Getting Started With Plume Clinic
From trans-led care to community connection, learn how Plume Clinic supports your gender journey every step of the way.​
How Plume Clinic Works​
Full Membership
Select Your Membership
Choose a monthly or annual plan
Scheduling & Intake
Complete your intake forms and book your appointment.Â
Tap Into the Community
Access Prism, our private online space, and connect with other trans people.
Meet With Your Clinician
Discuss your transition goals, health history, and create a treatment plan.
Begin Your Treatment
Receive prescriptions and kickstart your personalized transition journey.Â
Community Membership
Step 1
Choose Community Membership
From trans-led care to community connection, learn how Plume Clinic supports your gender journey every step of the way.​
Step 2
Set up your profile
Your profile helps others see you, recognize you, and connect with you.
Step 3
Connect, Belong, & Be You
Say hello, join a support group, attend an event, or just explore – all in one place.
Flexible payment plans
Includes labs, visits, & ongoing gender transition support*
Prescription costs are not included. Services, pricing and minimum age requirements are dependent on state restrictions. Check your state for details.
Semi-Annual​
Billed as $449 every 6 months​
- Labs, visits & ongoing support
Everything included in your membership
Clinical Services
- Gender-affirming hormone therapy, mental health support, sexual health care, & everyday wellness
- Cost, ordering, and analysis of required labs
- Up to 5 video appointments per month with a trans healthcare providerÂ
- Clinician-written prescriptions for gender-affirming care medications
- FSA eligible (depending on your FSA administrator)
Gender Transition Support
- Concierge, personalized recommendations related to your social, legal, and medical goals
- Trans-competent support from experts in gender-affirming care
Community
- Connect with other trans people through members-only app, Prism
- Support groups & community hangouts
- Exclusive trans-focused events, workshops, and a library of past sessions
- Access to discussion groups and chat threads
- Educational resources on medical, social, and legal transition
- Discounts on trans and queer brands and partners
Meet Our
Trans-Health Experts
Our team has cared for thousands of trans and gender diverse people. We partner with you to help you take control of your gender journey and other essential health needs.
Frequently asked questions
How does FTM testosterone therapy work?
FTM testosterone therapy, also called masculinizing hormone therapy, uses testosterone to support physical changes that align with a more masculine gender expression. Your clinician will work with you to choose the right medication and dosage based on your goals, health history, and lab results. Changes can include a deeper voice, increased facial and body hair, changes in body composition, and changes to your menstrual cycle.
Can I start testosterone HRT online?
Yes. You can start testosterone HRT online with Plume if the service is available in your state. You’ll meet with a licensed clinician who can discuss your goals, review your health history, order any needed labs, and prescribe testosterone when appropriate.
Do I need a therapist letter to start testosterone?
No. Plume uses an informed consent model, so you do not need a therapist letter to start testosterone. During your appointment, you’ll talk with a clinician about your goals, medical history, and the potential benefits and risks of testosterone. If testosterone is appropriate for you, your clinician can work with you to create a treatment plan.
Some healthcare providers may still use a mental health assessment or letter as part of their process, but a separate therapist letter is not required to start testosterone with Plume.
How does MTF estrogen therapy work?
MTF estrogen therapy, also called feminizing hormone therapy, uses estrogen to support physical changes that align with a more feminine gender expression. Your clinician will work with you to choose the right medication and dosage based on your goals, health history, and lab results. Changes can include breast development, softer skin, changes in body fat distribution, and reduced testosterone effects.
Can I start feminizing hormone therapy online?
Yes. You can start feminizing hormone therapy online with Plume if the service is available in your state. You’ll meet with a licensed clinician who can discuss your goals, review your health history, order any needed labs, and prescribe estrogen when appropriate.
Can I get a testosterone or estrogen prescription online as a trans person?
You may be able to get a testosterone or estrogen prescription online through Plume, depending on your state and individual circumstances. You’ll meet with a licensed clinician who will review your health history, discuss your goals, and determine which treatment options are appropriate for you.
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