We Provide Gender-Affirming Care!

Seattle Indian Health Board is your home for culturally attuned, gender-affirming care.

Whether you are Two-Spirit, transgender, nonbinary, or hold another identity, our providers are here to walk alongside you on your gender journey.

Gender-affirming care is not only a set of services—it’s core to the way we treat everyone who walks through our doors. When you visit our community health center, we’ll ask you for your name and pronouns to ensure that you are addressed in a way that aligns with your identity.

Services and Referrals

We offer an array of gender-affirming services as well as referrals for services we do not currently offer onsite.

  • Care for transitioning relatives
  • Hormone therapy*
  • Letters of support for name changes and gender marker changes
  • Letters of medical necessity and referrals for transition-related procedures, including but not limited to
    • Permanent hair removal
    • Top surgery (bilateral mastectomy, areolar repositioning)
    • Facial feminization, tracheal shaving
    • Breast augmentation, fat redistribution
    • Creation of a vagina (vaginoplasty)
    • Creation of a penis (phalloplasty)
    • Removal of testicles (orchiectomy)
    • Removal of the uterus and/or ovaries (hysterectomy, oophorectomy)

*At this time, we’re unable to provide pre-pubertal relatives with hormone therapy to delay puberty. However, we can refer interested relatives to Seattle Children’s Gender Clinic.

To learn more and schedule an appointment, call us at (206) 324–9360.