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I compiled every single informed consent clinic in the country. No therapist letter needed.
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EDIT: Hey everyone, I know that the commenting is off on this now since it's so old. PLEASE send me a PM if you have one to add. I'm always updating this map.

Are you thinking of starting HRT, but are worried about:

  • Finding a clinic
  • Having to do a year of therapy
  • Having to do "real life experience"
  • Getting gatekept
  • Spending money and not getting treatment

Well... that is why informed consent exists. With informed consent, you require no letters from therapists. You simply attest your gender identity, say that you understand the risks and benefits of hormone therapy, and they begin prescribing and monitoring your hormone levels.

So... For too long, this information has been scattered around Reddit, Susans place, twitter, various out of date guides from different regional organizations, so...

I laid my eyes on every single clinic website and doctor profile listed in this map. You should be able to call up any of them to confirm, and then start your HRT as soon as possible.

PLEASE let me know if any of these are out of date or if I am missing some.

https://www.google.com/maps/d/u/0/viewer?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ll=42.47025816653199,-97.03854516744877&z=4

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5 years ago