Tom Waddell Health Center (TWHC) is a large community health center and health care for the homeless program operated by the San Francisco Department of Public Health (SFDPH). The mission of TWHC is to provide comprehensive health care for homeless people and other severely underserved individuals in our community. Health care is delivered using a comprehensive interdisciplinary team.

Tom Waddell Health CenterTWHC undertook the writing of the Protocols for Hormonal Reassignment of Gender for the purpose of sharing their experience with health providers and their patients on the best practices for prescribing hormones for patients with gender identity issues. These guidelines are based on the available evidence and their experience in treating over 1200 patients.

The downloadable PDF, Protocols for Hormonal Reassignment of Gender (22 pgs, last revised Dec, 2006), is a great resource for health providers as well as their trans clients.

The Tom Waddell Health Center offers a health clinic in San Francisco, Transgender Tuesdays. Check the website for hours.