Informed Consent Care for Adults & Adolescents
CoVA Care provides gender-affirming hormone therapy (GAHT) using
an informed consent model — no therapist letter required to begin
care. We believe access to gender-affirming care should be
straightforward, respectful, and centered on you.
Our approach follows WPATH Standards of Care (SOC-8) and is
grounded in shared decision-making. We take time to discuss your
goals, answer your questions, and build a treatment plan that fits
your needs and timeline.
What We Offer:
- Feminizing hormone therapy — estrogen and anti-androgen options
- Masculinizing hormone therapy — testosterone therapy
- Comprehensive lab monitoring and dose adjustments
- Informed consent model — no letter from a therapist required
- Care for both adult and adolescent patients, with parent/guardian
involvement for minors per WPATH guidelines
- Referrals and coordination for gender-affirming surgical care
- Ongoing follow-up and medication management
Who We See:
CoVA Care welcomes transgender, nonbinary, and gender-expansive
patients of all backgrounds. We provide a respectful, affirming,
and judgment-free space for every patient.
Insurance & Visits:
We accept Tricare, Sentara, and Anthem BCBS. Self-pay and superbills
available for out-of-network reimbursement. In-person visits
available in Norfolk, VA. Telehealth appointments available for
patients across Virginia and New York. New patients welcome.
Inclusive, evidence-based sexual and reproductive health for all ages and identities.
Estrogen and anti-androgen therapy tailored to your goals and health history.
Testosterone therapy with ongoing monitoring and dose adjustments.
WPATH-aligned care for adolescents, with parent/guardian involvement.
No therapist letter required — care based on shared decision-making.
Regular labs to track hormone levels and ensure safe, effective dosing.
Referrals and support for patients pursuing gender-affirming surgery.
CoVA Care welcomes transgender, nonbinary, and gender-expansive patients of all backgrounds. We provide a respectful, affirming, and judgment-free space for every patient.
Self-pay and superbill options also available for out-of-network reimbursement.
See us at our Norfolk, VA office or via telehealth across Virginia and New York.
No referral needed. Book directly through our patient portal.
Find quick answers to common questions about our care, office and virtual services. If you need more details, our team is here to help.
Perimenopause is the transitional phase leading up to menopause, often beginning in your 40s, when hormone levels start to fluctuate.
Menopause is officially reached when you have gone 12 consecutive months without a period. CoVA Care provides care for both stages.
For most healthy individuals, hormone therapy is safe and highly effective for managing menopause symptoms. At CoVA Care, we review your full health history and customize your treatment plan based on current evidence-based guidelines. We discuss all options —
hormonal and non-hormonal — so you can make an informed decision.
Yes. We offer evidence-based non-hormonal options for patients who prefer to avoid or cannot use hormone therapy, including lifestyle
modifications, supplements, and FDA-approved non-hormonal medications.
No referral is needed. You can book directly through our patient portal or by contacting our office.
We currently accept Tricare/Humana Sentara Health Plan, and Anthem BCBS. Self-pay patients are welcome and superbills are available upon request for out-of-network reimbursement.
Appointments can be booked online through our portal. If you have questions or need assistance, our support team is available to help.
Need more help? Reach out to our support team for personalized assistance.
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