Gender Affirming Care


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:

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.

*Don't see your state. Contact us with inquiries on getting licensed in your state.*

UPDATE ON Minors: 

Please click here for link to Nebraska LB 574 that goes into effect on October 1, 2023. Check back for updates on care for minors under 19 in Nebraska. *UPDATE* Minors 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 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:

Online scheduling not available for this service. In order to schedule, we must have the letter from the therapist as detailed above. NO EXCEPTIONS!!!