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, WA and TX.
Minors:
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 16 and up for gender affirming hormones. We are able to see new minors in person at our Bellevue, NE location ONLY. Follow-up appointments may be done by telehealth.
Requirements for an appointment for a minor for gender affirming hormones:
Both parents/guardians must 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 using the contact us button above. 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
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 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. Please click the contact us button above to send email or call us at 402-243-1526 to inquire further.