Flexible Support Pathway – £54 Registration Fee
A flexible, harm-reduction-based support pathway for trans, non-binary and intersex people self-managing their care, including people who may describe this as DIY hormone use. . 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're looking for support accessing a prescription, please have a look at our Prescribing Care or Shared Care Pathways.
- No long-term commitment
- Pay only for the services you need
- Easy upgrade to hormone prescribing if needed
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:
- Submit your registration request using the form linked on this page.
- We’ll request your ID documents for verification.
- Once reviewed, we’ll send you an invoice for your registration fee (£54).
- After payment is received, we’ll set up your account in the system.
- You’ll then be ready to access the services you need at your own convenience.
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 - GP: Order private blood tests with results reviewed by UK-registered healthcare professionals.
- Advice on Hormone Management: Guidance on safer self-management, including support for people who may describe their hormone use as DIY, or transition-related care.
- General Healthcare Guidance: Support navigating healthcare services and understanding your options.
- Blood Testing Services & Analysis – Order private blood tests or request a letter for tests by your GP with professional review and interpretation.
- Letter Writing Services - Bespoke letters that may be required by healthcare professionals, employers, and authorities.
- Formal Diagnosis of Gender Incongruence (if clinically appropriate)
- Gender Marker Change Letters - supporting your application for a gender marker change on your records (e.g. passport).
Please note this is not the same as a GRC.
- Surgery Referral Letters (including for top/bottom surgery and facial feminisation/masculinisation procedures)
⚠ This pathway does NOT include prescriptions.
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 move to the Hormone Prescribing Pathway in the future, you’ll usually only need to pay the difference in registration fees. This allows access to hormone prescribing without needing to complete a full new registration. The team will guide you through what is needed.
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 hormone prescribing when you're ready.