Start gender-affirming care from home.
Complete a secure online intake and receive personalized care from a licensed nurse practitioner—without a mandatory video visit.
Takes about 3–5 minutes. You will not be charged just for submitting this form.
A simpler way to begin care
Share the basics
Tell us your state and the type of care you’re seeking.
Complete your secure intake
We’ll send the appropriate health questionnaire and consent forms.
Receive personalized next steps
A licensed clinician reviews your information and contacts you with the plan.
Know the cost before you begin.
Gender-affirming care and PrEP membership starts at $99 per month. Labs and medications may be billed separately.
Before you get started
Will I need a video appointment?
A video visit is not mandatory for most eligible patients. A clinician may request one when medically appropriate or required by law.
Am I charged when I submit this form?
No. This short form simply helps FormKind confirm service availability and send you the correct secure intake.
How quickly will I hear back?
Add your actual response-time promise here, such as “within one business day.”