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Clinical Protocol
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Clinical Protocol
Assessment and Diagnosis of gender related issues. The initial consultation will be for 1 hour with Dr. Curtis. You will be asked for a detailed account of your life to date including family, upbringing, school, work, relationships as well as discussion of your gender history.
Follow up and referral for further specialist care if
necessary, including GRS referral.
Follow up consultations typically take 1/2 an hour, but can be
for longer if required by the client.
Second opinions / medico legal work and general psychiatric input can be arranged by internal referral to a psychiatric colleague.
Dr. Adrian Lord: Pyschiatrist used for second referrals for surgery - www.doctorlord.com
In appropriate cases the effects and side effects of hormones can be discussed, prescribed and monitored. Private prescriptions and postal medication are available. Blood tests can be arranged via a private laboratory. This is often the most practical route to undertake baseline blood test privately prior to the initiation of hormone therapy. The cost for this is £100 and results are sent within 4 hours directly to the clinic.
Chromosome testing is available upon request.
Facilitation of gendered living with documentation to support diagnoses, information leaflets.
Communication with other healthcare professionals such as the GP, surgeons, counsellors.
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How many times will I have to see Dr Curtis?
From a patient safety and good care perspective it is necessary for prospective patients to undertake a series of consultations as appropriate follow up, particularly when and if hormone therapy is started. After the initial consultation patients should anticipate attending for a further three consultations spread at roughly three month intervals during the first year.
Unless this level of commitment to your care is accepted, it is ethically inappropriate to prescribe or give advice on prescribing to other health care professionals. Ongoing follow up is in everyone's best interests and is much more likely to lead to a more favourable long term outcome. All new patients will be expected to agree to the above principles of care prior to their initial appointment.