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Primary care services; psychiatric services; individual psychotherapy and counseling; hormone therapy – in consultation with an endocrinologist; obstetrics/gynecological services; transgender clinic; vaccines; birth control (contraception); referral letters for surgery (including hysterectomy, transmasculine chest reconstruction, transfeminine breast augmentation, orchiectomy, facial plastic surgery) and for gender marker changes; referrals to other trans-competent resources provided, including gender confirmation surgeons.