How do I access hormone replacement therapy in Montreal once I have a reference letter from my psychologist?

I received The Letter from my psychologist saying how, in her professional opinion, I have gender dysphoria and should begin HRT, but I’m confused about what exactly to do from here.
I know the general guidelines but I’m not sure about how to go about it.
I opted against informed consent clinics due to long wait times (year+), hence why I went the letter route.
Now that I do have that letter, from what I know I need to get a referral to an endocrinologist, which I would get from a general practitioner or from a walk-in clinic. Since I don’t have a family doctor, I’m looking more at walk-in clinics. Would I just ask for a referral to an endocrinologist? Would I need to justify it, or produce the letter from my psychologist, or is that only for the endo and not the general practitioner? And after that, will I make an appointment with an endo directly?
Any specific help on the procedure to begin HRT in the Montréal area would be appreciated.
Thank you for your time!

Hi Valérie!
Thanks for writing to AlterHéros. 
I suggest that you look at the website of the Clinique d’endocrinologie de Montréal. According to them:

If you would like a new consultation with an endocrinologist, you have to be referred by a doctor who practices in Quebec. You can contact us as soon as you have received a consultation request.
If you do not have a family doctor, you can make an appointment at a walk-in clinic in order to obtain a request. Once you have your consultation request in hand, you must send it to us by email at, or by fax (514-874-4078). The consultation is covered by Health Insurance.

I also talked to a friend who went to this clinic to gain access to hrt, and he said that he did the following:

  1. He went to a walk-in clinic to get a referral to an endocrinologist, explaining that he is trans and has a reference letter from a psychologist recommending that he starts hrt. He didn’t need to show the letter to the doctor, but he had brought it just in case, and I suggest you do the same.
  2. He emailed the referral from the doctor and the letter from the psychologist to the clinic. 
  3. He got a fast confirmation email, and then an appointment within a month! 

I hope this help. If you have any other questions about HRT (or any other topic!), don’t hesitate to contact us again.
Good luck to you and congrats for starting HRT!
Séré, for AlterHéros