Gender-Affirming Care in Wyoming — 100% Virtual, Private, and Legal

True U Clinic provides informed-consent hormone therapy and sexual health care to trans, nonbinary, and gender-diverse adults across Wyoming. Get safe, judgment-free care from your home — no referrals, no gatekeeping, no insurance required. Get Started

Can You Get Hormone Therapy in Wyoming? Yes — If You’re Over 18

Wyoming does not currently restrict gender-affirming care for adults. True U offers fully virtual hormone therapy with flexible options for labs, medication, and follow-up — all provided by affirming, experienced clinicians. Learn More About Our Process

The True U Difference - Care That Puts You First

True U Clinic Other Solutions
No recurring membership – pay only for what you need, when you need it. Recurring membership, regardless of when you use it or need it.
Digital video appointments. Easy, private, secure In-person
Labs your way, on your own time Public labs, uncomfortable
Short appointment wait time – get started this week Long appointment wait times
Fastest response time – you are our priority! Long response times, if at all responsive
Easy and secure booking and appointment management portal No portal
Dedicated health care professional Rotating staff of health care professionals
Knowledgeable, supportive staff Staff may not be knowledgeable or supportive about trans-specific concerns or issues
100% Five-star reviews Mixed reviews

Our Services

You don’t have to travel far to get affirming, expert care in Wyoming — we bring it to you.

Estrogen+ Therapy

Whether you’re starting Hormone Therapy or transferring care, we prescribe pills, patches, and injections — plus testosterone blockers and progesterone when desired.
Curious about starting estrogen? Talk with a provider

Testosterone Therapy

We offer injectable and topical testosterone options, with dosage personalized to your needs.


Ready to explore testosterone? Get started now

Prep & STI Testing

PrEP – A safer way to play

PrEP is an anti-viral treatment to prevent HIV in those who are at a higher risk of contracting HIV. Taken daily, PrEP medications can prevent up to 99% of HIV infections. Ask your True U provider if PrEP is right for you.

STI testing

Routine STI testing helps ensure your health and the health of your partners. We offer comprehensive STI testing including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis B and C. We encourage you to talk with your True U provider to discuss your sexual health care and wellness!

  • "I have been obtaining my feminizing hormone replacement through True U for 6 months now. The service is very convenient and the care I received from Dr. Ashley has been caring and thorough. All I have to pay out of pocket is the visit costs, otherwise they allow me to use my insurance for the medications and labs. It is very cost effective for me. Thank you so much for offering this service to the community!"

    Lexy

  • "I cannot even begin to describe how grateful I am to the folx at this clinic. From day 1 I have been treated with immense compassion, kindness, and care. More importantly, I feel listened to! Beginning my journey, I felt so scared, nervous, and I honestly wanted to cry from stress. Working with Natalie at True U Clinic has been some of the best and most considerate treatment I have ever had from any medical clinic. I honestly and truly feel like a person and not treated as some random patient who's just a number. [...]Without their help, I wouldn't be on my journey to becoming me."

    Rachelle C.

  • "I've had an amazing experience with True U Clinic. My first appointment I had with Natalie I felt safe and comfortable and that I could be completely honest and be myself. [...] It felt so good to be able to be have a process that was caring and fast."

    Isaiah

  • "I love True U, I found them after some online searching for a quality transgender health care clinic and I couldn't be happier with my experience. Reasonable pricing, always quick and reliable with any questions you may have. [...] It's great I can use my insurance to pay for labs and hormones as well, it saves me a fortune! 10/10 would recommend to anyone seeking quality care."

    Jordan S.

  • "I am very thankful that True U Clinic is available to myself and others. Everyone I communicate with is polite and professional. I greatly appreciate the hard work they have done to work with my insurance company. They make transition much easier to handle by providing this service and I highly recommend them."

    Silver A.

  • "I am on my hormone therapy for 3 months now. My Dr. is very nice and listens to me on our telehealth sessions. If you have any questions True U answers you very quickly. They have e been very helpful with any concerns I had. I love True U Clinic it has helped me be the woman I am today."

    Cindy

Transparent Pricing for Wyoming Residents

No subscriptions. No hidden fees. Just upfront, accessible pricing.

Initial hormone therapy appointment

$259


Follow-up hormone therapy appointments

$195



Labs can be covered by insurance or are $99 through True U.
All expenses are eligible for HSA and FSA reimbursement

Online Medical Visits

Visits with True U Clinic are done from the convenience of your home over video and telephone platforms.

The visit is treated like any other doctor appointment, but virtually!

