Gender Affirming Hormone Therapy (GAHT) External Prescriber Referral and Safe Access Form

Gender Affirming Hormone Therapy (GAHT) External Prescriber Referral and Safe Access Form

If you are one of our valued clients who gets their hormone injections administered by our team while having your prescriptions issued by an external provider, please click here to access our form and bring us the information listed, so we can ensure your clinical safety.

You can also view the form below: