---
title: Primary Care to Gender Clinic Referral Form Template | Paperform
description: Comprehensive gender-affirming care referral form for primary care providers. Streamline specialist referrals with multidisciplinary assessment, insurance authorization, and surgical readiness documentation.
url: "https://paperform.co/templates/primary-care-to-gender-clinic-referral-form"
type: static
generatedAt: "2026-03-28T00:44:53.120Z"
---

[← Back to free form templates](/templates/)    ![Primary Care to Gender Clinic Referral Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/primary-care-to-gender-clinic-referral-form.png)
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### Streamline Gender-Affirming Care Referrals with Paperform

Coordinating gender-affirming care between primary care providers and specialized gender clinics requires detailed, sensitive information gathering and seamless communication between care teams. This **Primary Care to Gender Clinic Referral Form** template is designed specifically for healthcare providers who need to refer patients for comprehensive gender-affirming services—from hormone therapy initiation to surgical consultations and multidisciplinary support.

Built for primary care physicians, family medicine practitioners, and referring providers, this template captures essential clinical information including patient demographics, gender identity details, current and desired treatments, mental health assessments, surgical readiness evaluations, and insurance pre-authorization requirements. The form uses conditional logic to show relevant fields based on the specific services being requested, ensuring providers only complete what's necessary while maintaining thorough documentation.

#### Why Healthcare Providers Choose Paperform for Medical Referrals

Gender clinic referrals involve complex coordination between multiple specialists—endocrinologists, surgeons, mental health professionals, and insurance coordinators. Paperform's GDPR-compliant platform (note: not HIPAA compliant) allows practices to create professional, secure referral forms that integrate directly with existing healthcare workflows.

With Paperform, you can collect structured referral data, attach supporting clinical documents, and route completed referrals to the appropriate departments or specialists. Use **conditional logic** to adapt the form based on referral type, and leverage **Stepper** (stepper.io) to automate follow-up workflows—sending confirmation emails to referring providers, creating tasks in your practice management system, or triggering insurance pre-authorization requests automatically.

Whether you're a standalone gender clinic, an integrated health system, or a primary care practice building referral pathways to affirming care, this template helps you standardize the referral process while respecting each patient's unique journey and clinical needs.
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