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You've been thinking a lot about how much you think about how you'd like to be a girl, but it seems impossible. You've just finished reading a story about how estrogen can change your body and it made you sweat because it suddenly seemed like a possibility to you, like something a normal human being could do, somehow reading erotic stories about turning your body into a girl's body felt more realistic but somewhere in the back of your mind it felt like actually becoming a girl was something that happens to other people. It's something that happens when you get in a teleporter accident, but there aren't any teleporters. You notice your breathing, how it's coming in only when you're thinking about it, and open another story. You aren't really reading it, just skimming, and you feel frustrated. You've heard of informed consent clinics - places where you can just read a pamphlet and get a prescription for hormone replacement therapy by signing a form, but every time you've gone to google to search for one your fingers locked up a little bit and you stop. You scroll down the story a little further and suddenly the story is telling you it's okay, it's alright, you just need to pick up a phone, dial, and tell them you're trans and want hormone replacement therapy. Then you just go there and pick it up. The story is telling you it isn't any more complicated than going to a laundromat. The story says you've got a lot of people who are rooting for you who are all around you who you can't see because they've transitioned and because you're in the closet and they can't find you to help you unless you go looking for them. Then suddenly the story ends and there's a list of informed consent clinics organized by state because the authors of this story want you to know that it's okay and you can just take medicine and feel better. You can be a girl if you want. Don't give up. California Planned Parenthood Fulton Street Health Center 650 N. Fulton Street Fresno, CA 93728 Phone: 559-488-4900 Fax: 559-488-4999 Website: www.plannedparenthood.org/health- center/centerDetails.asp?f=2364&a=90130&v=details# The Dimensions Clinic 3850 17th Street San Francisco, CA 94114 Phone: 415-934-7757 Fax: 415-558-8221 Website: www.dimensionsclinic.org/transgroup.html Ciaccio Memorial Clinic (Tuesday Night Clinic) North Park Family Health Center 3544 30th Street San Diego, CA 92104 Phone: 619-515-2587 Family Health Centers of San Diego Website: www.fhcsd.org/locations/north-park.cfm TOM WADDELL HEALTH CENTER, SAN FRANCISCO, CALIFORNIA http://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/ TransgenderHlthCtr.asp DR. MADELINE (MADDIE) B. DEUTSCH, MD, SAN FRANCISCO, CALIFORNIA San Francisco Office: 3150 18th St., Suite #222 Mailbox #503 San Francisco, CA 94117 ph 415-797-7136 | fax 323-679-0389 http://westbaywellness.com/?page_id=593 [email protected] TURK CLINIC, BAART PROGRAMS, SAN FRANCISCO, CALIFORNIA 433 Turk St, San Francisco, CA 94102, (415) 928-7800 http://www.baartprograms.com/turk.html dunimal@reddit: Danny the NP can help you out. You need to have healthy SF or SF health plan, Medical, Medicaid, Medicare. You'll have to call if you have private insurance. HRT is through the primary care clinic. R. SHAWN K. HASSLER, SAN FRANCISCO, CALIFORNIA 870 Market St., Suite 600 San Francisco, California 94102 (415) 397-0700 Fax: (415) 397-6805 * Private insurance only * http://www.cpmc.org/providersearch/?sitecfg=49&action =providerdetail&masterid=10728&isLevelOne=1 TRANS VISION, TRI-CITY HEALTH CENTER (HABLA ESPANOL),FREEMONT, CALIFORNIA 39184 State Street, Fremont, CA 94538 - Fax#: 510-739-1239 Tiffany Woods - Program Coordinator (510) 713-6690 ext 6121 [email protected] TransVision Info Line 713-6690 ex6237 100% of TransVision's staff are Transgender women, Serving F-t-M,M-t-F, GenderQueer No Insurance- OK, Private Insurance not accepted, Medi-Cal accepted, Non-Alameda County Resident-OK http://www.transvisiontricity.org/main.html http://www.transvisiontricity.org/docs/TransvisionTRIFOLD2008.pdf Primary Care Services Hormone Assessment HIV Care & Treatment Free HEP A & B Vaccination Free Confidential HIV testing & counseling STD Screening HIV Prevention Services for Trans women such as Individual/Group Support Safe, trans positive space in Fremont In-Service Trainings for providers Free Hormone needle exchange/disposal DR. JENNIFER HASTINGS, PLANNED PARENTHOOD WESTSIDE HEALTH CENTER, SANTA CRUZ, CALIFORNIA 1119 Pacific Ave. Suite 200 Santa Cruz, CA 95060 P: 831.426.5550 | F: 831.425.0106 catamorphism : She sees both trans women and trans men. hadrianne@reddit: Dr. Hastings is taking new patients; there can be quite a wait for an appointment but PP has a very fair sliding scale, understands if your insurance doesn't cover trans stuff, and, oh yeah, she's totally awesome. DR. MARKI J. KNOX 2121 Wilshire Blvd #303 Santa Monica, CA 