Blood work can be done from your house or locally at a lab close to you and the results are then sent to us. Once we start hormone therapy, we can have the medications shipped directly from the pharmacy to your home. Thus the process can be completed 100% from the privacy of your home!

January ‘26

Initial Appointment $259

Follow Up Visit $195

————————————————

Total $454

What Your First Year Could Look Like

An example for new patients starting hormone therapy

April ‘26

Follow Up Visit $195

————————————————

Total $195

July ‘26

Follow Up Visit $195

————————————————

Total $195

October ‘26

Follow Up Visit $195

————————————————

Total $195

First Year Total: $1039*

Your first year includes a comprehensive intake plus three follow-up appointments. No memberships, no hidden fees — just pay for the care you receive.

*If you choose to pay for labs out of pocket, they cost $99/visit and are required before each appointment with your True U Clinic provider. 
If you have insurance, we encourage you to submit your labs to your insurance provider for potential reimbursement.

April ‘27

Follow Up Visit $195

————————————————

Total $195

October ‘27

Follow Up Visit $195

————————————————Total $195

Second Year Total Cost: $390*

Ongoing care typically requires two short, supportive check-ins per year.

*If you choose to pay for labs out of pocket, they cost  $99/visit and are required before each appointment with your True U Clinic provider. 
If you have insurance, we encourage you to submit your labs to your insurance provider for potential reimbursement.
At this time, Medicaid recipients are not permitted to pay for covered services out-of-pocket and thus will need to find an in-network provider.
Important Notes: 
  • Lab work is required before each appointment. You can use your insurance, or pay $99 per visit out of pocket.
  • Most prescriptions are covered by insurance, or cost around $30 without insurance.
  • Quarterly appointments in the first year; twice-yearly thereafter.
  • No contracts. No monthly fees. Cancel anytime.
  • "I have been obtaining my feminizing hormone replacement through True U for 6 months now. The service is very convenient and the care I received from Dr. Ashley has been caring and thorough. All I have to pay out of pocket is the visit costs, otherwise they allow me to use my insurance for the medications and labs. It is very cost effective for me. Thank you so much for offering this service to the community!"

    Lexy

  • "I cannot even begin to describe how grateful I am to the folx at this clinic. From day 1 I have been treated with immense compassion, kindness, and care. More importantly, I feel listened to! Beginning my journey, I felt so scared, nervous, and I honestly wanted to cry from stress. Working with Natalie at True U Clinic has been some of the best and most considerate treatment I have ever had from any medical clinic. I honestly and truly feel like a person and not treated as some random patient who's just a number. [...]Without their help, I wouldn't be on my journey to becoming me."

    Rachelle C.

  • "I've had an amazing experience with True U Clinic. My first appointment I had with Natalie I felt safe and comfortable and that I could be completely honest and be myself. [...] It felt so good to be able to be have a process that was caring and fast."

    Isaiah

  • "I love True U, I found them after some online searching for a quality transgender health care clinic and I couldn't be happier with my experience. Reasonable pricing, always quick and reliable with any questions you may have. [...] It's great I can use my insurance to pay for labs and hormones as well, it saves me a fortune! 10/10 would recommend to anyone seeking quality care."

    Jordan S.

  • "I am very thankful that True U Clinic is available to myself and others. Everyone I communicate with is polite and professional. I greatly appreciate the hard work they have done to work with my insurance company. They make transition much easier to handle by providing this service and I highly recommend them."

    Silver A.

  • "I am on my hormone therapy for 3 months now. My Dr. is very nice and listens to me on our telehealth sessions. If you have any questions True U answers you very quickly. They have e been very helpful with any concerns I had. I love True U Clinic it has helped me be the woman I am today."

    Cindy

Frequently Asked Questions

  • We typically have appointments openings within ten days. You can easily, quickly, and confidentially schedule your appointment now!

  • There are three ways to complete your lab work.

    1. Visit a LabCorp location

    You may schedule an appointment at a LabCorp location near you to have your labs drawn.

    You have two options:

    Use insurance: LabCorp will bill your insurance directly.

    Self-pay through True U ($99):
    If you choose the $99 self-pay option, you must purchase the lab order through True U before going to LabCorp.
    Do not walk into LabCorp and request the labs yourself, as pricing may be significantly higher.

    2. Have labs drawn at home

    A mobile phlebotomist can come to your home to collect your blood sample.

    Costs:

    • Mobile draw fee: $99
    • If you choose self-pay labs, the lab panel is $99

    If you choose self-pay labs, you must purchase the lab order through True U before scheduling the mobile draw.

