Thank you for accepting our invitation to be included on our cis and trans gay, bisexual, and queer (GBQ+) friendly directory of primary care providers, including physicians and nurse practitioners. It is partners such as yourself that aid in shaping a healthier, stronger community.

The directory will be composed of a private internal directory that ACT and allied service organizations will use to directly refer clients to you.

You may also be listed on the public directory of LGBTQ+ friendly healthcare providers of Rainbow Health Ontario (RHO), an initiative of Sherbourne Health Centre

Please take 5 minutes to complete the following survey to collect necessary information to ensure effective matching of service users with your practice. 

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* 1. Please indicate your contact information:

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* 2. Select your level of comfort with each area outlined below:

  Not comfortable A bit comfortable Somewhat comfortable Comfortable Extremely comfortable
Using and understanding gay, bi, queer (GBQ)-specific terminology (bottom/top, kinks, bareback, fisting, party n’ play, etc.)
Speaking to GBQ persons regarding their sexual behaviour (anal sex, number of partners, open relationships, condom use, STIs and testing, etc.)
Addressing GBQ mental health (depression, anxiety, trauma, loneliness, suicidal ideation, HIV-Associated Neurological Disorders, etc.)
Meeting the needs of GBQ refugees (infectious disease testing, addressing trauma, cultural and religious context, etc.)
Prescribing PrEP and/or PEP (side effects, candidate selection, regimes, level of protection, etc.)
Delivering post positive-HIV diagnosis counselling (treatment options, public health concerns, contact tracing, mental health support, resource referral, etc.)
Long-term care of HIV positive person (routine viral load testing, CD4 count tests, familiarity with anti-retroviral therapy, associated comorbidities, etc.)
Common recreational drugs used among GBQ persons and harm reduction (marijuana, alcohol, erectile drugs, crystal meth, GBH, poppers, MDMA, cocaine, etc.)
Transgender care and gender-affirming surgery (hormone therapy, post/pre-operation care, use of appropriate pronouns, trans-specific mental health, etc.)
Redirecting GBQ persons to resources (ACT, PWA, Black CAP, The519, Hassle Free Clinic, David Kelly Services, etc.)

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* 3. Do you provide service in any languages other than English?

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* 4. Do you have any certifications/extra training that could be included as part of the directory (ASIST, Mental Health First Aid, Ally training, etc.)?

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* 5. Are you willing to participate in further training in LGBTQ+ specific healthcare?

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* 6. Do you identify as a member of the LGBTQ+ community?

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* 7. Are you currently accepting new patients? Select all that apply.

   Currently accepting Waitlist
HIV negative GBQ-MSM
HIV positive GBQ-MSM

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* 8. Which list would you like to be included on? (select all that apply)

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* 9. Is there anything else you would like to share with us?

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