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New Brunswick is part of Canada. See Canada.
The provincial health page says medical steps may include opposite-sex hormones. For a child or adolescent, it says the youth or family can self-refer to Horizon’s Integrated Service Delivery Child and Youth Team, Vitalité’s Child and Youth Addiction and Mental Health Services, or a specialized mental-health professional, or seek a pediatrician referral through a primary-care provider. Medicare prior approval is the route for covered surgeries. The page says prescription medication is not covered under Medicare and may be covered by the New Brunswick Drug Plan or private insurance.
Horizon Health Network says opposite-sex hormones can be accessed through some pediatricians and endocrinologists, usually with a referral and sometimes a readiness letter. That is a provincial access model, not a single clinic.
Schools. In 2023, New Brunswick required a parent’s OK before schools used a student’s preferred first name or pronouns if the student was under 16. As of January 1, 2025, that rule no longer applies for everyday classroom use. For students under 16, parents still must consent before a preferred name or pronouns go on official school records.