Health Care Providers

FTM Alliance of Los Angeles is compiling a comprehensive database of health care providers who work with the trans community. Please take a moment to fill out this brief form.

Doctor's Name:  

Practice Name:

 
Street Address:
City: State:
Zip:
Phone:
   
   
Please answer the following questions:
How do you identify? FTM MTF GenderQueer Non-trans
Are you out to your doctor as transgender? Yes No Not sure
Does your Doctor prescribe hormones for you? Yes No
     
     

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