    3. Visit a walk-in clinic of your choice

    You may also have your labs drawn at a walk-in clinic or lab near you.

    You have two options:

    Use insurance: The clinic will bill your insurance.

    Self-pay through True U ($99):
    If you choose self-pay, True U will ship a lab kit to you that you bring to the clinic for the blood draw.
    You must purchase the lab order through True U before going to the clinic.

    Important note about self-pay labs

    If you choose the $99 self-pay lab option, it must be arranged and paid for through True U before visiting any lab or clinic.

    If you go directly to LabCorp or another clinic without purchasing the self-pay labs through True U first, True U cannot guarantee pricing and is not responsible for any out-of-pocket costs charged by the lab.

  • We will send your prescription to the pharmacy of your choice. In addition, you may also use our mail-in pharmacy partner NewEra Pharmacy or our compounding pharmacy partner Empower Pharmacy.

  • Insurance may cover your medications. Out-of-pocket costs for medications are typically $20-60/month, depending on route of administration, types of medications, etc. If you self-pay for medications, we recommend using a GoodRx coupon for the lowest prices.

  • Consultation visits include STI testing, PrEP, and other hormone therapy needs outside of routine follow-up visits. The cost of consultation visits is $195/visit.

    • PrEP is an anti-viral treatment to prevent HIV in those who are at a higher risk of contracting HIV. Taken daily, PrEP medications can prevent up to 99% of HIV infections. Ask your True U provider if PrEP is right for you.

    • Routine STI testing helps ensure your health and the health of your partners. We offer comprehensive STI testing including HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis B and C. We encourage you to talk with your True U provider to discuss your sexual health care and wellness!

  • No, we do not charge monthly membership fees. At True U, you only pay for the care you receive.

  • In short, yes. At True U, we understand that transferring care can sometimes feel overwhelming. That’s why we’re committed to providing our clients with a seamless and stress-free process. Rather than requiring a two-visit start-up, we take the initiative to order labs before your first visit, allowing us to seamlessly continue your prescription from the very start. Our goal is to ensure your transition is as smooth as possible and to provide the high-quality care you deserve from day one.


    Read more about transferring your care to True U Clinic.

  • We provide safe and medically supervised hormone therapy services in a safe, judgement-free, and secure setting utilizing modern HIPAA-compliant technology and the most up-to-date clinical practices.

  • Yes, as long as your provider is registered to practice in your state, you can choose your provider. You can sign up for your appointment (and choose your provider) by navigating to our online scheduling portal.

  • The bad news: We don’t take insurance. The good news: This means your information stays private, and you’ll never have to worry about claims being denied. Plus, we’ll provide you with a Superbill that you can submit to your insurance provider for potential reimbursement. And, to make things even easier, we accept HSA and FSA payments!

  • It depends on the state.

    We cannot see adult patients with Medicaid in California or Colorado.

    We can see adult Medicaid patients in states where gender-affirming care (GAC) is not covered by Medicaid, including:
    Arizona, Idaho, Iowa, Kentucky, Ohio, South Carolina, and Texas.

    We can also see adult Medicaid patients in the following states where GAC is covered by Medicaid:
    Alaska, Connecticut, Delaware, Illinois, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Utah, Virginia, Washington, and Wyoming.

    If you're unsure whether we can see you based on your state and insurance, please contact our team and we’ll be happy to help clarify.

  • Our services are typically available for individuals over the age of 18. However, in certain states, we may be able to provide care for those under 18 with parental or guardian consent. Please call our office for more details on availability of care.

  • Yes. Emily, one of our Family Nurse Practitioners, is fluent in Spanish and is happy to care for Spanish-speaking patients.

    Spanish-speaking patients located in Pennsylvania, New Jersey, and Delaware may schedule telehealth visits with Emily and receive care fully in Spanish. She has extensive experience supporting patients with gender-affirming hormone therapy as well as reproductive and sexual health care.

    If you would prefer to have your visit in Spanish, simply note this when scheduling your appointment and we will make sure you are booked with Emily.

Sí. Emily, una de nuestras enfermeras practicantes de familia, habla español con fluidez y con gusto atiende a pacientes hispanohablantes.

    Los pacientes que se encuentren en Pensilvania, Nueva Jersey o Delaware pueden programar consultas por telemedicina con Emily y recibir atención completamente en español. Emily tiene amplia experiencia brindando atención de afirmación de género, así como atención de salud reproductiva y sexual.

    Si prefiere tener su consulta en español, simplemente indíquelo al programar su cita y nos aseguraremos de que sea atendido(a) por Emily.