Referring Providers

Adults:

If you are needing to refer your patient to us for care, please fax the referral to 877-684-6190. Then have patient visit the website to schedule. We currently do not have the capacity to call to schedule them. They can click the schedule appointment button to choose when they would like to be seen. We have in person appointments available in Bellevue, Nebraska. We offer telehealth appointments for people living in NE, IA, SD, ND, KS, CO, DE, NV, AZ, WA and TX. 

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:

• Insurance card with co-pay or credit card at the time of the appointment.

• Both parents/guardians must be present and sign consent for hormone therapy. NO EXCEPTIONS unless court documents supplied.

• Letter of support from a licensed mental health provider dated within the last 6 months. Please have them fax the letter to us (fax number below) or email it to info@pridehealthclinic.com. The letter must include the following to be accepted:

  • The client’s general identifying characteristics

  • Results of the client’s psychosocial assessment, including any diagnoses

  • Diagnosis of gender dysphoria for more than 1 year.

  • The duration of the referring health professional’s relationship with the client, including the type of evaluation and therapy or counseling to date

  • An explanation that the criteria for hormone therapy have been met, and a brief description of the clinical rationale for supporting the client’s request for hormone therapy

  • A statement about the fact that informed consent has been obtained from the patient

  • A statement with follow up sessions scheduled for a minimum of 1 hour every three months to discuss transition and their mental health while on gender affirming hormones

  • A statement that the referring health professional is available for coordination of care and welcomes a phone call to establish this

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