COVID-19 updates: Weiland Health Initiative continues to provide virtual drop-in hours called Weiland Connects and brief individual therapy through Zoom. At this time, we are only licensed to provide these clinical services to students currently in California.
For updates on COVID-19, please visit the Vaden Health Services webpage.
NOTE: While Weiland continues to hold virtual HRT consultation sessions, it will be some time before moving on to an in-person medical appointment due to current school and state closures.
Some people who identify as transgender or gender expansive choose to go through a process of transitioning from the gender they were assigned at birth to the gender that is consistent with their identity. The process of transitioning involves many aspects of a person’s social, emotional, and physical life. In terms of physically transitioning (hormones and/or surgery), there are many options. The transgender/gender expansive experience lies on a spectrum, and many individuals can choose from a variety of options to reflect a gender expression that best aligns with their identity. Some transgender/gender expansive people decide to take hormones but don’t do surgery, while others do surgery but not hormones. Some do both. Some do neither.
Regardless of gender identity, the decision to physically transition lies with the individual. It’s your decision what you want to do within the time frame that is comfortable for you. It is the doctor’s or counselor’s job to guide you along the way.
There are many physical, emotional, social, and legal challenges that transitioning persons must face, and Stanford students are no different. The providers at Vaden Health Center recognize both the challenges and the joys of transitioning and are here to support you. Some people who transition choose to change their name and pronouns, so please let our providers know the name you prefer and the pronoun that is appropriate for you, and ask that they note this information in your file.
Step 1: Acquire documentation (if available) in support of HRT from past/current mental health or medical providers.
Have you met with a provider in the past/present about HRT?
Yes- Ask your provider to send documentation of informed consent for HRT to Vaden.
If unable to acquire documentation, proceed to Step 2.
If able to acquire documentation, proceed to Step 3.
No- proceed to Step 2.
Step 2: Make an appointment with a mental health provider at CAPS.
- Go online to VadenPatientPortal
- Under Medical Services select Transgender Health Care
- Select a “CAPS HRT Consult Appointment”Note: Regardless of insurance, CAPS assessment appointments are typically covered by your Health Fee.
During this appointment, you will meet with a gender specialist therapist who will speak with you about factors, concerns, or considerations relevant to starting hormones. The goal of this consult is to help make your experience of initiating hormones as positive as possible. These meetings also serve as opportunities to think through a timeline that works for you and get additional support around the process of pursuing gender-affirming care.
Step 3: Make an appointment with medical provider at Vaden.
- Go online to VadenPatientPortal
- Under Medical Services, select Transgender Health Care
- Meet with medical provider to discuss HRT risks/benefits and eligibility (the degree to which HRT is indicated and lack of medical contraindications). Note that asking questions is an important part of this process and will not jeopardize your chance to get hormone therapy.
- Follow up with laboratory appointments to assess for health risks and establish baseline.
- Once your medical provider has approved HRT, this provider will assist you in navigating HRT type/decisions (such as types of applications, etc.), provide relevant prescriptions, and generate plans with you regarding the administration of the chosen application (for example, planning to bring in hormones to follow up appointment in order to learn how to inject hormones or receive assistance around this process).
NOTE: Visits to Vaden Health Center for the purposes of obtaining HRT are covered under your Health Fee although your insurance (Cardinal Care or other Insurance Provider) will determine how much you pay for the hormones/medications (which will be filled at your local pharmacy).