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Click ‘Get Form’ to open it in the editor.
Begin by filling out the top section of the 'Request for Transgender Health Program Protocols and Acceptance of Terms of Distribution' form. Ensure you provide your name, agency/company, address, telephone number, and email.
Carefully read the terms of distribution outlined in the document. Your acceptance is crucial for receiving a copy of the protocol. Don’t forget to sign at the bottom of the form.
If applicable, attach a copy of your medical license or a signed statement confirming your authority to request this information.
Prepare a check or money order for $10.00 made out to Callen-Lorde Community Health Center and include it with your completed form.
Mail all documents to Callen-Lorde Community Health Center at the specified address provided in the instructions.

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Does Callen-Lorde Chelsea accept insurance?

We accept many insurances including: NY Medicaid. Marketplace Insurances (QHP and Essential plans) Managed Medicaid Plans/MCOs (Metroplus, Fidelis, Healthfirst, Amidacare, Molina (by Affinity), VNSNY)

Does Callen-Lorde do research?

Callen-Lorde regularly collaborates with community partners and academic institutions to implement research studies that benefit LGBTQ communities and people living with /AIDS. If you or your organization would like to propose a research collaboration, please fill out the form below.

Is Callen-Lorde LGBTQ+ friendly?

Callen-Lorde Community Health Center is a NYC leader in providing dignified, quality medical care and health education to , , bisexual and transgender communities, regardless of ability to pay.

Is Callen-Lorde Chelsea LGBTQ+ friendly?

Callen-Lorde Community Health Center provides sensitive, quality healthcare and related services targeted to New Yorks , , bisexual, and transgender communities in all their diversity regardless of ability to pay.