Getting Care At QueerDoc: Appointments

At QueerDoc, we provide awesomely queer gender affirming care*. Here’s how to get your very own appointment with us.

*exactly what we can do may differ by state – see more below

What We Do: Telemedicine Services

All of our patient services are done via video visit.

Getting On Hormones – Youth and Adults

• Help identify what can change about your body
• Tell you about your options for making those changes
• Tell you all about those options so you can make an informed decision
• Prescribe medications, including, but not limited to:
  • Estradiol
  • Testosterone
  • Progesterone
• Androgen-blockers
  • Spironolactone
  • Bicalutamide
  • Dutasteride
  • Finasteride
• Puberty Blockers
  • Leuprolide (Lupron, Eliagard, Fensolvi)
  • Triptorelin (Triptodur)
  • Nafarelin (Synarel)
  • Elagolix (Orlissa)
• SERMs
  • Raloxifene

Non-Hormonal Gender Affirming Care – Youth and Adults

• Legal Transition Consultations
  • Updating your birth certificate or state identification? If you need a physician’s letter, we can write it! Note: we are not currently doing legal transition consult visits in Florida.
  • You don’t need a doctor’s letter to update your passport or social security card!
• Care Navigation
  • Don’t know what your insurance covers or their twisty unclear requirements for getting care? Give us your insurance information, and we’ll do the work of finding out your care details for you.
    • Available to established patients on a sliding scale
    • TransFamily Support Services offers these services for free to folx all over the country!!!

Sexual and Reproductive Health – Youth and Adults

• Consult with you on sexual health, your risks, and your screening needs
  • We’re kink and polyam positive! (In fact, a lot of us have lived experience wink)
• Order screening labs, including self-collected samples that you take to a laboratory for processing
• Prescribe PrEP
• Prescribe contraception
• Order vaccines for you to get at a local pharmacy

We also do Provider Education and Organizational Services that raise the bar in LGBTQ+ care!

Where We Do It

We are licensed in:

• Alaska
• California
• Florida
• Hawaii
• Idaho
• Montana
• Utah
• Washington
• Wyoming

Medical licensing and prescribing laws can be super complicated and confusing. Medical licenses are controlled at the state level. Some prescribing rules are at the state level, and some are at the federal level. Same sitch for telehealth rules.

And some state legislatures have gotten downright mean and nasty.

*We are currently exploring ways to support folx in ban states both through connections with other resources. Please contact us at info@queerdoc.com if you have questions.

So, here are some of the details about getting care by state.

Alaska:

Dr. Beal sees youth and adults with complex health needs in Alaska through Identity Health. Contact them to start patient registration at (907) 865-3247 or fill out forms online.

California:

We see youth and adults in California. California has a shield law. If you need to leave your home state for care, California has protections in place. We are working with outside resources to facilitate travel.

Florida:

Florida is complicated.

The Florida Medical Board and Board of Osteopathic Medicine banned youth from starting gender affirming care as of 3/16/2023. Youth who were already receiving treatment for gender dysphoria can continue receiving it. An injunction was placed on 6/6/2023. This injunction applies to youth, not adults, and did not address all of the restrictions on care, so there are remaining legal questions about youth care in Florida. If you or your family have questions about starting gender affirming care and live in Florida, please reach out to us.

Florida bill SB 254 reached concurrence on 5/4/2023, and was signed into law on 5/17/2023.
*Major restrictions to care in Florida include:

• Prescriptions must be made by doctors (MDs, not physician assistants (PAs) or nurse practitioners (NPs) and
• First prescriptions must be made at an in-person appointment.
• The Medical Board and Board of Osteopathic Medicine have created a state-mandated consent form which will be required for new and changed prescriptions.
  
  In September, 2023, Judge Hinkle declined to enjoin the adult restrictions on care. The lawsuit against 254 goes to trial in December, 2023.

Hawaii:

We see youth and adults in Hawaii. Hawaii laws require an in-person visit for testosterone prescriptions. If you have a previous prescriber, they can fax us a referral at 352-553-4934

UPDATE ON TESTOSTERONE IN HAWAII:
We have partnered with HI SIS in Honolulu to provide pop-up clinics where the in-person requirement can be met. Meet us at Honolulu Pride October 20 – 22nd to find out more. The process for obtaining a testosterone prescription in Hawaii will be:

1. Schedule a free introductory appointment.
2. Schedule your medical intake appointment. This can be via telehealth. Obtain labs as necessary.
3. Schedule an in person appointment during one of our pop-ups on island. This is a short appointment.
4. Regular telehealth follow-ups and prescribing visits as necessary.

We have partnered with Elevated Access to provide inter-island travel free of charge to Hawaii residents coming to Honolulu for an in-person visit.

Idaho:

Idaho’s legislature has recently passed a law banning and criminalizing youth care. It goes into effect on January 1, 2024. Youth are able to start care until then. There are currently no restrictions on adult care in Idaho.

Montana:

Montana’s legislature passed a law banning youth care. It was scheduled to go into effect on October 1, 2023. On September 27, 2023, this law was enjoined and the youth restrictions were blocked while the court case proceeds. Youth are able to start and continue care. There are currently no restrictions on adult care in Montana.

