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Flexible Support

Flexible Support Pathway – £45 Registration Fee

 A flexible, harm-reduction-based support pathway for trans, non-binary, and intersex people self-managing their care. This option provides access to individual services without a long-term commitment, helping you access the support you need when you need it.


 ⚠ This pathway does NOT include prescriptions. If you need prescribing support, have a look at our Comprehensive Care Pathway.


  • No long-term commitment
  • Pay only for the services you need
  • Easy upgrade to prescribing if needed

Register Now

Pathway Overview

Step 1: Registration

Once you're ready to register, you can complete the registration form linked on this page. After submitting your request, we’ll be in touch to request your ID documents to verify your details.


What You’ll Need to Provide:

1. Photo Identification (Upload two of the following):

  • Photocard Driving Licence (expired licences accepted)
  • Valid Passport (expired passports accepted)
  • Formal ID Card (e.g., armed forces, police, student, company ID)
  • A photo of yourself holding a piece of paper with your name, date of birth (DD/MM/YYYY), and full address (including postcode).


2. Proof of Address (Upload one of the following):

  • Valid UK Driving Licence
  • Recent Utility Bill (gas, electricity, water, or phone)
  • Council Tax Bill
  • Recent Bank or Credit Card Statement
  • Tenancy Agreement


Next Steps:

  1. Submit your registration request using the form linked on this page.
  2. We’ll request your ID documents for verification.
  3. Once reviewed, we’ll send you an invoice for your registration fee (£45).
  4. After payment is received, we’ll set up your account in the system.
  5. You’ll then be ready to book your first appointment and access the services you need.


If you have any questions, feel free to reach out via the contact us page.

Step 2: Access Services

Once registered, you'll be asked to complete an intake form, clinical intake form and consent to sharing information form. It's important that you complete these as it provides the team with the information they need to support you. 


Once they're completed, you can book any of the following individual services as needed via your Carebit portal:


  • Counselling and Therapeutic Support: Access to gender-affirming therapists and mental health professionals. 


  • Blood Test Referrals: Order private blood tests with results reviewed by healthcare professionals.


  • Advice on Hormone Management: Guidance on safe self-management or transition-related care. 


  • General Healthcare Guidance: Support navigating healthcare services and understanding your options. 


  • Blood Testing Services & Analysis – Private blood tests with professional review and interpretation. 


  • Letter Writing Services Including:


  • Formal Diagnosis of Gender Incongruence (if clinically appropriate)


  • Gender Marker Change Letters


  • Surgery Referral Letters (including for top/bottom surgery and facial feminisation/masculinisation procedures)


⚠ Prescriptions are NOT available under this pathway.

Step 3: Manage Your Account

Now you can log into your client portal to:


  • Update your details whenever needed.
  • Book and manage your appointments for any available service.
  • View past bookings and records for easy tracking.


Want to Request Prescribing Support Later?


If you decide to switch to the Comprehensive (Prescribing) Pathway in the future, you’ll only need to pay the £20 difference in registration fees. This allows seamless access to prescribing services without needing to re-register.


Why Choose Flexible Support?

  • Tailored to Your Needs: Choose only the services you require. 
  • No Long-Term Commitment: Access support as and when you need it. 
  • Quick Access: Access & update your data whenever you need it. 
  • Seamless Upgrade Option: Move to prescribing support when you're ready.

Register Today

Frequently Asked Questions

This pathway is for trans, non-binary, and intersex people in the UK (aged 18+) who are self-managing their care and need access to individual services without committing to a full treatment plan. 


The Flexible Support pathway does not include prescriptions. If you need prescribing support, check out our Comprehensive Care Pathway. 


Once you’ve submitted your documents, our team will review them and once approved, send an invoice for the registration fee £45. Once paid, you'll be set up with your Carebit portal access. You can then start booking services right away. 


We aim to review and approve registrations within 2 working days. If there are any delays, we’ll keep you updated via your email. 


 If you decide to move to the Comprehensive Care Pathway, you only need to pay the £20 difference in registration fees, and you won’t need to re-register. 


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