Gender Affirming Care
ADULTS:
We provide Gender Affirming Hormones for transgender, nonbinary, and gender fluid/non-conforming ADULTS in NE, IA, SD, ND, KS, CO, WA, DE, NV and TX.
We use the informed consent model and follow WPATH guidelines. A therapist letter is not required to start hormones for adults.
Requirements for an appointment:
Insurance card with co-pay or credit card at the time of the appointment.
Capacity to give informed consent
Age of majority in your state (19+ in Nebraska)
Any medical or mental health issues are reasonably well controlled
Your provider will discuss the informed consent process, discuss your gender identity development history, review effects, and possible risk factors for gender affirming hormone therapy prior to writing a prescription.
Recent Laboratory values (CBC, CMET)
To schedule an appointment, please use the appointment bot below or submit the information on the form for staff to review and schedule for you.
In Person and Telehealth appointments available.
Please check the map below for availability in your state.
UPDATE ON Minors in Nebraska:
Please click here for link to Nebraska LB 574 that went into effect on October 1, 2023. *UPDATE* Minors (under 19) can still be started on gender affirming hormones with a letter from a therapist after completely at least 40 hours of therapy with a neutral therapist. The letter must be received by the provider prior to the appointment. After the initial consult and consent for gender affirming hormones is signed, there is a 7 day waiting period before starting hormone therapy. Minors must continue therapy while on gender affirming hormones to discuss transition and their mental health. These visits must be at the least 1 hour every 3 months.
If the minor started treatment prior to 10/1/2023, they do not need the above requirements, but we must receive a copy of their medical record documenting treatment plan and start date.
If you are needing to refer your patient to us for care, please fax the referral to 877-684-6190.
We only see minors age 14 and up for gender affirming hormones. We are able to see new minors in person at our Omaha, NE location ONLY. Follow-up appointments may be done by telehealth.
Requirements for an appointment:
Insurance card with co-pay or credit card at the time of the appointment.
Both parents/guardians must be present and sign consent for hormone therapy. NO EXCEPTIONS unless court documents supplied.
Letter of support from a licensed mental health provider dated within the last 6 months. Please have them fax the letter to us (fax number below) or email it to info@pridehealthclinic.com. The letter must include the following to be accepted:
The client’s general identifying characteristics
Results of the client’s psychosocial assessment, including any diagnoses
Diagnosis of gender dysphoria for more than 1 year.
The duration of the referring health professional’s relationship with the client, including the type of evaluation and therapy or counseling to date
An explanation that the criteria for hormone therapy have been met, and a brief description of the clinical rationale for supporting the client’s request for hormone therapy
A statement about the fact that informed consent has been obtained from the patient
A statement with follow up sessions scheduled for a minimum of 1 hour every three months to discuss transition and their mental health while on gender affirming hormones
A statement that the referring health professional is available for coordination of care and welcomes a phone call to establish this
Online scheduling not available for this service. In order to schedule, we must have the letter from the therapist as detailed above. NO EXCEPTIONS!!!