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Newfoundland and Labrador is part of Canada. See Canada.
The provincial children’s health program runs the Janeway Gender Wellness Clinic at the Janeway Children’s Health and Rehabilitation Centre in St. John’s. The page says the clinic treats children and youth up to their 18th birthday with puberty blockers and opposite-sex hormones, after a referral from a family doctor, pediatrician, or nurse practitioner. Pediatric endocrinologists lead the clinic.
The same authority’s endocrinology page lists endocrine services for transgender and gender non-binary children and youth up to 18. That is the named provincial pediatric pathway.