Gender-Affirming Care for Youth in Washington

Primary source: https://www.plannedparenthood.org/uploads/filer_public/fe/d7/fed78238-79f8-468d-81bf-d195f28b3c3b/washington_gac_resource_list.pdf

Seattle/King County

Seattle Children’s Hospital:

• Ages 9-17.75 who have already started puberty at the time of referral
• HRT, puberty blockers, brief mental health support, partnership with Autism Center, gender-affirming surgery for teens and young adults, voice training
  • As of 2/5/25, they have paused some procedures and care. Specifics yet to be worked out.
• Insurance: Medicaid (Apple Health and Alaska Medicaid), private insurance

Virginia Mason Hospital:

• Age minimum is unclear
• HRT, primary care, PrEP, gynecology, pediatric care, surgical care
• Insurance: Medicaid, private insurance

45th Street Clinic (Neighborcare Youth Clinic):

• Gender-affirming care for ages 12-23 and formerly or currently unhoused
• Insurance: Medicaid, private insurance
• Offers sliding scale

Cedar River Clinics:

• Gender-affirming hormone care for ages 16+
• Insurance: Medicaid (Apple Health and Alaska Medicaid), private insurance
• Offers sliding scale

Tacoma/Pierce County

Mary Bridge Children’s

• Gender-affirming hormone care up to age 17
• Insurance: Medicaid, private insurance

Central/Eastern Washington

Check CHAS Health. Their website has taken down trans info but it’s unclear whether they still provide it.

Telehealth

Queerdoc:

• Gender-affirming hormone care with no age minimum
• Offers sliding scale

Gender-Affirming Voice Therapy

• UW Medicine Otolaryngology/SLP: Seattle, offers telehealth
• Catalyst Therapies
• Western Washington Speech and Language Clinic (free, student practitioners): new patients on hold as of 2/5/25