90403 (310) 264-1777 Works / Consults with Dr. Maddie Deutsch Her practice is primarily in Women's Health, particularly fertility and obstectrics. Her clinic has a policy of charging fees that insurance does not cover rather than billing first as a paperwork saving measure. CALIFORNIA- LOS ANGELES DR. MADELINE (MADDIE) B. DEUTSCH, MD, Main practice is in San Francisco but she also travels to Los Angeles 1-2 times a month to see patients there. LA Gay and Lesbian Center: (twice a month) 1625 N Schrader Blvd. Los Angeles, CA 90028 323-993-7518 http://laglc.convio.net/site/PageServer?pagename =YH_Transgender_Health_Care LAGLC accepts insurance and does sliding scale. On site pharmacy. Serves both trans men and trans women. There can be a backlog for accepting new patients. Don't be discouraged! CALIFORNIA - LOS ANGELES DR. RICHARD HOROWITZ M.D. #855W 8635 West 3rd Street, Los Angeles, CA (310) 358-7200 RICHARD HOROWITZ, MD, F.A.C.P., is board certified in internal medicine and has been a clinical faculty member of the Department of Medicine at Cedars-Sinai Medical Center in Los Angeles since 1991. Dr. Horowitz received his medical degree from Universit? Fran?ois Rabelais in Tours, France in 1983. He completed a fellowship in reproductive immunology at Institut Louis Pasteur in Paris and was Chief Medical Resident of internal medicine at New York's Mount Sinai City Hospital until 1986. He has been the Chairman and member of Executive Committees at several Los Angeles hospitals, in addition to his academic appointment as an Assistant Professor of. Medicine at UCLA Center for Health Sciences, Harbor-UCLA Medical Center and Wadsworth Veterans Administration Medical Center. A private practitioner and specialist in the area of hormonal reassignment, Dr. Horowitz is a member of the World Professional Association of Transgender Health, the American College of Physicians and the American Society of Nephrology. (A43197, 1987) LYON-MARTIN HEALTH SERVICES, SAN FRANCISCO, CALIFORNIA http://www.lyon- martin.org/transgender.php $10-$60 per visit (income sliding scale), averaging around $30 for most of the clients, including blood work. No one will be turned away for lack of money. In summary, Lyon-Martin is the winner being least expensive. ??MADELINE (MADDIE) B. DEUTSCH, MD, SAN FRANCISCO, CALIFORNIA ?San Francisco Office: 3150 18th St., Suite #222 Mailbox #503 ?San Francisco, CA 94117 (415) 797-7136 | fax 323-679-0389 http://westbaywellness.com/?page_id=593 [email protected] ??TURK CLINIC, BAART PROGRAMS, SAN FRANCISCO, CALIFORNIA 433 Turk St, San Francisco, CA 94102, (415) 928-7800 http://www.baartprograms.com/turk.html You need to have healthy SF or SF health plan, Medical, Medicaid, Medicare. You'll have to call if you have private insurance. HRT is through the primary care clinic. DR. SHAWN K. HASSLER, SAN FRANCISCO, CALIFORNIA 870 Market St., Suite 600 San Francisco, California 94102 (415) 397-0700 Fax: (415) 397-6805 * Private insurance only * http://www.cpmc.org/providersearch/?sitecfg=49&action =providerdetail&masterid=10728&isLevelOne=1 DR. MICHELLE ORENGO- MACFARLANE, UNION CITY, CALIFORNIA http://www.mywtmf.com/fremont-family- physician-michelle-orengo-mcfarlane.html catamorphism@reddit ??TRANS VISION,TRI-CITY HEALTH CENTER(HABLA ESPANOL), FREEMONT, CALIFORNIA 39184 State Street, Fremont, CA 94538 - Fax#: 510-739-1239 Tiffany Woods - Program Coordinator (510) 713-6690 ext 6121 [email protected] TransVision Info Line 713-6690 ex6237 100% of TransVision's staff are Transgender women, Serving F-t-M,M-t-F, GenderQueer No Insurance- OK, Private Insurance not accepted, Medi-Cal accepted, Non-Alameda County Resident-OK http://www.transvisiontricity.org/main.html http://www.transvisiontricity.org/docs/TransvisionTRIFOLD2008.pdf Primary Care Services Hormone Assessment HIV Care & Treatment Free HEP A & B Vaccination Free Confidential HIV testing & counseling STD Screening HIV Prevention Services for Trans women such as Individual/Group Support Safe, trans positive space in Fremont In-Service Trainings for providers Free Hormone needle exchange/disposal ??DR. MADELINE (MADDIE) B. DEUTSCH, MD, LOS ANGELES, CALIFORNIA Main practice is in San Francisco but she also travels to Los Angeles 1-2 times a month to see patients there. LA Gay and Lesbian Center: (twice a month) 1625 N Schrader Blvd. Los Angeles, CA 90028 323-993-7518 LAGLC accepts insurance and does sliding scale. On site pharmacy. Serves both trans men and trans women. There can be a backlog for accepting new patients.?You have to wait three months after (LAGLC) your intake appointment to actually get your script. ??FTMI SPONSORED T COMMUNITY CLINIC, LOS ANGELES(HABLA ESPANOL) ?5520 Santa Monica Blvd. Suite 112, Los Angeles, CA90038 ?Call for an appointment: (323) 860-9054 ?http://www.ftmi.org/6healthcare.htm ?Held on alternating Tuesday nights. Uses the informed consent model, no letters required, no