Information here includes anything that requires governmental involvement. Provincial healthcare coverage, prior authorization process for gender affirming surgery, legally changing your name or gender marker, etc.
🍁🦁📑 Gender-Affirming Services in New Brunswick - A resource from the Canadian Queer Medical Students Association
"Gender-affirming medical services are available and accessible in New Brunswick. This guide provides information concerning various aspects of gender affirming care, including healthcare coverage, legal name changes, medication, surgery and other local resources.
DISCLAIMER: this document was created by the Canadian Queer Medical Students Association (CQMSA) with the intention of helping medical providers in New Brunswick navigate and provide gender-affirming care. This document contains a collection of services and providers which are constantly changing, especially given the nature of the work and the increased stress and demand which community organizations have experienced with COVID-19. We have done our best to provide up-to-date content but cannot promise the continued accessibility of some of these services. Please read with discretion."
Gender-Affirming Gear & Non-Insured Health Benefits | 💬 Articles d'affirmation de genre & SSNA
🔶🍁🦁 Provincial
Wolastoqey Tribal Council NIHB
"The Non-Insured Health Benefits (NIHB) Program provides a range of medically necessary health related goods and services not otherwise covered through private insurance plans or provincial/territorial health and social programs. NIHB Navigation services are intended to reduce barriers to accessing benefits for First Nation clients."
Wolastoqey Tribal Council
"NIHB covers gender-affirming items (e.g., binders, packers, etc.) for eligible NIHB clients.
How to Access? NIHB-enrolled clients need a valid prescription or recommendation to be eligible, but the list of eligible providers has expanded to include more mental health professionals, including RSW professionals across the country. Clients can pay for gender-affirming items up front and be reimbursed or check with their local pharmacy about filling prescriptions. You can now order directly from urBasics, a Canada-based company that bills NIHB directly, so clients can order without paying up front! We’re excited to share three bilingual resources for clients and providers:"
📑 Gender Expression & Affirming Gear | 💬 Articles d'affirmation et d'expression de genre
📑 Gender-Affirming Gear & NIHB | 💬 Articles d'affirmation de genre & SSNA
📑 NIHB Gender-Affirming Care Prescription/Recommendation Requirements | 💬 Exigences en matière d’ordonnance ou de recommandation
"If you have further questions or require support in the ordering process, please reach out to New Brunswick’s Non-Insured Health Benefits Navigator, Candice Paul, at Candice.paul@wolastoqey.ca."
🍁 Government of Canada | 💬 Gouvernement du Canada
How to access gender-affirming care
"Everyone, regardless of their gender identity, has the right to be their authentic self, and should have access to the care and support they need to lead a happy and healthy life. We recognize that the decision to seek out gender-affirming care is a deeply personal one. Talk to a health care provider about your options and to get advice about what's right for you."
💬 Façon d'accéder aux soins d'affirmation de genre
"Toute personne, peu importe son identité de genre, a le droit d'être elle-même et devrait avoir accès aux soins et au soutien dont elle a besoin pour mener une vie heureuse et saine. Nous reconnaissons que la décision de rechercher des soins d'affirmation de genre est une décision très personnelle. Parlez à un professionnel de la santé de vos options et demandez un avis sur ce qui est le mieux pour vous."
Government of New Brunswick: Health and Wellness | 💬 Gouvernement du Nouveau-Brunswick: Santé et Mieux-être
🍁🦁 Provincial
Gender-Affirming Care
"Gender affirmation is the process of changing aspects of one’s gender expression (external characteristics) to align with their gender identity (internal experience). There are many possible actions that a person may take to affirm their gender identity. Some of these actions require the assistance of a health-care provider and fall under the umbrella of gender affirming care."
"Medical affirmations involve non-surgical changes that are made with the assistance of a health-care provider and may include gender-affirming psychotherapy, voice therapy, reproductive care and hormone therapy."
"New Brunswick Medicare covers medically necessary gender-affirming surgeries for residents of New Brunswick."
"A patient considering gender-affirming surgery should approach a physician, nurse practitioner or mental health professional. The patient would be assessed for clinical eligibility using criteria established by the latest version of the World Professional Association for Transgender Health (WPATH). The WPATH assessment involves a comprehensive biopsychosocial assessment before surgery is considered. If a physician, nurse practitioner or mental healthcare professional determines that the patient meets the clinical eligibility criteria for surgery, a request form is completed and sent to New Brunswick Medicare for consideration."
