Alabama
- Estrogen
- Testosterone
- Everyday Care
Available to adults 19 and older
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.
Community Membership
$5/Month
Unlimited Access
The Community Membership is for trans or gender-diverse adults*. 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.
*Must be 18+ (or 19+ if residing in Nebraska or Alabama) to join.
Your Community Membership Includes:
Support Groups and Weekly Hangouts
Connect with other trans folks! Join a weekly group or pop in when you’re available for a trans-led support session. With groups that span your identity, there’s a place for everyone.
Each month, we’ll tackle a new topic focused on the trans experience. From medical and social transition challenges to gender expression, and more—connect with people who get you. Whether you’re here to process, share, or simply listen, there’s a space for you.
Educational Workshops and Live Events
Learn new skills and be a part of our Plume community. Topics include neurodivergence & unmasking, feminizing makeup, tarot reading, gender-affirming surgery, and more! Join an upcoming event or browse our library of past workshop recordings.
Discussion Spaces
Chat about your personal experiences and interests, and hear from others on their gender journey. From art and current events to sharing personal stories about estrogen or testosterone therapy, this is a safe space to be yourself and connect with the transmasc, transfem, and gender-diverse community.
Resource Library
Learn from guides created for every part of your gender journey. Explore topics like testosterone and estrogen therapy, gender-affirming care resources, trans rights, sexual health, family planning, journal prompts, and changing your legal documents.
Member-Exclusive Discounts
Save money on trans-positive brands, including affirming apparel, binding and tucking garments, voice training, and fertility services.
Letter of Support
$150
One-time fee
- 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.
How Plume Clinic works
Choose your membership
Intake & scheduling
Join Prism, our online community
Meet with your clinician
Begin your treatment
Gender-affirming care that goes beyond hormones
No matter where you are in your transition, we partner with you to address your unique health needs.
Frequently Asked Questions About Trans Healthcare in Alabama
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.
Did Alabama ban transgender healthcare?
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.
Do you need therapy before starting testosterone in Alabama?
How do you get testosterone in Alabama?
Can adults get gender-affirming surgery in Alabama?
How do you change the gender marker on your ID in Alabama?
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