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Most Anne Health appointments take place online by video call. This includes your therapeutic intake, medical consultations, and counselling sessions. You can join from wherever feels safe and comfortable for you.
Some parts of your care need to happen in person. Blood tests, for example, can be done in a way that works best for you. Either through your GP, at a clinic, or at home using a mobile phlebotomy service.
There are a few ways to arrange your blood tests, so you can choose the option that works best for you.
Through your GP
If you’d prefer to use your GP, we’ll send you everything you and your GP need, based on the recommendations of your independent prescriber.
At a trusted clinic
If you’d rather visit a clinic, we’ll arrange your referral and email you simple instructions for booking your appointment. Once your blood test is complete, the laboratory will send your results to your independent prescriber for review.
Clinic blood tests are included in your monthly membership.
At home
If you’d prefer a blood test at home, we’ll send you instructions for booking with a mobile blood testing service. A trained phlebotomist will visit you to take your sample before it’s sent to the laboratory. Your results will then be shared with your independent prescriber for review.
Please note that if there’s a clinic near you, choosing the at-home service instead may come with an extra cost.
Whichever option you choose, we’ll guide you through it and make sure everything is straightforward.
We’ll connect you with an independent prescriber who can issue any prescriptions you need as part of your membership.
You’ll only need to pay for your medication separately. The cost will depend on what you’re prescribed, your dose and the pharmacy you use.
For more information, visit our Hormone Replacement Therapy (HRT) page.
The care we facilitate is based on informed consent, but there’s still a process to follow.
All members go through an intake process. This helps to ensure hormone therapy is the right next step for you and that you understand what it involves.
If an independent prescriber decides that hormone therapy is appropriate for you, you’ll receive a digital prescription that you can take to your local pharmacy.
If you’re over 18, we can also help you arrange home delivery through a UK pharmacy.
If you’re under 18 and accessing puberty blockers through the legal route, we’ll guide you through the process and provide the information you need to understand the available pathway.
The intake process can take up to 12 weeks to complete, although this can vary from person to person.
This is because everyone’s situation is different. The timeline can depend on things like your age, where you are on your gender journey, what kind of support you’re looking for, whether you’ve had hormone therapy before, and the type of gender-affirming care support you need.
It can also vary based on how many intake sessions are recommended, your availability for appointments, and how you choose to arrange your blood tests.
We tailor the process to you, so you get the right level of support at the right pace.
For more detailed information, see our guide to joining Anne Health.
Yes. Experienced independent counsellors working with Anne Health can prepare surgery referral letters for both members and non-members.
Please note that each surgeon or surgical provider has their own referral requirements, so we can’t guarantee that every letter will be accepted. We recommend checking with your chosen surgeon before arranging your appointment.
Yes. If you’re under 18, there must be consent from at least one parent or legal guardian before we can facilitate access to care. That parent or guardian must join some of the appointments to ensure you’re supported and safe throughout your care.
Our standard membership is a 12-month contract. If you change your mind after the 14-day cooling-off period, you’ll still need to pay the monthly fee until the end of the 12 months.
If you change your mind within 14 days of paying the £200 joining fee, and haven’t used any services, we’ll give you a full refund.
The Lite Membership is different. It’s a rolling monthly contract, so you can switch or cancel more easily.
Read our terms and conditions for more information.
Not unless you want us to. If you’d like us to communicate with your GP and keep them informed of all relevant updates relating to your care with us, we’re happy to do so.
No, you don’t. You don’t need a formal diagnosis of gender dysphoria to access our services. We use an informed consent model, which centres your understanding of yourself and your care choices.
We cannot endorse, recommend or guarantee specific results, but the following surgeons have accepted our referral letters in the past:
If you’re interested in a surgeon not listed here, it’s best to contact them to check if they’ll accept a referral from us. We’re also happy to reach out for you.
We’re happy to contact your GP to request shared-care, but it depends on whether they agree. We can’t guarantee they will, however, as every GP practice is different.
When a payment is missed, we will send you an email notifying you of this. The email will include a link to update your payment method.
If you’re experiencing financial difficulties, please reach out to discuss this with us. We’ll always do what we can to help.
Yes. All children and young people go through our intake process. Even if your child has been assessed as Gillick competent elsewhere, we still need to confirm their understanding of the care they’re asking for. That includes the risks and benefits involved.
That said, we do our best to keep this as simple as possible for families transferring from other providers. Usually, young people new to Anne Health need at least three sessions with a therapist before moving on to a doctor. If you’re transferring from another provider, two sessions may be enough, unless we think more are needed for safety or support.
We also offer regular follow-up sessions as part of your care. These are more like check-ins than traditional therapy, and are designed to make sure you feel supported throughout your time with us.
We’ve set up a legal way to continue offering puberty blockers. If you’re interested in this, we’ll explain everything clearly during the intake process, including how it works and what your options are.
It is legal to access medication that isn’t available or is restricted in the UK and Northern Ireland if it is prescribed and supplied entirely outside of these areas. This includes puberty blockers (GnRHa medications), and it would also apply to hormones if rules change for under-18s.
We work with trusted partners outside the UK and Northern Ireland to support access.
It’s also important to know that gender-affirming hormones are not banned, and young people under 18 can still access blood tests and other parts of gender-affirming care.
The Little Backpocket Guide to puberty-suppressing hormones from the Love Tank is particularly helpful in explaining the current situation and the history of the use of puberty-blocking medication.
Take the first step with Anne Health.
We’re here to guide and support you with inclusive, gender-affirming care built around you.