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We know that choosing a new gender-affirming care provider can sometimes feel overwhelming. That’s why we created this guide so you know what to expect.

1. Sign up to Anne

Joining Anne is quick and easy. First, you’ll be taken to a payment page to pay the £200 joining fee. Once you’ve paid the joining fee, you’ll progress to completing an intake form.

2. Complete your intake form

The intake form asks for important details, so it helps to set aside time and have your documents ready. You’ll need to provide:

  • Photo ID
  • Proof of address
  • Evidence of any existing prescriptions

We’ll also ask about your gender and medical history, as well as your emergency contact details. If you have questions, our friendly admin team is always here to help.

Please note, if you’re joining on behalf of your child, we’ll need to see their photo ID. If your child doesn’t have photo ID yet, please get in touch to discuss your options before signing up.

Once you submit your form, we’ll review it and get in touch if anything’s missing or unclear.

3. Set up your monthly subscription

After you’ve completed your intake form, the next step is to set up your direct debit.

Once you’ve done this, and your details have been reviewed by the team, you’ll receive a confirmation letter by email. Your first pro-rata payment will then be taken on your chosen date, followed by monthly payments after that.

4. Book your intake therapeutic session

Once you’re in the intake process, you can book your first therapeutic session.

We’ll match you with a counsellor who best fits your needs. After your first appointment, they’ll decide how many intake sessions are needed before you move forward.

All sessions take place online via video call, so it’s easy to fit them into your schedule.

5. Have a blood test

Everyone joining Anne needs an initial blood test. You can choose how to complete it:

  • Through your GP: we’ll share the test details, and you can send us the results
  • Through a partner clinic: we’ll send you a booking link for your nearest clinic (included in your membership)
  • At home: we can arrange a mobile phlebotomy service (this may incur an additional fee)

Once your results are back, a clinician will review them and invite you to book your intake medical session.

Learn more about blood tests

6. Attend your intake medical session

Your first medical session is a chance to share your experiences and discuss options for gender-affirming hormone treatment.

Afterwards, your clinician will create a care plan and, where appropriate, prescribe medication in line with your goals and international best-practice guidelines.

7. Arrange your prescription

Depending on the type of medication, you can either:

  • Collect it from your local pharmacy using a digital token
  • Have it delivered to your home.

Medication costs are not included in your membership fee, as they’re supplied externally. You may also need to purchase items such as needles or a sharps bin. We’ll guide you through that when the time comes.

8. Enjoy consistent, ongoing care

Once your intake process and prescription are complete, your regular care begins.

Regular check-ins

We’ll check in every three to four months to review your progress, renew prescriptions, and arrange any follow-up appointments or blood tests.

And you don’t have to wait for your next check-in; our team is always here if you have questions or need extra support at any time.

Blood tests

To keep your care safe and effective, we require a new blood test every three to four months. These tests help us see whether any adjustments are needed or if anything else is going on. Typically, we’ll ask you to check in with a clinician after your test, but we can arrange this appointment at a time that works best for you.

Learn more about blood tests

Therapeutic sessions

After your initial intake therapeutic session, we’ll ask you to check in with a counsellor every four months during your first year. After that time, these sessions are completely optional. Additionally, If you’d like extra sessions, you’re welcome to book them at a reduced rate for members.

For those under 18, regular check-ins are a core part of your care. Once you turn 18, and you’ve been with us for a year or more, these sessions become optional.

Learn more about counselling support

Frequently Asked Questions

View some of the most asked questions, or search below for a question you might have.

Or you can easily speak to us using one of the options below between 9am – 5pm Monday to Friday, or send us an email and we’ll get back to you as soon as we can.

  • Yes. All counselling and medical appointments happen online through video call, so you can attend from wherever you feel most comfortable.

  • If you need more mental health support during your time with us, we offer extra counselling sessions at a reduced rate.

    Our counsellors are experienced in gender-affirming care and many have worked with trans+ people and their families for years. They’re here to support you, wherever you are in your journey.

  • There are a few ways to get your blood tests done, you can choose what works best for you. Blood tests can either be done with your GP, at one of our partner clinics or at your home with the mobile phlebotomy service.

    With your GP

    If you choose to go through your GP, we will always provide full details to you and your GP.

    At one of our partner clinics

    If you prefer to visit one of our partner clinics, we’ll make the referral and send you an email with instructions for booking your test. You’ll attend your appointment, and your results will be sent directly to us from the lab.

    The cost of clinic blood tests is included in your monthly membership fee.

    At home with a mobile blood test service

    If you choose to use the at-home service, you’ll receive an email with instructions for booking an appointment. A mobile phlebotomist will visit you at home to draw your blood, and the sample will be posted to the lab. The results will then be sent directly to us.

    Please note that if there’s a clinic near you offering appointments, choosing our mobile phlebotomy service instead may come with an additional charge.

    No matter which option you choose, we’ll guide you through it and make sure you have everything you need.

     

  • The cost to write your prescriptions is included in your membership. You’ll need to pay separately for the medication itself.

    Prices vary based on what you’re prescribed, your dose, and where you get it filled.

  • Our care is based on informed consent, but there is still a process to follow.

    All members go through our intake process, where we’ll work with you to make sure hormone therapy is the right next step and that you understand what it involves.

  • If you’re prescribed hormone therapy, we’ll send you a digital prescription you can take to a local pharmacy. If you’re over 18, we can also connect you with a UK pharmacy that delivers to your home.

    If you’re under 18 and accessing puberty blockers through our legal route, we’ll give you all the information you need to order, pay for, and administer the medication safely.

  • It can take up to 12 weeks to complete the intake process. However, this varies depending on your individual circumstances, such as the number of counselling sessions required, your availability for appointments and your blood test preference.

    Joining Anne starts with an intake process that typically takes up to 12 weeks. The exact timeline depends on your situation, like how many therapy sessions you need, your schedule, and how you’d prefer to do your blood tests.

    For more detailed information, see our guide to joining Anne.

  • Yes. We can write surgery referral letters for both members and non-members. But it’s important to know that each surgical provider has their own rules, so we can’t guarantee they’ll accept our letters.

    Once you’ve chosen a surgeon, you can ask them directly if they accept referrals from Anne Health. If needed, we’re happy to reach out to them ourselves to explain who we are and how we work.

View all FAQs

Your journey, your pace, your care

Take the first step with Anne.

We’re here to guide and support you with inclusive, gender-affirming care built around you.

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