Gender Affirming Care
Benefits

Our practice specializes in Gender Affirming Care. We believe that all patients deserve accessible, equitable, and competent care where each person plays an active role in achieving their transition goals.
We follow both WPATH and Endocrine Society guidelines.
Our Gender Affirming Care Plan includes:
✓ HRT evaluation/continuation
✓ Working with you to create a personalized transition profile based on individual goals and current best practices
✓ Guaranteed follow-up visits every 3 months
✓ As-needed telemedicine visits if any issues/ questions arise
✓ Letters for name and/or gender marker changes
✓ Medical letter of support for surgery
✓ Discounted price on additional services offered in the clinic
How Does it Work?
01.
Schedule a call with Dr. Lapinski and see if our clinic is a good fit for you!
Discuss your options to see if you qualify to skip the initial evaluation and its associated fee.
02.
We'll schedule an initial evaluation for those new to gender-affirming hormones or those who have not been approved for gender affirming hormones within the last year.
The initial evaluation is a comprehensive visit that follows both WPATH and Endocrine Society guidelines.
03.
Follow-Ups
Every three months, we'll have a follow-up appointment to discuss progress and goals, side effect management, and review any relevant lab results.
Pediatric/Adolescent (<18 Years Old)
01.
Meet and Greet
Schedule a call with Dr. Lapinski and see if our clinic is a good fit for you!
02.
Initial Evaluation
The initial evaluation is a comprehensive visit that follows both WPATH and Pediatric Endocrine Society guidelines. The visit involves both the patient and the patient's family members. Our goal is to focus on healthy family dynamics to ensure a safe and supportive gender transition process for our youth. This evaluation includes one in-person office visit and one follow-up telehealth visit.
The evaluation includes:
✓ Review the patient’s past medical, surgical, and social history
✓ Review the patient's developmental history
✓ Review the patient’s current medications and allergies
✓ Review of pertinent family history
✓ Organ inventory
✓ Exploration of gender identity development and gender diversity
✓ Comprehensive biopsychosocial assessment
✓ Assessment and evaluation for the diagnosis of gender dysphoria (per DSM-5 criteria)
✓ Comprehensive education regarding medical options for gender affirming care (puberty suppression, hormones, etc.)
✓ Reproductive health and fertility options
✓ Health risk assessment/stratification (once labs are completed)
✓ Creation of a personalized transition profile based on patient’s goals and current evidence-based medical practice
✓ Informed consent process for both the patient and their parents
✓ Injection teaching (if indicated)
✓ Initiation of gender affirming medical care
03.
Ongoing Care
To ensure a safe and effective transition process, patients will follow up every 3 months for a visit.
During these visits we will:
✓ Discuss the progress of the patient’s transition and if they are meeting their goals
✓ Continue to explore healthy family dynamics and provide support to both the patient and their family
✓ Psychosocial risk assessment
✓ Discuss any possible adverse side effects and what can be done to help alleviate them
✓ Analyze follow-up labs to ensure a safe and effective transition
Adult (18+ Years Old)
01.
Meet and Greet
Schedule a call with Dr. Lapinski and see if our clinic is a good fit for you!
Discuss your options to see if you qualify to skip the initial evaluation and its associated fee.
02.
Initial Evaluation
We'll schedule an initial consultation for those not currently on gender-affirming hormones and have not been evaluated for gender affirming hormones within the last year.
The initial evaluation is a comprehensive visit that follows both WPATH and Endocrine Society guidelines. This evaluation includes one in-person office visit and one follow-up telehealth visit to allow patients to get started on gender affirming hormones.
The evaluation includes:
✓ Review past medical, surgical, and social history
✓ Review current medications and allergies
✓ Review pertinent family history
✓ Organ inventory
✓ Assessment and evaluation for the diagnosis of gender dysphoria (per DSM-5 criteria)
✓ Comprehensive education regarding gender affirming hormones
✓ Reproductive health and fertility options
✓ Health risk assessment/stratification (once labs are completed)
✓ Creation of a personalized transition profile based on patient’s goals and current evidence-based medical practice
✓ Injection teaching (if indicated)
✓ Initiation of gender affirming hormones
03.
Ongoing Care
To ensure a safe and effective transition process, patients will follow up every 3 months for a visit.
During these visits we will:
✓ Discuss the progress of the patient’s transition and if they are meeting their goals
✓ Discuss any possible adverse side effects and what can be done to help alleviate them
✓ Analyze follow-up labs to ensure a safe and effective transition
Virtual (18+ Only)
01.
Meet and Greet
Schedule a call with Dr. Lapinski and see if our clinic is a good fit for you!
Discuss your options to see if you qualify to skip the initial evaluation and its associated fee.
02.
Initial Evaluation
For patients who are brand new to Gender Affirming hormone therapy. The initial evaluation is a comprehensive visit that follows both WPATH and Endocrine Society guidelines.
03.
Ongoing Care
Every three months, we'll have a follow-up appointment to discuss progress and goals, side effect management, and review any relevant lab results.
Do I need an initial evaluation?
You will need an initial evaluation if...
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You're brand new to gender affirming hormones
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You haven't been approved for gender affirming hormones within the last year
You may not need an initial evaluation if...
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You're currently on gender affirming hormones
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You've been approved for gender affirming hormones within the past year
Gender Affirming Care Plans
All of our membership plans charge a one-time, non-refundable enrollment fee of $150
We also offer a 15% family discount - click here for details
