Fund Intake Form

Here is the information that is required by the review committee to start its assessment process.

Additional personal identifiable information such as legal name, DOB, demographics, gender identity and gender expression is not required by the review committee to make its initial assessment. The committee may seek additional information from the requestor during its evaluation. 

© 2020 Transgender Health and Wellness Center

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Transgender Health and Wellness Center is a 501(c) (3) charitable organization.