waiting period required, no documentation required, no insurance required, no money required, for hormones and all primary care needs of the trans and genderqueer community. Just make an appointment, come in and be fabulous. Its all trans folk so being passable is irrelevant, as are tats, piercings, kink, leather, Medicare, Medi-Cal, sliding scale all the way down to nothing, and identity documents can be missing, mix and match/no-match, and the staff and doctor speak Spanish etc Offers a prescription discount card from FTMI for being a member that gives you about 40% off brand name prescriptions, including but not only hormones, at nearly all local pharmacies (does not apply to compounded generic drugs) LOUISIANA DR. LAURA KIMBALL-RAVARI, BOSSIER CITY, LOUISIANA 2300 Hospital Drive Suite 360 Bossier City, LA 71111 (318) 212-7902 Endocrinology, Diabetes & Metabolism, Internal Medicine http://www.vitals.com/doctors/Dr_Laura_Kimball-Ravari.html#ixzz1Wak0QnCS DR. KENNETH COMBS, MD. NEW ORLEANS, LOUISIANA 501 Frenchman St. New Orleans, LA 70116, (504) 948-4331 KIMBALL-RAVARI, BOSSIER CITY, LOUISIANA 2300 Hospital Drive Suite 360 Bossier City, LA71111(318) 212-7902 Endocrinology, Diabetes & Metabolism, Internal Medicine http://www.vitals.com/doctors/Dr_Laura_Kimball-Ravari.html#ixzz1Wak0QnCS She doesn't require a letter to provide hormones. NORTH CAROLINA DR. RICHARD WYNN, COTSWALD FAMILY MEDICINE, CHARLOTTE, NORTH CAROLINA 309 S Sharon Amity Rd, Charlotte, NC, (704) 446-2360 May be a wait for new patients KATE SWIFT-SCANLAN, PLANNED PARENTHOOD, RALEIGH, NORTH CAROLINA Provides IC services to trans women. See: http://goqnotes.com/13436/health-centers-a-mecca-for-lgbt-community/ DR. BURKETT, ASHVILLE HEALTH CENTER (PLANNED PARENTHOOD), ASHEVILLE, NORTH CAROLINA 603 Biltmore Ave Asheville, NC 28801 Phone: 828.252.7928 RALEIGH HEALTH CENTER - RALEIGH, NORTH CAROLINA 100 S Boylan Ave. Raleigh, NC 27603 Phone: 919.833.7526 DR. ERIC KLETT, UNC HIGHGATE ENDOCRINE CLINIC, DURHAM, NORTH CAROLINA UNC Highgate Specialty Center, 5316 Highgate Drive, Suite 125Durham, NC 27713Ph: (919) 484-1015Fax: (919) 806-2181 https://medicine.med.unc.edu/divisions/endocrinology- metabolism/clinical-faculty/eric-klett-md Lab fees are VERY expensive there for some reason, but Dr Klett gladly accepts the same blood tests from other places if you can get them done more cheaply. If you're looking for a cheap testing place, try this. MTF http://www.privatemdlabs.com/lp/Female_Hormone_Testing.php FTM http://www.privatemdlabs.com/lab_tests.php?view=category_result&show =1033&category=14&search=#1033 Charlotte, NC http://marlowesweightloss.com/ ILLINOIS HOWARD BROWN HEALTH CENTER http://www.howardbrown.org/hb_news.asp?id=1228 TGAP (TRANS GREATER ACCESS PROJECT) AT CHICAGO WOMEN'S HEALTH CENTER, CHICAGO ILLINOIS 3435 N Sheffield Ave Chicago, IL 60657 Open daily, 9AM - 4PM, by appointment 773.935.6126 Fax: 773.935.7145 Anon (March 2012) http://www.chicagowomenshealthcenter.org/services/tgap-trans-greater- access-project Some providers have more extensive training in trans health issues; therefore, we invite our clients to request a TGAP provider. All services are offered on a self-determined, sliding fee scale. MAINE In Maine, Planned Parenthood offers informed consent in:?Biddeford?Portland Sanford Topsham https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2943&a=91770&v=details#!service=lgbt ARIZONA DR. MELANIE CLOONAN-SCHULTE, CHANDLER, ARIZONA 595 North Dobson Road, Chandler, AZ 85224, (480) 821-0788 CAROL E. WILLIAMS, NP, PHOENIX, ARIZONA. McDowell Clinic: Internal Medicine, 1144 E. McDowell Rd Suite 3000 Phoenix AZ 85006, 602-344-6550, Fax: 602-344-6551 Minnesota DR. ERIC MEININGER, MD, MPH, SAINT PAUL, MINNESOTA 435 Phalen Boulevard, Saint Paul, Minnesota - (651) 265-7308 Flying_Cat@reddit: He is willing to prescribe to minors with parental consent RECLAIM INTEGRATIVE HEALTH CLINIC, MINNEAPOLIS, MINNESOTA 3217 Hennepin Ave, Minneapolis, MN 55408 612-235-6743 http://reclaim-lgbtyouth.org/ real-dreamer@reddit Iowa EMMA GOLDMAN CLINIC, IOWA CITY, IOWA 227 North Dubuque Street Iowa City, IA 52245 (319) 337-2111 http://www.emmagoldman.com/ WISCONSIN AMANDA L STROSAHL, MD, LA CROSSE, WISCONSIN General Internal Medicine - La Crosse 1900 South Avenue La Crosse, WI 54601 4th Floor Medical Center (608) 775-8388 JASMINE ST. JOHN MS, LMFT, MADISON, WISCONSIN 55 Oaks Corporate Center, 700 Rayovac Dr, Suite 103, Madison, WI 53711 Phone 608-279-3900 [email protected] http://jsjtherapy.com/jasmine-st-john-ms-lmft/ Added A AMANDA L STROSAHL, MD, LA CROSSE, WISCONSIN 4th Floor Medical Center, 1900 South Avenue, La Crosse, WI 54601, (608) 775-8388 Fax:(608) 775-2179 http://www.gundluth.org/clinicians/AmandaStrosahl MICHIGAN DR. MARK SIKORSKI, DO FARMBROOKE FAMILY MEDICINE 48924 Hayes Rd, Macomb, MI, 48044, Phone: (586) 566-8270, Fax: (586) 566-8404 DR. JOHN RANDOLPH, ANN ARBOR, MICHIGAN 475 Market Pl, Ann Arbor, MI 48108 Phone: (586) 566-8270, Fax: TBD https://www.ratemds.com/doctor- ratings/5709/Dr-John%2BF.