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However, not all health professionals are conscious of the existence of those registries to add themselves: this remains to be a work in progress. Normally the prescription is provided by the GGD (public health companies) but the waitlists are long, so some GP's are willing to prescribe PrEP. An English how-to information together with costs is supplied by PrepNU here. Transgender Wegwijzer is a generic registry of all types of trans care and providers. Trans In Eigen Hand has an outline of gender clinic wait times: it helps to verify if there's a gender clinic inside acceptable travel distance for you providing HRT ("Endocrinologie" under the column "Zorg in-house") with higher ready times than the university-related gender clinics, so you can level your GP to them. If your GP will not be prepared to proceed HRT themself despite these assets, ask for referral to a gender clinic: offering referrals to specialized care is undisputably part of standard GP care.

Continuing current HRT is just not thought-about a part of normal GP care in the Netherlands, however there are a number of professional GP organizations offering professional data and tips for HRT in first line household drugs to facilitate extra GP's into turning into comfortable doing this. Step one to accessing Dutch healthcare, together with trans healthcare, is to register with a GP ("huisarts"). Although there are so-called "Treeknormen" (Treek norms) for the first and 2nd strains of mental healthcare, setting a most of four weeks for application and 10 weeks for remedy (so 14 weeks in complete), the majority of clinics far exceed these waittimes as a consequence of being understaffed. If you can't discover a GP by yourself, then you can contact your medical health insurance supplier to help with mediation ("bemiddeling"): they're obligated to seek out you an appropriate GP who can provide you with care, as not having a GP is a direct barrier to common healthcare in the Netherlands as described above. Mainly performed by separate mental well being practices or clinics. Therefore for an preliminary prognosis or more specialised therapies e.g. gender-affirming surgeries, you will need a GP to refer you to specialized gender clinics. Second line: these are general hospitals and clinics which can be able to cover most specialties, and covers all the frequent patient cases inside each specialty.

Mainly performed by hospitals. Note that above lists do not point out if the GP's have space to take on new patients (see "Finding a GP" below) and as mentioned, specialists will need a GP referral to be seen. See further down this web page for extra info. They're able to deal with extra advanced and/or rare patient circumstances as doctors are usually extra specific specialists within their specialties. Mental healthcare ("geestelijke gezondheidszorg/ggz"): geared toward ailments and treatments of a primarily psychological (psychological and/or psychiatric) nature. There are a number of registries out there from totally different organizations aimed at enhancing queer/trans healthcare. This is for critical cases the place hospital workers are needed. However, if you're already diagnosed and only want present HRT to be continued, some GP's are in a position and prepared to take action, but not all are familiar. Usually you will need to go through a GP to access this care. This face-to-face meeting can be the fitting time to explain additional medical context e.g. that you're trans, or that you've got a chronic situation, what is nasal spray or that you could have your typical treatment crammed for the primary time within the Netherlands. This includes a newly published (June 2025) guide regarding HRT in first line care: Handreiking voor begeleiding bij genderbevestigende hormoontherapie in de eerste lijn.

Even if they need to refer you elsewhere for HRT, you can ask your GP to continue your existing HRT prescription solely to bridge the waiting time. Must you want to begin or continue PrEP treatment, this additionally requires a prescription and is not usually coated by healthcare insurance coverage. Again, the GP would be the place to begin for referral to the correct type of care. Be certain you've gotten all of your medical paperwork from the US with you, including formal diagnosis (often ICD-10 code F64.0) and details about any present hormone or other remedies, like sort and dosages. Probably the most thorough initial strategy is to use a map to find every huisartspraktijk (GP workplace) in the general space (neighborhood as much as municipality attributable to postal code restrictions) of your registered address, then test with each individually. Many practices also have postal code restrictions. Most workplaces have English talking staff, if you ask.