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Alabama

Start hormone therapy online, on your terms

  • Estrogen
  • Testosterone
  • Everyday Care

Available to adults 19 and older​

Start your journey
KNOW YOUR RIGHTS

Accessing Transgender Healthcare in Alabama

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.

Adults 19 and older in Alabama can access gender-affirming hormone therapy (GAHT) through licensed clinicians. Alabama defines adulthood as 19 and older. While finding trans-competent care locally can be challenging, telehealth makes it easier to get care from home.

With Plume Clinic, eligible adults in Alabama can meet with licensed clinicians online for gender-affirming hormone therapy without needing to travel.

What the law says

Adults 19 and older in Alabama can access gender-affirming hormone therapy (GAHT) through licensed clinicians. Alabama defines adulthood as 19 and older. While finding trans-competent care locally can be challenging, telehealth makes it easier to get care from home.

With Plume Clinic, eligible adults in Alabama can meet with licensed clinicians online for gender-affirming hormone therapy without needing to travel.

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MEMBERSHIP PRICING

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.

Most Popular

Monthly

$99
/mo

No commitment

  • Labs, visits & ongoing support
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New

Semi-Annual​

$75
/mo

Billed as $449 every 6 months​

Save 24%
  • Labs, visits & ongoing support
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Best Value

Annual

$63
/mo

Billed as $749 annually

Save 37%
  • Labs, visits & ongoing support
View Pricing
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a smiling person relaxes on a couch while using their smartphone

How Plume Clinic works

1

Choose your membership

2

Intake & scheduling

3

Join Prism, our online community

4

Meet with your clinician​

5

Begin your treatment​

Start your journey

Letter of Support

  • One digital video appointment with a clinician
  • A one-time medical* letter of support for surgery with a one-week turnaround time
  • Access to your trans-led care team through our app

*Please note we cannot provide a behavioral health letter of support from a therapist at this time. Letters are included in membership for active members.

One-time fee

$150
Request a Letter
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Two smiling friends sitting at a table with drinks
A group of joyful LGBTQ+ friends smiling and celebrating together in a convertible car
A group of joyful LGBTQ+ friends smiling and celebrating together in a convertible car
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Community Membership

The Community Membership is for any trans or gender-diverse adults 18 or older. Access all membership features through our private app, Prism, to connect, share, and feel supported. No matter where you are in your journey, you’re welcome here.

Monthly

Unlimited Access

$5
/mo
  • Support groups, workshops, & chat
Join for $5/month
GOOD TO KNOW​

Frequently asked questions

How do you start HRT in Alabama?

In Alabama, you generally need to be 19 or older to access gender-affirming hormone therapy independently. That’s because Alabama’s 2022 law, SB 184, applies to people under 19. Adults can still access HRT through a licensed provider.

Not entirely. Alabama banned certain forms of gender-affirming medical care for people under 19 under SB 184 / Act 2022-289, first passed in April 2022. That law remains in effect as of March 2026. It does not ban gender-affirming hormone therapy for adults 19 and older.

Alabama requires at least one in-person visit per year to start and maintain a testosterone prescription, meaning fully remote telehealth clinicians usually cannot offer this care in the state. While Alabama law does not require therapy before starting testosterone, clinicians may have their own clinical processes to ensure treatment is appropriate for you. Many follow an informed consent model, where care is based on your goals, medical history, and understanding of treatment.
If you’re 19 or older, testosterone can still be prescribed in Alabama by a licensed clinician. The first step is typically an appointment to review your goals, medical history, and eligibility for treatment. Alabama’s legal restriction applies to people under 19, not adults.
Alabama’s SB 184 restricts certain gender-affirming medical and surgical care for people under 19. It is not an adult ban. For adults, access to surgery depends more on provider availability, referral requirements, and where the procedure is performed.
For an Alabama driver’s license, current guidance says you usually need either an updated birth certificate or a surgeon’s letter stating you have had “complete and irreversible” surgery. That requirement remained in place after a September 2024 Eleventh Circuit ruling. A separate 2025 law, SB 79, also tightened Alabama’s broader legal framework around sex being recorded as male or female as observed at birth.

Yes. Under Alabama’s Vulnerable Child Compassion and Protection Act (SB 184), passed in 2022, clinicians are prohibited from prescribing or administering puberty blockers or hormone therapy for gender transition to people under 19. Violations of the law are classified as a Class C felony, and the law remains in effect. Mental health support, including therapy, is still permitted.

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In order to provide healthcare services to you and give you medically appropriate care, we are required to get a recent blood pressure reading. You can get your blood pressure read for free at many pharmacies, go to your primary care doctor, or you may purchase a blood pressure cuff online.