Utah:

Utah has a complicated youth ban in effect. If you are under 18 or your minor child had an existing gender dysphoria diagnosis prior to 1/24/2023, we can see you, but we can not prescribe medications until a six-month waiting period has passed. We can start seeing youth and diagnose gender dysphoria, but we cannot currently treat. If you are in Utah and can travel, we recommend you travel to California or Washington for appointments and prescriptions. We can see folx via telemedicine and prescribe in California and Washington. Please contact us if you have questions.

Adult care is available with no restrictions in Utah currently.

Washington:

We see both youth and adults in Washington. Washington state is a shield law state: there are legal protections for patients travelling to WA for care and for clinicians who provide gender affirming care.

Wyoming:

Bills banning youth gender affirming care have failed in the WY legislature this year. We can see both youth and adults in Wyoming.

If you are interested in starting testosterone in WY, you will need to have two appointments with bloodwork and self-collected vital signs done between them before we can prescribe.

How To Make An Appointment With Us

We require all new patients to have a free fifteen-minute introductory appointment with us prior to any other appointment.

Request your introductory appointment via the purple “Request Appointment” button at the top of every page on our website. We do require you to have a credit card number on file, but you can use a debit card or a loadable credit card purchased at your local store (or an HSA or FSA card.) Here’s how (also, see our how-to video on Insta!)

• Click on the green “Select” button for the Free 15-Minute Clinic Introduction.
• Click on the green “Select” button for QueerDoc
• Choose a date and time that works for you. Times default to PACIFIC TIME, but you can change how time displays to your time zone.
• Click on the light green time button of your choice
• Indicate who the appointment is for: “me” or “someone else”. Click on the green “NEXT” button.
• Enter your contact information.
• Click on the “Request Appointment” button.
• If you need to return to a previous page, click on the green text in left side menu.

If you need assistance requesting an appointment, please contact us at info@queerdoc.com.

Please double-check that your email address is entered correctly. This is our primary method of contacting you.

After submitting your appointment request, your provider will receive the request and approve or deny it. If approved, you will receive a link to your video appointment and documents to review and sign. We now require that you upload an image of your ID before you can proceed to a medical visit. This is to help us comply with telehealth regulations. Any ID is acceptable, you do not have to be a US citizen. If you don’t have a photo id, a birth certificate is acceptable.

After your introductory appointment, you will be able to request your initial medical visit, a sexual health visit, or legal transition consultation via the patient portal.

At your first medical visit, we’ll talk about ALL THE THINGS and our goal is to have an individualized plan for your gender affirming care at the end of that visit.

How Adult Care and Youth Care Are Different

Yes, we see youth!

We have no lower age limit for our patients. We are happy to meet you and your youth prior to puberty, but medical interventions do not start until Tanner Stage Two is reached.

We believe that transgender youth are best served via large multi-disciplinary medical centers, where teams of specialists are available to coordinate care. This, unfortunately, is not an option for many youth. Location, wait times, ability to travel – they all play a part in accessibility. We are proud to support transgender youth for whom multi-disciplinary medical centers are not available.

Consistent with national standards of care, we do require parental or guardian consent unless a youth meets the criteria for the mature minor doctrine in their state.

Access to youth care nationwide is changing rapidly. We are committed to advocating for legal and accessible care and will provide care for youth as long as we are legally able to. For youth in states where legislation is impending or in place that restricts care, care may be available if you are able to travel out of state. This may include connecting you with additional resources. If you have questions about getting care, please contact us at info@queerdoc.com.

Our intake process for youth is slightly different, and medical intake is done over the course of two hour-long appointments.

1. Free 15-minute introductory appointment with parent(s)/legal guardian(s) and youth (sometimes we have this appointment with just the adults.) We do need to meet the youth at either this appointment or the documents appointment.
2. Documents appointment to ensure that we have our records in order before starting care. For youth, we need to have yearly well-visit records, custody/parenting plan documentation, if applicable, and mental health support documentation in some states. This appointment has a flat fee of $60.
3. Medical intake visit #1 (sliding scale of $300 – $675.) The adult(s) are required to attend this visit.
   • We’ll have time to talk with both the youth and the adult(s) privately.
   • We’ll spend some significant time talking about gender, your family structure and support systems, and how gender affirming care for youth works.
   • We’ll talk about the youth’s gender embodiment goals.
   • We’ll talk about treatment options.
   • We’ll order lab work.
   • We’ll schedule the second half of the intake process for youth – this occurs after labwork is completed.
4. Youth and adults have time to think about options and go get lab work done.
5. We have the second intake appointment (sliding scale $200 – $575.)
   • Confirm gender goals.
   • Discuss lab results
   • Review risks and benefits of treatment options.
   • Discuss expectations and timelines.
   • Answer any questions that have come up.
   • Prescribe medications, if appropriate.
6. Follow-up appointments for youth are one hour long and happen every three months for at least the first year (sliding scale $200 – $575.) Some youth need more frequent follow-up appointments in the first few months.

We don’t require that adults have a primary care provider to get care with us. We do require that youth have regular primary care, please email us at youthcare@queerdoc.com if you are unable to engage with primary care.

Ready? Schedule with Us! Look for the purple Request Appointment button on any page of our website.

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