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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 session

After we’ve processed your intake forms and documents, you’ll receive a link to book your initial intake session.

This session is a calm, supportive conversation where we begin to understand you, your goals, and what kind of care feels right for you. It also ensures you have the information you need to give informed consent.

These sessions are run by trained LGBTQ+ counsellors, though it’s important to note they are not counselling sessions.

Most people have one or two intake sessions (sometimes more, depending on your situation) before moving forward with care. All sessions take place online by video call, making them easy to fit into your schedule.

Learn more about what an intake session involves

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

Wellbeing check-ins

After your initial intake session, we’ll ask you to book a wellbeing check-in with a counsellor every four months during your first year. After that time, these sessions are completely optional.

If you’d like extra sessions, you can book them at a reduced member rate.

For those under 18, regular wellbeing 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 to 5pm Monday to Friday, or send us an email and we’ll get back to you as soon as we can.

 

  • Most Anne 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; through your GP, at one of our partner clinics, or at home using a mobile phlebotomy service.

  • There are a few ways to get your blood tests done, so you can choose what works best for you.

    With your GP

    If you go through your GP, we’ll provide all the details you and your GP need.

    At one of our partner clinics

    If you’d like to visit a partner clinic, we’ll make the referral and email you simple instructions for booking your test. You’ll go to your appointment, and the lab will send your results directly to us.

    Clinic blood tests are included in your monthly membership, except for Lite members.

    At home with a mobile blood test service

    If you choose the at-home option, we’ll email you instructions for booking. A trained healthcare professional (called a phlebotomist) will come to your home to take your blood sample. They’ll send it to the lab, and your results will be shared with us.

    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.

     

  • Writing your prescription is included in your membership. You’ll just need to pay for the medication itself.

    The cost of medication can vary depending on what you’re prescribed, your dose, and where you get it from.

    For more details, visit our hormone therapy page.

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

    All members go through an intake process. This helps us make sure hormone therapy is the right next step for you 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.

  • 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. 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.

  • Yes. If you’re under 18, we need consent from at least one parent or legal guardian before we can welcome you to Anne Health. We’ll also need that parent or guardian to join some of your appointments if asked. This helps us make sure you’re supported and safe throughout your care.

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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