Contact us

Gender related medical transition is an important decision. It is important to consider all the relevant factors carefully as well as alternatives to medical transition. An open-minded and global assessment considering all aspects of your well being is a starting point. Counselling can be especially helpful. The information on this website is here to help you access information if you decide an expert assessment is the next step.

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Get in touch using the details below or fill in our contact form

The Thames View
Charing Cross Hospital
Fulham Palace Road
W6 8RF

    Please complete below if you would like to book. If we are able to offer an appointment we will be in touch:

    What name do you prefer to be known by (when we meet you and/or in written reports)?

    What Pronouns should we use when referring to you by phone, or in written reports?

    Appointment Type (tick only one)

    Have you made an official name change?

    How old are you? (Please provide your Date of Birth)

    What is your home address?

    Your Email Address (All notifications will be sent to this address)

    Your Telephone number (Mobile preferred)

    GP Name and Surgery address

    Permission to ask your GP for a summary of the patient's medical record and send them your reports

    Have you used other gender services, private or NHS?

    Have you had any treatment for physical or mental health conditions?

    Are there any other medical professionals currently involved in your care

    GIC or Gender Specialist:

    Mental Health Services:

    General Medical (Physical Health):

    Summary of primary mental health concerns, e.g. any diagnosis, history or current concerns such as mood or anxiety, self esteem issues.

    Are you on any medication? (Please list medications here)

    Are those close to you (family, friends, partners, colleagues) aware of your gender circumstances? Do they support your plans?

    Have you ever been the victim of a crime/ assault or been convicted of any crime?

    Interpreter required?

    Please indicate permission to contact you by:

    Optional ID documents (work ID, passport, deed poll etc) upload only if legal ID completed.

    Type of patient:

    You must be aged 18 or over. We will be in touch in 7 days if we can offer an appointment.
    If you do not hear back within two weeks it is unlikely that we will be able to offer you an appointment and suggest that you approach another provider.