Gender-affirming care
If you’re already on hormones
Continuing is a different appointment from starting, and it is the more common one. It should also be the duller one.
Why this page exists
Almost everything written about hormone therapy is written for the first appointment. But the situation people are actually in is usually this one: it is already working, and the problem is the supply chain around it — a prescriber who retired or moved, a practice that stopped taking patients, a move to a new city, a renewal that needed bloodwork nobody arranged.
None of that is a clinical problem. All of it interrupts treatment anyway.
Continuity is the goal. Being asked to re-justify a decision you made years ago is not a clinical requirement, and it will not be treated as one here.
What this covers
- Taking over prescribing from a clinician you no longer see
- Transferring in from another city or another country
- Restarting after a gap, for whatever reason there was a gap
- Renewals that will not lapse while paperwork moves
- Reviewing a regimen that has never been reviewed
- The monitoring that should have been happening alongside it
Bring what you have
Whatever you are taking, in whatever form the container is in, and the dose if you know it. Old bloodwork if you have any, in any language. If your records are somewhere unreachable, say so — that is common and it is workable.
If you have been getting them another way
Plenty of people take hormones they did not get from a prescriber — ordered online, brought from another country, shared by a friend, bought because the alternative was waiting eighteen months. It is common enough that treating it as shocking would simply ensure nobody ever mentions it.
Tell us. Not to be corrected, and not as a condition of being helped — it is simply information, and it changes what is safe. What you have been taking, for how long, and in what form determines what should be checked and what should happen next. A clinician who does not know is a clinician working blind.
This will not be reported anywhere and it is not a barrier to care. The realistic outcome is bloodwork, a conversation, and a prescription that means you no longer have to do it that way.
What will be looked at
The same things that should have been looked at all along: how it is going, what you want from it now as opposed to when you started, whether the monitoring has kept up, and whether anything about your health has changed in a way that changes the plan.
Sometimes that conversation ends with nothing changing at all, which is a perfectly good outcome and is more common than not. See bloodwork and monitoring for what gets measured, and screening and preventive care for the parts that get dropped when care is split across places.
Common questions
Will you make me start over?
No. Reviewing a treatment is not the same as reassessing whether you should be on it, and the two will not be conflated.
I’m about to run out.
Say that when you book, and say it again when you arrive. A gap is the thing worth avoiding, and it is easier to prevent than to fix.
My old clinic won’t send my records.
Frustrating, and not a dead end. Bring what you have and we will work from that; records can be chased in parallel rather than blocking your care.
Can I keep seeing my other doctor?
Yes. Sharing care is normal, and it works when everyone knows who is doing what. If you would rather have it all in one place, see looking for a family doctor.
Kind Pharmacy on the ground floor handles the dispensing side — transferring an existing prescription, injection supplies, and coverage. Kind Clinic and Kind Pharmacy are separate businesses under common ownership. You can fill your prescription anywhere.
Kind Pharmacy →