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In Ontario, access to hormones usually happens within primary care, as this care is within the scope of a family doctor or nurse practitioner. It is not necessary to see an endocrinologist, psychiatrist, or other specialist, unless you have additional health and/or mental health concerns that would benefit from that support. One of the first steps towards accessing hormones is to ask your primary care provider if they are willing to initiate hormones. Even if it is your provider’s first time, Rainbow Health Ontario has resources and supports to walk them through the process.