Prescribing Support

Prescribing Support Pathway – £65 Registration Fee

A structured, informed-consent-based pathway for our trans, non-binary, and intersex people in the UK (aged 18+) seeking ongoing medical oversight and prescribing support.

This pathway connects you with an independent multidisciplinary team (MDT) of healthcare specialists, offering individualised treatment plans and prescriptions to support your transition safely and effectively.

Ongoing medical supervision & prescribing support
Comprehensive assessments & monitoring
Personalised, informed-consent-based care

⚠This pathway requires medical oversight. Blood tests and regular monitoring by the independent clinicians and are necessary for prescribing.

Learn more below.

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 (£65).
After payment is received, we’ll set up your account in the system.
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: Initial Assessments

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.

If you need a formal diagnosis, you’ll book an intake session with a psychologist:

£138: For those needing a formal diagnosis (60-minute appointment)
£66 If you already have a verified formal diagnosis (30-minute appointment)

This appointment will provide information around gender incongruence, discuss your transition goals, and assess your capacity to consent.

After your initial intake appointment, you’ll book a 45-minute consultation (£136) with a doctor to discuss your transition goals.

During this session, the doctor will:

Review your medical history and discuss your transition goals.
Confirm which blood tests are required
Review any medical concerns
Provide information on gender-affirming treatment options
Ensure you understand informed consent.

Blood Tests

Before prescribing, blood tests are required. You can complete these through:

Pride In Health with a private referral (cost includes results analysis) *Individual clinics charge additional £35-£85
Your GP (£24 test referral + £9 results analysis)
A Private Pathology Clinic of Your Choice (£9 results analysis)

Step 3: Prescription & Ongoing Monitoring

Once your blood test results have been reviewed, your doctor will issue your first prescription for gender-affirming medication. You’ll receive guidance on collecting and managing your prescription safely.

Ongoing Monitoring

To ensure your safety and well-being, you’ll need to complete:

Blood tests every 3 months
Monitoring appointments every 6 months (with either a doctor or psychologist)

Your doctor will review your progress, adjust your treatment as needed, and provide continued medical support.

Manage Your Care Through the Client Portal

Once registered, you can log into your client portal to:

Update your details
Book and manage your appointments
View and download past bookings, test results, letters and prescriptions.

Why Choose Prescribing Support?

Expert Support: Access a team of experienced healthcare professionals.
Safe & Informed Care: Prescribing is based on a thorough medical review.
Personalised Treatment: Ongoing assessments ensure your care remains tailored to your needs.
Convenient Monitoring : Regular check-ins help keep your transition safe and effective.

Ready to get started?

Frequently Asked Questions

Who is Prescribing Support for?

This pathway is for trans, non-binary, and intersex people in the UK (aged 18+) who want ongoing medical oversight and prescribing support as part of their transition. If you’re looking for a way to access gender-affirming care that actually listens to you and works with you, this is here to help.

Do I need a formal diagnosis to access this pathway?

No, the clinical team work under an informed consent model, so you don’t need a diagnosis to start your journey with us. However, if you do need a formal diagnosis for things like surgery referrals or legal recognition, we can help with that too.

If you already have a diagnosis, we’ll just need to verify it with a short intake session (£66). If you don’t have one but need one, we offer access to a longer assessment (£138) to provide the right documentation.

What happens after I register?

Once you’ve submitted your documents, we’ll generally review them within 2 working days and send your invoice for the registration fee (£65) and once paid, confirm approval with confirmation of your Carebit portal account. From there, you can start by booking your intake appointment and accessing the support you need. We’ll keep you updated along the way, so you’re not left wondering what’s next.

How long does approval take?

We aim to process registrations within 2 working days. If there are any delays, we’ll always keep you in the loop, we understand waiting is hard when you’re just trying to move forward with your care.

Can I switch to a different pathway later?

If at any point you decide you don’t need prescribing support anymore, you can switch to Flexible Support without having to re-register. Your access to things like blood test referrals, therapy, and letters will continue until you choose to close your account.

If you started with Flexible Support and have chosen to access support with prescribing, you’ll just pay the £20 difference in registration fees and won’t have to go through the full process again. We want to make this as simple and stress-free as possible.