-Randolph-Ann%2BArbor-MI.html MONTANA Planned Parenthoods with IC in Montana: Billings Great Falls Helena https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2943&a=91770&v=details#!service=lgbt NEVADA WEST COAST NORTHERN NEVADA HOPES, RENO, NEVADA 580 W 5th St, Reno, NV 89503 +1 775-786-4673 Unfortunately to become a patient there you have to be within one of the first 5 callers at 8am NEW HAMPSHIRE Planned Parenthood offers IC in Derry?Keene Manchester West Lebanon https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2943&a=91770&v=details#!service=lgbt COLORADO STEPHANIE BRETZ, NURSE PRACTITIONER / DR. STEPHEN HINDS, ENGLEWOOD, COLORADO 300 E Hampden Ste 201, Englewood CO 80113.303-991-7700 Planned Parenthood in Denver https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2943&a=91770&v=details#!service=lgbt TENNESSEE CHOICES CLINIC, MEMPHIS, TENNESSEE 1726 Poplar Avenue, Memphis, TN 38104 Local: 901-274-3550 Toll Free: 800-843-9895 UTAH DR. RIXT LUIKENAAR, SALT LAKE CITY, UTAH. Greenwood Clinic, 7495 S. State St., Midvale, Utah. 8 a.m. to 4 p.m. 801-213-9400 INDIANA DR. JULIANNE STOUT, PURDUE UNIVERSITY STUDENT HEALTH CENTER, WEST LAFAYETTE, INDIANA 601 Stadium Mall Drive, West Lafayette, IN 47907, (765) 494-1700 http://www.purdue.edu/push/ VIRGINIA Transitioning Your Life in Norfolk, Virginia http://www.accessaids.org/site/our-services/community-programs/74- transgender-clinic.html Richmond, VA Fan Free Clinic http://www.fanfreeclinic.org/client-services/medical-clinic/ 1010 N. Thompson Street Richmond, VA 23230 (804) 358-6343 Offers Informed Consent services and free or sliding scale health services. DR. ANTHONY ZAVADIL, SOPHIA MEDICAL ASSOCIATES CLINIC, FREDERICKSBURG, VIRGINIA 603 Kenmore Avenue, Fredericksburg, Virginia Tel.: 540-368-9380/ Fax: 540-368-9382http://www.sophiahealth.com/ Ratings: http://www.healthgrades.com/physician/dr-anthony-zavadil-2vpdx/office- locations Board certified in Internal Medicine and Endocrinology Dr. Zavadil graduated with honors from Cornell University and Cornell University Medical College. His post graduate training in Internal Medicine was at the Harvard Medical Service, Boston City Hospital and Georgetown University Hospital. He completed his Endocrinology Fellowship at Walter Reed Army Medical Center. More Virginia Resources: http://www.vdh.state.va.us/epidemiology/DiseasePrevention/Hotline/ TransRRList.pdf 14 Kansas Sharon Lee, M.D. Southwest Boulevard Clinic 340 Southwest Boulevard Kansas City, KS 66103 Phone: 913-722-3100 JEANETTE LANIER, ARNP, WICHITA, KANSAS 1001 N. MINNEAPOLIS, WICHITA KS 67214, (316) 293-1840 http://mpa.kumc.edu/midtown/physicians.html Will give hormone prescription without therapist's letter. KU Med Clinic also provides diabetes, eating disorder, and HIV/AIDS services. If homeless or low-income, KU Med *should* work with you or you can research the needed blood tests and get Hunter Health Clinic to help with labwork. Massachusetts ELLEN ROTTERSMAN, LICSW (CLINICAL SOCIAL WORK/THERAPIST)BROOKLINE, MASSACHUSETTS 1131 Beacon Street Suite C1 Brookline, MA (617) 730-9417 [email protected] Not informed consent, but is known to be competent and quick in evaluations / writing letters. Doctor's notes: I have been working with questioning and trans clients and their families for 15 years both at Fenway Community Health and in private practice. I take all Blue Cross plan, any PPO plan as well as a sliding fee scale." I do a psychological evaluation in as few sessions as possible for medical providers who require a therapist letter. http://www.helppro.com/HP/Provider/397198259800001/ Ellen_Rottersmann_LICSW.aspx http://therapists.psychologytoday.com/rms/prof_detail.php?profid =49028&sid=1314819251.9557_14320&lastname=Rottersmann FENWAY HEALTH, BOSTON, MASSACHUSETTS http://www.fenwayhealth.org/site/PageServer?pagename =FCHC_srv_services_trans Transgender Care Fact Sheet. http://www.fenwayhealth.org/site/DocServer/COM.11 .026_TransCare_withcrops_03.07.11.pdf?docID=8481 ELLEN ROTTERSMAN, LICSW (CLINICAL SOCIAL WORK/THERAPIST) BROOKLINE, MASSACHUSETTS 1131 Beacon Street Suite C1 Brookline, MA (617) 730-9417 [email protected] Not informed consent, but is known to be competent and quick in evaluations / writing letters. http://www.helppro.com/HP/Provider/397198259800001/ Ellen_Rottersmann_LICSW.aspx http://therapists.psychologytoday.com/rms/prof_detail.php?profid =49028&sid=1314819251.9557_14320&lastname=Rottersmann NEW YORK COMMUNITY KINSHIP LIFE - BRONX LEBANON HOSPITAL TRANS CARE CLINIC 1650 Grand Concourse New York, New York 10457-7697 (718) 583-0542 [url=http://cklife.org/NYC-Resources.php]http://cklife.org/NYC- Resources.php Provides: General Medical care, Hormone Replacement therapy, Therapy, HIV treatment, Hep C treatment. Contact Mr. Cris @347-881-7005 or [email protected] for an appointment h/t dunimal@reddit. New York, NY: Beth Israel Medical Group 226 W 14th Street New York, NY Tel: (212) 604-1800 EAST COAST - 14 CALLEN-LORDE COMMUNITY HEALTH CENTER, NEW YORK, NEW YORK http://www.callen-lorde.org/transgender.html COMMUNITY KINSHIP LIFE - BRONX LEBANON HOSPITAL TRANS CARE CLINIC, NEW YORK, NEW YORK 1650 Grand Concourse New York, New York 10457-7697 - (718) 583-0542 http://cklife.org/NYC-Resources.php Provides: General Medical care, Hormone Replacement therapy, Therapy, HIV treatment, Hep C treatment. Contact Mr. Cris @347-881-7005 or [email protected] for an appointment h/t APICHA, NEW YORK, NEW YORK 400 Broadway New York, NY 10013 (Entrance is on 70 Walker Street - one block south from Canal Street in lower Manhattan.) New York: Planned Parenthood in Ithaca https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2943&a=91770&v=details#!service=lgbt WASHINGTON DC Whitman-Walker Clinic Max Robinson Center 2301 Martin Luther King Jr. Ave., SE Washington, DC 20020 Website: www.whitman-walker.org/page.aspx?pid=475 Whitman-Walker Clinic Elizabeth Taylor Medical Center 1701 14th St, NW Washington, DC 20009 Website: www.whitman-walker.org/page.aspx?pid=475 Max Robinson Center 2301 Martin Luther King Jr. Ave., SE Washington, DC 20020 PENNSYLVANIA In south central PA ( Harrisburg) http://www.alderhealth.org/familymedicine/ Hershey, PA (treats adolescents to max age of about 23) http://www.pennstatehershey.org/findaprovider/provider/254 DR. RACHEL LEVINE, PENN STATE HERSHEY ADOLESCENT MEDICINE, HERSHEY, PENNSYLVANIA 905 W. Governor Rd. Suite 250 Hershey, PA 17033 Tel: 800-243-1455 / 717-531-7235 Fax: 717-531-0067 http://www.pennstatehershey.org/findaprovider/provider/254 MAZZONI CENTER, PHILADELPHIA, PENNSYLVANIA 809 LOCUST ST, PHILADELPHIA PA 19107-5507 (215) 563-0663, Fax: 215.563.0662 [email protected] http://mazzonicenter.org/content/trans-care-mazzoni-center http://mazzonicenter.org/sites/default/files/ma_resources/Transgender %20Health%20Program%20description.pdf http://www.t- vox.org/index.php?title=Physicians_in_the_United_States LGBT health centre. "Transgender services include: primary care, hormone therapy and monitoring, supportive counseling and referrals as needed. Our clients include female-to-male and male-to-female transsexuals, genderqueer people, queens, trannyfags, and people who don't feel that any label fits them. Our clients come from many different cultural backgrounds and all walks of life. Some come looking for hormones and genital surgery, some feel they are comfortable without either. Our Trans health program focuses on helping patients determine their own transition and identity goals." Payment is on a sliding scale, no therapist letter required to start hormones. VERMONT PLANNED PARENTHOOD OFFERS IC IN: Barre Bennington Burlington Hyde Park Middlebury St. Albans https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2654&a=91770&v=details#!service=lgbt GEORGIA FEMINIST WOMEN'S HEALTH CENTER, ATLANTA, GEORGIA 1924 Cliff Valley Way, Atlanta, GA 30329 ? Clinic: 404-728-7900 ? 1 (800) 877-6013 http://www.feministcenter.org/HealthServices/TransHealthInitiative.php [email protected] ? Not accepting new patients at this time (2011-08)! Hopefully resuming October 2011) ? Offers sliding scale rates and STI & Wellness labs. ? Possibly FTM HRT only. They'd like to add MTF in the future. ? Their resource list for GA - http://dl.dropbox.com/u/932389/Trans/Stepping%20Forward%20- %20Atlanta%20Resources%20from%20Feminist%20Women%27s%20Health%20Center .pdf DR. SCOTT PARRY, INTOWN PRIMARY CARE, ATLANTA, GEORGIA 730 Ponce De Leon Place, Atlanta, GA 30306, (404) 541-0944 http://www.intownprimarycare.com/ Provides full services for FTM and MTF - not informed consent, but may help people who previously were on HRT. DR. MARK EARHART, WINDRIDGE FAMILY MEDICINE, WATKINSVILLE, GEORGIA 1612 MARS HILL RD STE B, WATKINSVILLE GA 30677-4889 (706)769-1100 Prescribes and maintains hormones for several Trans people in the greater Athens area. Doesn't require a therapist's support letter. Without insurance, the cost per visit is $120, and he does require periodic lab work. He and his physician's assistant also provide Trans-friendly chest/breast and genital exams. - http://www.t-vox.org/index.php?title=Physicians_in_the_United_States SOUTH EAST - 12 (PLUS OTHER PP CLINICS) FEMINIST WOMEN'S HEALTH CENTER, ATLANTA, GEORGIA 1924 Cliff Valley Way, Atlanta, GA 30329 ? Clinic: 404-728-7900 ? 