Use the Request an Appointment tab to have a trans-informed staff member contact you.

  • Description
  • Request an Appointment

Gender Care Services

We strive to ensure our patients receive quality care through a direct and long-term relationship with their chosen provider and health care team. Our teams are respectful of, and responsive to, individual patient preferences. When you call or message us, you will be directed to our confidential, trans-informed staff who understand the needs of the transgender community and can help connect you with our gender care services. *Not all services are available at every site.

As a new patient establishing care for hormone treatment, our staff will guide you through the registration process. You will be asked to provide your medical history, insurance information and review additional forms. For additional information, visit our FAQs page.

Available Services:

  • Adult & Pediatric Hormone Therapy
  • Access to Health & Social Services
  • Case Management
  • HIV Testing & Treatment
  • Hormone Replacement Therapy (HRT)

  • PrEP & PEP
  • Support for Transition-Related Issues
  • Support for Those At-Risk for HIV & STDs
  • Referrals for GCR/SRS
  • Transgender Patient Advocate Program*

Your initial visit may include any or all of the following:

  • Consultation
  • Discussion of existing health conditions (if any)
  • HIV testing and/or STI/STD screening
  • PrEP (Pre-Exposure Prophylaxis)
  • Possible baseline lab work
  • Discussion of five-year plan

  • Discussion of clinical goals
  • Review effects of hormones
  • Discuss fertility and family planning
  • Discuss mental health
  • Informed consent

*only at FHCSD

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  1. Hormone Replacement Therapy (HRT)
    Hormone Replacement Therapy (HRT) may help you feel more at ease with yourself, both physically and psychologically. HRT causes physical changes, such as breast development for those on estrogen or facial hair growth for those on testosterone, which may increase your comfort with your gender presentation. HRT is often the first medical treatment people seek when they start to transition, and it may be the only medical treatment you feel you need during your transition.
    To maintain the changes caused by HRT, you will need to take hormones for the rest of your life. Because it is a medical treatment, you will need to see your medical provider regularly to ensure your body is responding to the hormones in an appropriate and healthy way. Although there are many benefits to HRT, there is potential for serious side effects, so it is important to communicate any changes or irregularities to your provider so they can identify any problems early on.
    To learn more about the benefits and risks of HRT, send us a message by clicking on Request an Appointment.
  2. Transgender Patient Advocate Program

    The Transgender Patient Advocate Program is part of FHCSD's program for LGBTQ health to provide advocacy and support for trans-identified, gender non-conforming and genderqueer patients.

    Transgender patient advocates assist patients in finding appropriate providers, making appointments and ensuring optimal patient care for transgender-identified individuals in FHCSD's clinics. All individuals, including those of non-conforming gender identities, are welcomed into this program.

    To schedule an appointment with a Transgender Patient Advocate, call (619) 255-7743 or email

  3. Informed Consent

    Informed consent asks you to consider the expected benefits and the possible side effects of hormone therapy, so that you can decide with your medical provider, if hormone therapy is right for you. When you sign the Informed Consent Form, you will be stating that you have discussed the risks and benefits with your medical provider or a member of the medical team and that you understand how these benefits and risks apply to you personally.

    For additional information about informed consent, visit our FAQs page.