Refer a Patient: Gender Affirming Health Montgomery St.

Please note that your patient can schedule an appointment with us before the referral process is complete.

If your patient is younger than 18, refer them to the Child and Adolescent Gender Care Center instead. For help referring international patients, contact International Services.

Please complete the following steps before sending your referral. Note the different instructions for surgical and non-surgical services.

Step 1: Obtain insurance pre-authorization

For primary care, hormone therapy and other non-surgical services, use the following visit codes: 99204, 99213 and 99214.

For surgical services, use visit codes 99245 and 99244, and the following procedure CPT codes as appropriate:

Bilateral breast augmentation: 19325, 19325-50
Bilateral mastectomy and areola reconstruction (top surgery): 19303, 19403-50, 19350, 19350-50

If you're referring a patient for surgical services, please write a medical clearance letter. (Download a sample letter.)

Once those steps are complete, you may refer your patient via our web form, by fax or through MD Link.

To refer a patient to another specialist, first search for what you need. Some services use different referral processes.