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 are not required by the review committee to make its initial assessment. The committee may seek additional information from the requester during its evaluation. 

© 2020 Transgender Health and Wellness Center

  • White Facebook Icon

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