TABLE OF CONTENTS


How do I sign up and make an appointment with Plume Clinic?

Step 1: Complete the Eligibility Form 

Fill out our Get Started form. 


Step 2: Select Service Package 

Select your preferred membership package. 


Step 3: Add info & accept terms of use

Enter your name, address, and pronouns, agree to the terms of use, then add your billing and insurance (if applicable) info.


Step 4: Set up your Plume Member Dashboard account. 

From your Plume Member Dashboard, you can:

  • Download Spruce to complete your medical intake and schedule your initial gender-affirming care consultation

  • Access the Community Hub, our private online community, where you can join trans-led support groups, attend exclusive events, chat in discussion spaces, read educational resources, and connect with other trans and gender diverse people

  • Access your billing portal & FAQs


Step 5: Download Spruce and Complete Medical Intake

After setting up your Plume Member Dashboard account, use the link in the dashboard to download Spruce, our secure patient messaging application. You will complete your medical intake forms in Spruce. Once that is complete, you can schedule your initial consultation appointment. 

What name, gender, and pronouns do I use when I sign up? Does my name in Spruce have to match my ID?

You will have the opportunity to give us both your chosen and legal name (if they are different from each other), gender, and pronouns. Since we have to submit your prescriptions and labs using the information on your identification documents, we do need to know this information from you as well. We can add a note to your prescription or lab orders with your chosen name or other identifying information to help you feel more comfortable in those spaces. 

What if I don't have a smartphone?

You can message and video call with your provider through the desktop version of Spruce from any computer. However, downloading the app on a smartphone or tablet is required for the initial sign-up process because our medical intake forms can only be completed through the app. If you are able to access a smartphone or tablet to complete the signup process, you may resume communication with your care team via desktop. Please note that without access to the app, you may not receive important and/or time-sensitive notifications about your care in a timely manner. We suggest erasing the app from any devices that are not yours for your privacy and frequently checking your Spruce account for new messages if you opt for a desktop-only experience. 

What should I do before my appointment?

To ensure a smooth and effective appointment, please follow these guidelines:

  • Find a Private Space. Make sure you are in a quiet, private space at the time of your appointment. This helps maintain confidentiality and ensures you can focus on the conversation.

  • Avoid Distractions. Ensure there are no distractions during your call. This means not being in a public place or involved in other activities.

  • Do Not Drive. If you are driving when your provider calls, the appointment will need to be rescheduled. Please be stationary and safe during your appointment.


By following these steps, you help us provide the best care possible. Thank you for letting us take care of you!

What if I miss my appointment?

As outlined in the appointment confirmation information, we will need to charge a $20 no-show fee to reschedule your appointment. This $20 fee is in addition to your monthly membership fee and is in place to ensure our members are able to meet with a provider as soon as possible.

Do I need to see an endocrinologist or have a gender dysphoria diagnosis by a therapist to use Plume?

Nope! Through a process called informed consent, our expert team of gender affirming healthcare providers will get to know you and establish the best possible care plan for you to meet your transition goals. You do not need to see an endocrinologist. 

Plume does not use gender dysphoria as a diagnostic tool. Instead, we pay attention to your experiences of gender euphoria, which are the happy feelings we experience when our gender expression aligns with our gender identity. 

Can I use a P.O. Box as my address?

Yes. However, for prescription delivery, our pharmacy partner will not deliver to P.O. box addresses.


We use your home address to confirm if we can offer care in your state. You can list a P.O. box if it’s in a state where Plume is active, but prescriptions must be sent to a pharmacy in that same state. You will also need to do labs at a Quest or Labcorp location located in the same state. 

What do you accept as valid forms of ID?

We accept a driver’s license, passport, or government-issued photo ID card. If you do not have access to these forms of identification, we can also accept a combination of a birth certificate and a school ID (or some other photo ID that has your name and photo on it).

What if I am not sure hormone therapy or the Plume membership is right for me?

At your first appointment, we will discuss all of your needs, desires, and concerns. If you decide that hormones aren’t the right fit for you (or not right for you right now), your fee is a one-time charge. If you are not eligible for care, your initial consultation fee can be refunded.