Gender Care
We value your journey and feel privileged to join you as you explore the medical services and support our Mary Bridge Children’s team offers.
Mary Bridge Children’s does not provide gender-affirming surgeries. We provide a holistic approach to gender-affirming health care for adolescents using the best clinical evidence and science available. Our integrated, multi-disciplinary team includes experts in endocrinology, adolescent medicine, behavioral health and social work.
Gender health care at Mary Bridge Children’s is a referral-based service and all new patients must first be evaluated by our multi-disciplinary team prior to being accepted for care. Please have your primary care provider submit a referral to the Mary Bridge Children’s Pediatric Endocrinology Clinic with a gender dysphoria diagnosis. Once a referral has been sent, our gender health care coordinator will contact you directly to provide additional information and schedule this evaluation.
How to refer a patient
Please fax referrals to the Mary Bridge Children’s Pediatric Endocrinology Clinic at 253-864-3939.
Crisis support resources
Several nationally recognized organizations that serve transgender and gender-diverse teens and young adults offer crisis support. Crisis lines are available for people who need immediate help and identify as transgender or gender diverse.
Friends and family who may be worried about a loved one can also use these resources. If you need additional mental health services, our social worker can provide a list of gender-affirming mental health providers.
Trans Lifeline (for all ages)
Phone: 877-565-8860, available 24/7, calls only
Learn more about Trans Lifeline.
The Trevor Project (for those 13-25 years old)
Phone: 866-488-7386, available 24/7, calls only
Chat: Go to the Trevor Project website and click “Chat” to begin
Text: Text “START” to 678-678, available 24/7, standard text message rates apply
LGBT National Help Center (for all ages)
- LGBT National Hotline: 888-843-4564, for all ages
- LGBT National Youth Talkline: 800-246-7743, up to age 25
Please refer to website for hours these lines are available.
Online peer support: Go to the LGBT Help Center website and click the Peer Support Chat link to begin.
Other crisis resources not specific to LGBTQI+
- National Texting Crisis Line (for all ages): Text “HELLO” to 741741
- 988 Suicide & Crisis Lifeline (for all ages): Phone or text: 988, available 24/7, chat option available on the 988 Suicide & Crisis Lifeline website
- Teen Link: Phone or text 866-833-6546, chat option available on Teen Link website; refer to website for hours available
- Pierce County Crisis Line (for all ages): Phone: 800-576-7764, available 24/7
- The Crisis Clinic of Thurston and Mason County Youth Hotline (for ages 13-24): Phone: 360-586-2777, available 24/7
- Kitsap, Clallam and Jefferson County Crisis Line (for all ages): Phone: 888-910-0416, available 24/7 or chat: Go to imhurting.org and select “chat now.”
- Snohomish, Skagit, San Juan Islands and Whatcom County Crisis Line (all ages): Phone: 800-584-3578, available 24/7 or chat: Go to imhurting.org and click “chat now”