Trans Medicine at NCNM Clinic & Community Clinics

NCNM Clinic and community clinics have a unique commitment to providing safe and affordable health care to people who identify as transgendered, genderqueer or gender fluid. Below are some frequently asked questions about trans medicine and about seeking our services. We offer a low cost time of service discount to patients who do not have health insurance or whose health insurance does not meet their needs.

What lab work do I need?

For Male to Female patients, the following lab tests are recommended:

  • Complete blood count (CBC)
  • Complete metabolic panel (CMP)
  • Cholesterol and other fats/lipids
  • Thyroid stimulating hormore (TSH)
  • Prolactin

For Female to Male patients these lab tests are recommended:

  • Complete blood count (CBC)
  • Complete metabolic panel (CMP)
  • Cholesteral and other fats/lipids
  • Thyroid stimulating hormone (TSH)

Does NCNM have a lab where I can get these tests done?

Yes, NCNM has a CLIA certified lab on site at the NCNM Clinic. Patients of the NCNM Clinic and our community based clinics can have their lab work done here. All lab work must be ordered by a licensed health care provider.

How much do the lab tests cost?

Prices for laboratory testing can change and vary, so please call our clinic for current prices (503.552.1551, option 4). If you have health insurance, we can work with you to see if the tests will be covered by your insurance plan.

How often do I need to be seen?

Patients who are being seen for hormone therapy can expect the following:

First office visit
During your first office visit, the provider will go over your complete medical history. You will sign and review consent forms and the laboratory tests will be ordered. Your lab tests will be done on a different day when you’ll come in just for the lab tests.

Second office visit
Your second office visit is usually 1-2 weeks after the first visit. It will include a physical exam and then a review of injection technique. You and your doctor will review the initial lab tests and prescriptions for hormones will be initiated.

Lab tests repeated: Before the third office visit, you will be asked to come in and repeat the initial lab tests (except TSH if it was originally within normal limits).

Third office visit
Three months after the second visit, you and your doctor will review the repeat labs (except for TSH if normal previously). Prescription is can be increased to full dose at this visit

Lab tests repeated: Before the next office visit, you will be asked to come in and repeat lab tests.

Fourth office visit
6-9 months after visit with a review of repeat labs.

Then you will have a yearly follow up visit with updated health history, physical exam and review of lab tests. You can also come in at any time for help with any health concern.

Does the NCNM Clinic bill insurance?

NCNM Clinic providers are not paneled with insurance companies, but we do act as out-of-network providers. We will work with you to determine if our services are covered by your health plan and then bill accordingly. Our standard fees are generally $90 – $120 for a first office visit and $75-90 for follow up visits.

If I don’t have insurance or insurance doesn’t cover the services at the NCNM Clinic how much will it cost?

NCNM Clinic offers a time of service discount if the charges are paid by check, cash or credit card at the time of service. Time of service fees are $65 for a first office visit and $30 for follow up visits.

How do I make an appointment?

Call us. NCNM Clinic at 503.552.1551. NCNM Community Clinics at 503.552.1515.

Schedule an Appointment

Mondays—Saturdays
NCNM Campus Clinic, 503.552.1551
Community Clinics, 503.552.1515
Download clinic forms
Check our appointment schedule.
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