1 (800) 877-6013 http://www.feministcenter.org/HealthServices/TransHealthInitiative.php [email protected] Offers sliding scale rates and STI & Wellness labs. Previously only offered FTM HRT; this may have changed DR. MARK EARHART, WINDRIDGE FAMILY MEDICINE WATKINSVILLE, GEORGIA 1612 MARS HILL RD STE B, WATKINSVILLE GA 30677-4889 (706) 769-1100 Prescribes and maintains hormones for several Trans people in the greater Athens area. Doesn't require a therapist's support letter. Without insurance, the cost per visit is $120, and he does require periodic lab work. He and his physician's assistant also provide Trans- friendly chest/breast and genital exams. - http://www.t- vox.org/index.php?title=Physicians_in_the_United_States TEXAS GEAR (GENDER EDUCATION, ADVOCACY & RESOURCES) DALLAS, TEXAS Nelson-Tebedo Community Clinic, 4012 Cedar Springs, Dallas TX 75219 Phone 214.528.2336 | Fax 214.528.8436 3rd Monday of each month, 6:00 p.m. - Low-cost lab work and access to medical staff (referral may be required at a doctor's discretion) - to schedule an appointment, please contact 214-528-2336 FELESHIA PORTER, MS, LPC, DALLAS, TEXAS 3530 Forest Lane #188 * Dallas, Texas 75234 Office (214) 904-8222 Cell (214) 454-8144 http://feleshiaporter.com - [email protected] - $110/hr or sliding scale. *not informed consent - but non-gatekeeping therapist in an area with few resources* "she will not gatekeep and provide letters rapidly. Works with Dr. Karen King" - kaliscion@reddit ANDREA COZBY, LPC, DALLAS, TEXAS 3530 Forest Lane, Suite 189, Dallas, Texas, 75234 (214) 912-4872 or (214) 727-4931 [email protected] http://www.creatingwomenswellness.org/id69.html *not informed consent - but non-gatekeeping therapist in an area with few resources* "she will not gatekeep and provide letters rapidly. Works with Dr. Karen King" - kaliscion@reddit DR. KAREN KING, DALLAS, TEXAS 9323 Garland Rd Ste 111, Dallas, TX, 75218 Phone: (214) 328-7400 Fax: (214) 328-7680 http://www.wellness.com/dir/2450389/family-doctor/tx/dallas/karen-king- do "Dr. King will do the work right away, but she will not prescribe any hormones for a smoker, and insists you be quit (due to her unwillingness to associate with the increased risk of stroke from the hormones). Both are very helpful about helping out with extending or renewing prescriptions in an emergency." - kaliscion@reddit DR. APRIL DAY, FAMILY MEDICAL CENTER, GARLAND, TEXAS 601 Clara Barton Boulevard, Suite 140 Garland, TX 75042 (972)272-6561 "Family doctor who will also prescribe HRT; does not require a therapist's letter." LEGACY COMMUNITY HEALTH CENTER 215 Westheimer, Houston, Texas 77006 LEGACY MONTROSE CLINIC, HOUSTON, TEXAS 1415 California Street, Houston, Texas 77006 http://www.legacycommunityhealth.org/LocationsHours.aspx Visit cost was $80 DR. HUNTER HAMMILL, HOUSTON, TEXAS http://drhammill.transhouston.com/ WASHINGTON Planned Parenthood in Bellingham https://www.plannedparenthood.org/health- center/centerDetails.asp?f=2654&a=91770&v=details#!service=lgbt BONNIE SPRAGUE, ARNP, BELLINGHAM, WASHINGTON Bellingham Family Health Care 302 36th Street Bellingham, WA 98225 (360) 756-9793 INFORMED CONSENT FOR ACCESS TO TRANS HEALTH, SEATTLE, WASHINGTON A. Canelli, MA LMHC 206 424 4604 Calvin Burnap, MA LMHC 206 395 5324 Talcott Broadhead,MSW LSWAA 360 402 0240 ICATH How it works - http://www.icath.org/How-Does-it-Work-.html CEDAR RIVER CLINICS, RENTON, SEATTLE, TACOMA, WASHINGTON 800-572-4223 http://www.cedarriverclinics.org/ Late 2014 from reddit - "They do informed consent, sliding scale, accept Medicaid and private insurance CANADA DR PIERRE-PAUL TELLIER, HEAD AND HANDS CLINIC, MONTREAL, QUEBEC 833 SHERBROOKE OUEST MONTR?AL QC / C.P. 446, Succ. N-D-G. MONTR?AL QC H4A 3P8 (514) 481-0277 Unfortunately, his clinic is opened only to people 25 and younger ... don't bother going there if you are older. I don't know if he will take patients outside of the province Qu?bec.'[ed. cath. I've heard of this dr. before, heard 150/8.5 premarin] - http://www.t- vox.org/index.php?title=Endocrinologists DR. JENNIFER DOUEK, OTTAWA, ONTARIO Centertown Community Health Center, 420 Cooper Street, Ottawa, ON, K2P 2N6 (613) 233-4443x2173 Long waitlist DR. VANITA LOKANATHAN, PETERBOROUGH, ONTARIO The Peterborough Clinic 26 Hospital Drive, Peterborough, ON K9J 7C3 (705) 740-6867 DR. JAMES MARTIN, SOUTHERN ONTARIO FERTILITY TECHNOLOGIES 555 Southdale Rd, East, Suite 107 London, ON, N6E 1A2 Phone: (519) 685-5559 Fax: (519) 685-5519 E-mail: [email protected]://www.soft- infertility.com/ A DR. RAY FUNG, TORONTO, ONTARIO 2014 DR. LOUIE CHAN, MISSISSAUGA, ONTARIO East Mississauga Community Health Centre, 2555 Dixie Rd. Mississauga, ON L4Y 4C4, (905) 602-4082 ARCH - HIV / AIDS RESOURCES & COMMUNITY HEALTH, GUELPH, ONTARIO Guelph Medical Place II, Unit 115-89 Dawson Road, Guelph, ON N1H 1B1 Phone: 1-800-282-4505 [email protected] https://www.facebook.com/archguelph http://www.archguelph.ca/transgender-healthcare https://twitter.com/archguelph KLINIC COMMUNITY HEALTH CENTRE, WINNIPEG, MANITOBA 870 Portage Avenue, Winnipeg Manitoba R3G 0P1 Phone: (204) 784-4090 admin. Fax 772-7998 medical Fax 784-4013 E-mail: [email protected] http://www.klinic.mb.ca/transhealth.htm _Erin_@reddit, Spring 2012 - The Trans Health Klinic is the only clinic of it's kind in Winnipeg and demand for their services is very