Yes.

We go over what changes are permanent, as well as what is not. We go over what to expect when, and expectations for labs and follow up. We go over how hormones might interact with your specific health conditions. You can ask questions to your heart’s content.

Our consent forms are sourced from Fenway Health Center in Boston.

That depends. We need baseline labs first, so usually can’t prescribe on the first visit. Hormones can affect blood cell counts, kidney function, and electrolytes so we want to know what your normal is before prescribing. That way if your future labs are quirky, we can know if it’s the HT or something else. It super stinks to have to stop hormones to figure that out.

If the labs are abnormal in some way, or if you have a complicating health condition, that’s not a hard no on hormone prescribing. It just means we might have some figuring to do so we can move forward the safest way possible. The only absolute contraindications to hormone prescribing are hormone dependent cancer and pregnancy.

We reference the UCSF Gender Affirming Health Program’s Guidelines and WPATH. The original protocol also referenced guidance from Callen-Lorde in NYC and Gender Health San Francisco.

Jo Bauer ARNP accidentally founded a gender affirming care program at a large community health center in 2015. There was a need, and one thing led to another. She has been honored to walk several hundred patients through gender transitions. She has given lectures at a couple conferences and taught nurse practitioner and physician residents about hormone prescribing.

You can print out the lab order we email during the visit and take it to any lab. We recommend Labcorp but Quest is fine too. If there isn’t one accessible to you let us know.

Maybe. For people on testosterone starting in 2026 the rules may require it. Everything depends what the DEA decides to do with schedule III drugs and telehealth which has been up in the air for years.

18. Legal consent for minors is complicated. Please consider Seattle Children’s or Mary Bridge in Tacoma. Cedar River (also on the west side of the mountains) might also take care of the under 18s. Queerdoc does via telehealth, though they do not accept insurance.