive environment, while ensuring medically necessary information is collected accurately and appropriately. Wisdom2Action created a guide on trans inclusive intake forms.

Promoting 2SLGBTQI+ Health Equity in Nursing

The Registered Nurses Association of Ontario’s 2021 Best Practice Guideline: Promoting 2SLGBTQI+ Health Equity provides evidence-based recommendations and descriptions of inclusive communication, safer spaces, risk assessment and screening, group-based interventions and education, as well as outlining benefits and harms, values and preferences, and health equity considerations.

Providing Inclusive Care to Diverse Trans Communities Supporting Two Spirit Communities in Trans Healthcare

Fraser Health created a comprehensive guide to build service provider confidence and competence in serving and supporting Two Spirit peoples in healthcare contexts. The guide is titled “Providing Diversity Competent Care to Two Spirit Clients: A Handbook for Health Care Providers.

The Native Youth Sexual Health Network has created A Mental Health Peer Support Manual for Indigiqueer, Two-Spirit, LGBTQ+, and Gender Non-Conforming Indigenous youth.