high. They're only open on Fridays and unfortunately their waiting list is quite long. CATHERINE WHITE HOLMAN WELLNESS CENTRE, VANCOUVER BRITISH COLUMBIA http://www.cwhwc.com/ Locations and dates (1x a month) may vary, check their website for details (Please note: Services vary slightly on different clinic dates. Check the calendar for details.) Our services: - Are open to all trans and gender diverse people, regardless of home address - Are open to all ages - Are free - Don't require health cards or ID - General health care including primary and preventative health care, pelvic exams, chest exams, pre- and post-op support, hormone support, and mental health support - Free hormone injection equipment + education about safe hormone injection techniques - Education about hormones, gender confirmation surgeries, sexual health, harm reduction, etc. - advocacy letters, surgical referrals - One-on-one support from a community worker Informed Consent for Estrogen Therapy for Male to Female Transition This form refers to the use of estrogen by persons who wish to become more feminized as part of a gender transitioning process. You are being asked to initial the various statements on this form to indicate that the risks as well as the changes which may occur as a result of the use of estrogen have been explained to you and that you understand them. If you have any questions or concerns about the information below, we encourage you to take all the time you need to: ask questions, read, research , talk with clinic staff and think about these important aspects of your treatment. Please initial and date. Patient Provider Date ______ ______ ___/___/___ I have been informed that the feminizing effects of estrogen can take several month to become noticeable. Some of these changes will be permanent. Permanent changes include: ______ ______ ___/___/___ I will probably develop breasts. These may take several years to develop to their full size. (There is extreme variation in the size of breasts I may expect. Some of this is predictable based on the size breasts my mother and sisters have, but not completely.) If I stop taking estrogen they may shrink somewhat but not completely. ______ ______ ___/___/___ I understand that there are brain structures that are affected by testosterone and estrogen, and that current medical science does not understand these structures adequately. I understand that taking a hormone which will likely affect a part of my brain whose function is not clear may have long-term effects on the functioning of my brain which are impossible to predict. These effects may be beneficial, damaging, or both. _____ ______ ___/___/___ These additional changes will not be permanent and should go away if I stop taking estrogen: Acne I might have will probably decrease If I am going bald, it will probably slow down. It will probably not stop completely My skin may become softer Hair growth on my body may become less noticeable; however, it will not go away My beard may become less prominent; however, it will not go away. The way my body smells, especially the sweat from my armpits, will probably become less noticeable and may change in quality The fat on my abdomen may decrease The fat on my buttocks and thighs may increase in a more feminine pattern ______ ______ ___/___/___ I have been informed estrogen may cause, or contribute to, depression. If I have a history of depression, I will discuss this with clinic staff to explore what treatment options are available to me. ______ ______ ___/___/___ Estrogen will decrease two brain hormones that support size and function of my testicles, which may then effect my overall sexual function. These effects should go away if I stop taking estrogen. These effects include: ______ ______ ___/___/___ Up to about 40% shrinkage in the size of my testicles. I understand that, even while I am on estrogen, monthly testicular exams are still recommended. ______ ______ ___/___/___ Decrease in the testosterone production from my testicles. ______ ______ ___/___/___ The amount and quality of my ejaculation may decrease, or it may stop entirely. My sperm will still be present in my testicles but will probably stop maturing, so I may become infertile. I have been informed that I may still be able to make someone pregnant. I have been informed that, if I am having sex with someone who can become pregnant, some form of birth control should be used. ______ ______ ___/___/___ I have been informed that, if I stop taking estrogen, my ability to make sperm normally may or may not ever come back. ______ ______ ___/___/___ My erections when aroused may no longer be hard enough for intercourse. ______ ______ ___/___/___ Decrease or loss of morning and spontaneous erections. ______ ______ ___/___/___ My sex drive may decrease. ______ ______ ___/___/___ I understand the effects of estrogen will not protect me from sexually transmitted diseases