Florida​
- Estrogen
- Testosterone
- Everyday Wellness
Available to adults 18 and older
In-person consent form required.
Due to Florida law, all trans adults must sign a state-mandated consent form in person with a licensed MD or DO before starting gender-affirming hormone therapy (GAHT).
This applies to all Florida patients, whether you’re new to gender-affirming care or a returning patient. The clinician who signs your consent form is the one who will prescribe your GAHT. Once this step is complete, you can begin receiving GAHT from that clinician.
Plume Clinic hosts monthly in-person consent signing events in Tampa and Orlando to help you meet this requirement.
What This Means for You
New Patients
After completing your Get Started form:
- Setup your Plume login and follow the instructions on your Plume Member Dashboard to complete your intake.
- Schedule your initial consultation (this is not the in-person visit).
- After your consultation, you’ll schedule your required in-person visit.
- Once your in-person consent is completed, you can begin GAHT care.
Returning Patients (previously used Plume Clinic)
Log in to your Spruce account and message us, or email hello@getplume.co.
We’ll help reactivate your membership and share details about our next in-person consent signing events.
Once your in-person consent is completed, your care can resume virtually.
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.
Stay Connected
Get content about the trans experience right in your inbox