Experts in virtual gender-affirming care

Specialized, virtual care for 2 Spirit, trans and non-binary people from the comfort of your home.

Thunder Bay and Northwestern Ontario patients please click here to access Foria

How Foria works

Choose a Service

Select the treatment that suits your needs, such as testosterone or estrogen hormone therapy.

Connect Virtually

Meet your clinician, an expert in gender-affirming care, to discuss the best treatment options for you.

Start or Restart HT

Start hormone therapy –  or restart if your treatment has been paused – with your clinician’s support.

Additional Services

Foria can support you in obtaining surgical referrals & changing your gender markers on identification.

A complete approach to gender-affirming care

Foria provides all of the services and care you need to support your gender-affirmation journey.

Estrogen for Feminizing Hormone Therapy

Estrogen & Feminizing Hormone Therapy

Treatment including androgens blockers and/or estrogen to support the development of more feminized characteristics.

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masculinizing hormone therapy

Testosterone & Masculinizing Hormone Therapy

Treatment with testosterone to support the development of more masculinized characteristics.

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Surgical Referrals

Receive an assessment and a referral to a qualified surgeon for gender-affirming surgery (GAS).

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Mental Health Treatments

Treatment for mental health conditions, such as anxiety, ADHD or depression.

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PrEP / HIV Prevention

Get PrEP delivered discreetly to your home at greatly reduced costs – most patients pay $0.

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Mental Health Treatments Coming Soon

Peer Support Circles

A series of peer support groups that meet-up on a weekly basis

Coming soon

Included in all services

Ensuring your health and wellness

Our expert team focuses on the details to support healthy and safe gender-affirming care.

Medical history review

A complete review of your medical history to identify the safest, most effective treatment for you.

Health monitoring

Ongoing review of your vitals, including blood work, to ensure your good health throughout your gender-affirming treatment.

Sexual & reproductive health

Ongoing check-ins on sexual health, fertility, contraception, screening and treatment for sexually-transmitted infections (STIs).

Secondary effects management

Support & access to medication to reduce any unwanted effects that may be caused from treatment, such as hair loss, acne or libido changes.

Clinical team

Experts you can trust

Foria’s team is made up of medical professionals with lived experience as LGBTQ2S+ people and expertise in gender-affirming care.

Dr. Kate Greenaway

Medical Director・She/Her

Dr. Greenaway has 20 years of experience providing comprehensive care to trans and non-binary individuals.

Dr. Greenaway previously founded Connect-Clinic, a virtual service providing gender-affirming care. Kate now works with Foria to help more people receive the affirming care they need.

Dr. Emma Gibbons


Dr. Gibbons is a family physician who specializes in LGBTQ2S+ health, addictions and the health of marginalized communities. She is determined to make gender-affirming care more accessible in Alberta.

Dr. Caley Shukalek

Chief Medical Officer・He/Him

Caley is passionate about evidence-based, patient-centred care, including telemedicine that can provide high quality care from wherever a patient may choose.

He holds a master's of public health from Johns Hopkins University, an MD from the University of Calgary and an MSc from the University of Alberta.

Grant Picarillo

Nurse Practitioner・He/Him

Grant is passionate about LGBTQ2S+ health, HIV prevention and treatment, and gender-affirming care.

He holds a master's degree in public health policy from Harvard University and a doctorate in primary care nursing from Columbia University.

Andrew Sharpe

Nurse Practitioner・He/Him

Andrew is a strong advocate for LGBTQ2S+ health. He has a specialty practice in transgender and non-binary medicine, providing gender-affirming care.

Andrew has a degree in pharmacology, a master's degree in nursing and an advanced certificate in primary health care - NP.

Mason Flatla

Registered Psychotherapist・He/Him

Mason believes that the most meaningful therapy is grounded in relationships of trust, compassion, authenticity, and collaboration.

He doesn't shy away from using the power of humour (including cheesy jokes!) and also draws from his lived experience as a transgender person.

Dil Pieris

Operations Lead・They/Them

Dil managed care delivery at Connect-Clinic and is honoured to be able to continue to serve trans and gender diverse folx at Foria.

They have a health studies and psychology degree and a graduate certificate in addiction and mental health.

Ready to get started?

The expert team at Foria is here to understand your goals and support your gender affirmation however possible.

Have questions?

We’ve compiled a list of frequently asked questions about our clinic, our services, and gender-affirming care.

Visit our FAQs