Making referrals

We see people with a range of issues to do with gender identity. This includes people who identify as trans, non-binary, genderqueer and anything else under the transgender umbrella.

Not everyone who comes to us will be sure that they want treatment and we are happy to see people who wish to have support to explore issues to do with their gender.

People do not have to have any kind of diagnosis before coming to see us and do not need to have had psychotherapy or a psychiatric assessment before attending.

Due to the recommendations given in the Levey Review of Adult Gender Services in England, as of 19th December 2025 individuals being referred to us must be 18 years of age or older to meet our minimum age requirement. Any referrals received before this date will not be subject to this requirement. 

We ask that referral letters are written using the pronouns and name that the patient would prefer. While patients do not automatically see the letter, they have the right to request their notes. Seeing the wrong name and pronoun can be distressing to a trans person so we ask that you kindly use the correct information on advice from the patient.

 

Other mental health issues

If someone has a mental health diagnosis such as bipolar disorder or schizophrenia it does not mean that they cannot be seen. However, it is important that any symptoms are well managed before attending any appointments. Any drug or alcohol problem will also need to be managed prior to attending.

Smoking increases risks with hormone treatment, people seeking hormones should start to give up smoking now.

 

Referrals from other health professionals

People who wish to see us should request a referral from their GP or other health professional. If a patient is referred by another NHS health professional, their GP needs to be informed and support the referral. Unfortunately, we can't accept self-referrals.

 

Making a referral to our services

If you are a NHS health professional who would like to make a referral, please use our referral form:

• Nottingham Transgender Clinic Referral Form - May 2022 (Printable) (opens in new window)

You will require Microsoft Word to complete this referral form.

Please email referralsNCTH@nottshc.nhs.uk  if you require this form in an alternative format.

The centre will send the patient a letter to confirm your referral has arrived and that they are on the waiting list. It can take several weeks for the initial letter to arrive with the patient.