For Providers

For medical providers: making a referral

Thank you for considering a referral of your patient for gender affirming care at OHSU. The Transgender Health Program is an umbrella program for many different clinical services at OHSU. We welcome your referrals.

  1. Please complete our Request for Transgender Health Services referral form.
    Some services have prerequisites for consultation; please ensure all fields on the form are complete before sending it in.
  2. Fax the referral form to 503-346-1501

For mental health providers: writing letters of support

OHSU providers practice in accordance with the guidelines set forth by the World Professional Association for Transgender Health (WPATH) and the Standards of Care, Version 7. As such, many surgical referrals will require at least one mental health letter of support. These letters should be written by a licensed mental health provider, or, if written by an unlicensed provider, should be attested to and co-signed by the licensed supervisor.

  1. Please use this fillable Mental Health Letter of Support template
  2. Fax the letter to 503-346-1501

For more information

For more information or additional questions, please contact the Transgender Health Program.

Chest surgery

Mastectomy and reconstruction
Division of Plastic & Reconstructive Surgery 
Juliana Hansen, M.D.
Jens U. Berli, M.D.

Augmentation and reconstruction
Division of Plastic & Reconstructive Surgery 
Juliana Hansen, M.D.
Jens U. Berli, M.D.

Facial surgery

Division of Facial Plastic & Reconstructive Surgery
Myriam Loyo Li, M.D.

Division of Plastic & Reconstructive Surgery
Jens U. Berli, M.D.

Genital Surgery

Department of Urology
Daniel Dugi, III, M.D., F.A.C.S.

Department of Urology 
Jyoti Chouhan D.O., Pharm.D.
Daniel Dugi, III, M.D., F.A.C.S.

Department of Urology
Daniel Dugi, III, M.D., F.A.C.S.

Department of Plastic Surgery & Reconstructive Surgery
Jens U. Berli, M.D.

Other surgical services

Body contouring
Jens U. Berli, M.D.

Hysterectomy and oophorectomy
Lishiana Shaffer, M.D.

Hair removal

Division of Plastic and Reconstructive Surgery
Michelle Cappadona, Licensed Electrologist

Laser hair removal
Department of Dermatology
Heather Onoday, N.P., M.N., F.N.P.

Voice and communication training

NW Center for Voice & Swallowing
Karen Drake, M.A., CCC-SP


For pediatric/adolescent patients seeking interventions including puberty blockers or hormone therapies, we recommend a referral to Pediatric Endocrinology.

These services can also be offered through some of the OHSU outreach clinics listed on the Pediatric Endocrinology web site.


The Transgender Health Program encourages the patient’s primary care provider to manage hormone therapies for adults whenever possible. This prevents unnecessary disruptions in care and reduces travel time for patients residing outside of the Portland area.

For providers who are new to prescribing hormones, the Transgender Health Program can provide resources, technical assistance, and options for consultation.

Specialty intervention

For patients who require specialty intervention for hormone therapies with co-occurring complex endocrine care, patients can be referred to specialist Chaim Vanek, M.D. in the Department of Endocrinology.