or from HIV. ______ ______ ___/___/___ If I have experienced significant breast development from hormonal therapy, I understand that it is recommended that I do a breast self-examination on a monthly basis, and have an annual breast exam. ______ ______ ___/___/___ I have been informed that taking estrogen can increase my risk of blood clots, which can result in: ______ ______ ___/___/___ chronic leg vein problems, ______ ______ ___/___/___ a pulmonary embolism (blood clot to the lung) which may cause permanent lung damage or death. ______ ______ ___/___/___ a stroke which might result in permanent brain damage, such as being paralyzed or unable to talk or death. ______ ______ ___/___/___ I have been informed the risk of blood clots is much worse if I smoke tobacco, especially if I am over 35. I understand that the danger is so high I have been advised that I should stop smoking tobacco completely if I start taking estrogen. My provider can give me referral to smoking cessation resources. ______ ______ ___/___/___ I have been advised estrogen can cause increased blood pressure. If I have high blood pressure, I may be able to take estrogen if my blood pressure is controlled with medications and/or diet and/or lifestyle changes. Clinic staff will help me address this problem. ______ ______ ___/___/___ I have been informed that estrogen puts a stress on the liver which may lead to liver inflammation or a back-up of liver products in the bile ducts (the liver's "plumbing system"). I will be monitored for liver problems before starting estrogen and periodically during therapy. I have also been informed that there is a slight risk of long-term estrogen use causing liver cancer. ______ ______ ___/___/___ I have been informed estrogen may increase migraine headaches and this may be a reason to choose to stop taking estrogen. ______ ______ ___/___/___ I have been informed estrogen may cause nausea and vomiting, similar to morning sickness in a pregnant woman. If nausea and vomiting are severe or prolonged, I understand that is recommended that I talk with my health care provider. ______ ______ ___/___/___ I understand I am more likely to have dangerous side effects from estrogen if I smoke, am overweight, am over 40, have a history of blood clots, high blood pressure, or prior estrogen-dependent cancers. ______ ______ ___/___/___ I understand estrogen may cause changes in my cholesterol. My HDL (good cholesterol) may go up and my bad cholesterol (LDL) may go down. This will probably decrease my risk of heart attacks and strokes in the future ______ ______ ___/___/___ I understand taking estrogen should prevent prostate problems. There is a slight chance that taking estrogen will cause overgrowth of the prostate. An annual prostate exam is recommended for people over 50 and older. ______ ______ ___/___/___ I agree to tell my medical provider about any non-clinic hormones, dietary supplements, herbs, recreational drugs or medications I might be taking. I understand that being honest with my provider is crucial to developing a trusting relationship. Sharing this information will help my provider to prevent potentially harmful interactions. I have been informed that clinic staff will continue to provide me with medical care, regardless of what information I share with them. ______ ______ ___/___/___ I understand that everyone's body is different and that there is no way to predict what will be my response to hormones. I understand that the right dosage for me may not be the same as for someone else. ______ ______ ___/___/___ I agree to take hormones as prescribed and to inform my provider of any problems or dissatisfactions I may have with the treatment. I've been informed that, if I take too much estrogen, my body may convert it into testosterone. This may slow or stop the desired effects of the hormone. ______ ______ ___/___/___ I will have physical examinations and blood tests periodically to make sure I am not having a bad reaction to the hormones. I understand this is required to continue hormone therapy through this clinic. ______ ______ ___/___/___ I understand that there are medical conditions that could make taking estrogen either dangerous or damaging. I agree that if clinic staff suspect I may have one of these conditions, I will be evaluated for it before the decision to start or continue estrogen therapy is made. ______ ______ ___/___/___ I understand that I can choose to stop taking estrogen at any time. I also understand that my provider can discontinue treatment for clinical reasons. All the above information has been explained to my satisfaction. _______I choose to begin estrogen therapy. ______ I do not wish to begin estrogen therapy at this time. _______________________ _____________ Patient Signature Date _______________________ _____________ Medical Provider Signature Date _______________________ _____________ Parent/Guardian Signature Date