INITIAL INTAKE FORM | TRANSGENDER HEALTH & WELLNESS CENTER

One of the ways that we ensure that we can provide resources is with an initial intake. This {{ intake form }} is important to explain to funding sources why certain services are necessary more than others. We cannot do this unless each person does their part to fill out this form each time to come requesting assistance and resources.

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PALM SPRINGS

340 South Farrell Drive

Suite A208

Palm Springs, CA 92262

HOURS

Monday-Friday
11 am to 5 pm PST​
E-MAIL
Contact Us

OFFICE NUMBERS

(760) 202-4308

(760) 656-4141

FAX
(760) 818-8025

RIVERSIDE 2

6840 Indiana Ave

Suite 150

Riverside, CA 92506

HOURS

Monday-Friday
11 am to 5 pm PST
​E-MAIL
Contact Us

OFFICE NUMBERS

(951) 530-8148

​FAX
(760) 818-8025

SAN DIEGO

3737 Moraga Ave

A204

San Diego, CA 92117

HOURS

Monday-Friday
11 am to 5 pm PST​
E-MAIL

Contact Us

​OFFICE NUMBERS

(858) 352-6438

(858) 352-6015​

FAX
(760) 818-8025

Marsha P. Johnson LGBTQ+ Youth Drop-In Center

340 S. Farrell Drive

Suite A106

Palm Springs, CA 92262

HOURS
Monday-Friday
11 am to 5 pm PST​
E-MAIL

Contact Us

​OFFICE NUMBERS

(760) 464-0223

FAX
(760) 818-8025

© 2022 Transgender Health & Wellness Center