Complete a Quality Care Form to refer for gender-affirming surgeries

Primary care and mental health providers should collaborate to complete and submit this form for referral.

What to do

The referring provider can download the quality care from and complete it for the referral.  Please follow the instructions on the form and coordinate with the patient's care appropriate team to complete. 

Providers can use a smart phrase titled GENDERHEALTHQC to complete the form using a progress note. Stay tuned for additional instructions on how to complete the form using smart phrase with more than one provider e.g., primary care and mental health provider. 

Get help

Phone

Main line

Related

Refer a patient for gender-affirming surgery and procedures

Primary care providers: Use Epic or CareLink portals to make a surgery referral or ask a consult question.

Attend a training with Gender Health SF

For health providers: Help build our systems of care to better serve transgender and nonbinary patients.

Get notified about Gender Health events and trainings

Sign up for updates on programs, community events, and trainings.

Last updated December 13, 2023

Departments

Department of Public Health
Gender Health SF