"Surgical affirmations include a variety of possible surgical changes that are done with the assistance of several health-care providers. To access gender-affirming surgery that is covered by New Brunswick Medicare, a referral to a surgeon from a physician, nurse practitioner or mental health provider with training in gender-affirming care, as well as the completion of the Medicare Prior Approval Form, is required."
📑 Gender Affirming Surgery
Prior Approval Request Form
💬Soins d’affirmation de genre
💬"L’affirmation de genre désigne le processus par lequel une personne modifie certains aspects de son expression de genre (caractéristiques externes) afin de les harmoniser avec son identité de genre (expérience interne). De nombreuses démarches peuvent contribuer à affirmer une identité de genre. Certaines nécessitent l’accompagnement d’un fournisseur de soins de santé et s’inscrivent dans les soins d’affirmation de genre."
"Les affirmations médicales comprennent des changements non chirurgicaux effectués avec l’aide d’un fournisseur de soins de santé et peuvent inclure une psychothérapie d’affirmation de genre, une thérapie vocale, des soins de santé reproductive et une thérapie hormonale."
"L’Assurance-maladie du Nouveau-Brunswick couvre les chirurgies d’affirmation de genre médicalement nécessaires pour les personnes transgenres qui résident au Nouveau-Brunswick."
"Une personne qui songe à avoir une chirurgie d’affirmation de genre doit en parler à son médecin de famille, à son infirmière praticienne ou à son professionnel de la santé mentale. Elle sera ensuite évaluée afin de déterminer son admissibilité clinique, selon les normes les plus récentes de la World Professional Association for Transgender Health (WPATH). Cette évaluation, qui comprend notamment une analyse biopsychosociale complète, est requise avant d’envisager la chirurgie. Si un médecin, une infirmière praticienne ou un professionnel de la santé mentale détermine que la personne répond aux critères d’admissibilité clinique à la chirurgie, un formulaire de demande sera rempli et transmis à l’Assurance-maladie du Nouveau-Brunswick aux fins d’examen."
"Les affirmations chirurgicales comprennent divers changements chirurgicaux possibles qui sont effectués avec l’aide de plusieurs fournisseurs de soins de santé. Pour avoir accès à une chirurgie d’affirmation de genre couverte par l’Assurance-maladie du Nouveau-Brunswick, un médecin, une infirmière praticienne ou un fournisseur de soins de santé mentale ayant une formation en soins d’affirmation de genre doit vous adresser à un chirurgien et remplir le formulaire de demande d’approbation préalable de chirurgie d’affirmation de genre."
📑💬 Demande d’approbation préalable de chirurgie d’affirmation du genre
ChromaNB
🍁🦁 Provincial
Navigating Gender-Affirming Care in New Brunswick
"These tools walk you through how to access hormone therapy, surgery, and related care in New Brunswick. Use the maps below to explore your options and better understand what to expect."
📑 Hormone Therapy (GAHT)
"Learn how to access hormone therapy, including how to find a provider, whether a letter of assessment is needed, and what the readiness process looks like."
📑 Gender-Affirming Surgery
"Understand the steps required for surgery, including prior approval, letters of assessment, and how referrals and booking processes work."
🍁🦁 Service New Brunswick
📑 CHANGE OF SEX DESIGNATION — Adult (16 years of age or older)
"Section 1 – An application for a change of sex designation completed by the individual requesting the change.
Section 2 – A written statement from the applicant that the applicant has assumed, identifies with and intends to maintain the gender identity that corresponds with the change requested.
Section 3 – A written statement provided by the following health professionals: physician, psychologist, nurse practitioner, registered nurse or social worker, lawfully entitled to practice their profession, who affirms the sex shown on the applicant's birth certificate does not correspond with the applicant's gender identity. Note: if you are unable to provide a written statement from a health professional, please provide the reason in the space provided and your application will be given due consideration."
"As part of this application process:
• There will be no fee to change one’s sex designation.
• A new short form birth certificate as a result of this change will also be provided free of charge if you were born in the Province of New Brunswick.
• The short form certificate includes the surname and given names of individual, date of birth, place of birth, sex, registration date, registration number and date issued."
📑 CHANGE OF SEX DESIGNATION — Child (15 years of age or younger)
"Section 1 – The applicant’s personal information.
Section 2 – The written consent of every person who has care and custody of the child. If consent cannot be obtained, proof of notification to all other parents and of their right to object to the change of sex designation. Additionally, an applicant may make application to the court to dispense with the consent of a parent.
Section 3 – If the child is 12 years of age or older, written and witnessed consent to the change of sex designation is required including a written statement from the child that the child has assumed, identifies with and intends to maintain the gender identity that corresponds with the change requested.
Section 4 – A written statement provided by the following health professionals: physician or psychologist lawfully entitled to practice their profession
• who confirms they have treated, evaluated or consulted with the child and that in their opinion, the child has the capacity to make an informed decision about whether to make an application for a change of sex designation; and
• who affirms the sex shown on the child’s birth certificate does not correspond with the child’s gender identity."
"Short and long form birth certificates issued prior to the change of sex designation must be returned to Vital Statistics. As part of this application process:
• There will be no fee to change one’s sex designation.
• A new birth certificate as a result of this change (short form or long form) will also be provided free of charge."
ChromaNB
🍁🦁 Provincial
Legal Transition: A visual how-to guide to changing your legal name or sex designation in New Brunswick
"Service New Brunswick (SNB) offers all the information and forms required, but some of us like visuals and appreciate a simplified, step-by-step guide to walk you through the process. Thinking about that, Chroma has created two visual and interactive tools: "How to Legally Change Your Name in New Brunswick" and "How to Legally Change Your Sex Designation in New Brunswick", so you can understand at a glance a process that can seem dauntingly complex."
📑 How to Legally Change Your Name in New Brunswick
📑 How to Legally Change Your Sex Designation in New Brunswick
"Chroma is currently offering in-person help navigating legal name and sex designation change in NB as well financial support for associated SNB fees. Please reach out to outreach@chromanb.ca"
💬 Transition légale : un guide visuel étape par étape pour changer votre nom légal ou votre désignation de sexe au Nouveau-Brunswick
💬 "Service Nouveau-Brunswick (SNB) propose toutes les informations et formulaires nécessaires, mais certains d’entre nous préfèrent les visuels et apprécient un guide simplifié étape par étape pour vous accompagner dans le processus. En pensant à cela, Chroma a créé deux outils visuels et interactifs : “Comment changer légalement votre désignation de sexe au Nouveau-Brunswick” et “Comment changer légalement votre nom au Nouveau-Brunswick”. Ainsi, vous pouvez comprendre en un coup d’œil un processus qui peut sembler complexe et intimidant.
📑💬 Comment changer légalement votre nom au Nouveau-Brunswick
📑💬 Comment changer légalement votre désignation de sexe au Nouveau-Brunswick
"Saviez-vous que Chroma offre actuellement une aide en personne pour gérer le changement de nom légal et de désignation de sexe au Nouveau-Brunswick, ainsi qu’un soutien financier pour les frais SNB associés? Veuillez contacter outreach@chromanb.ca"
The Imprint Trans ID Clinic
🍁🦁🎣🥔🐕 Atlantic Canada
Website | Facebook | Instagram | E-mail
"The Clinic is a long-standing Pro Bono Students Canada ("PBSC") project facilitated by the University of New Brunswick Faculty of Law Chapter. PBSC works in partnership with pro bono lawyers and community organizations to provide free legal support for people and communities facing barriers to justice. As a national movement, PBSC is founded on dignity, equity, and humility.
The Clinic serves clients from New Brunswick, Newfoundland and Labrador, Prince Edward Island, and Nova Scotia who wish to update their Birth Certificate, Driver's License, Medicare Card, SIN Number, Passport, and/or Newcomer documents."
"Please stay tuned for French clinic dates in collaboration with the Université de Moncton that will be open to anyone living in Atlantic Canada, including those in New Brunswick, Newfoundland and Labrador, Nova Scotia, and Prince Edward Island."
Cox & Palmer
🍁🦁🎣🥔 Fredericton & Atlantic Canada
Legal Transition: A Guide to Updating Your Legal Identity to Reflect Your Gender Identity
"Transitioning is a process in which an individual transitions their gender presentation – this process looks different for each individual. A key part of this process can include what is known as a “legal transition”. A legal transition involves updating legal documents to reflect an individual’s name and gender marker. Whether or not to complete a legal transition, and when is the right time to do so, is an individual decision. Some factors that may be considered are the location of the individual, their age, if they have chosen a name, access to services, whether or not they have the original legal documents that are to be updated (and if not, the timeline to receive them), what legal documents they would like to update and the costs to do so."
