Transgender Health Education Network Membership Form
The Transgender Health Education Network (THEN) is committed to bringing together interdisciplinary mental and medical health professionals who support and treat transgender and gender non-conforming individuals and their families. THEN strives to provide members with opportunities to engage in specialized training, enhance knowledge of the latest medical and mental health treatment modalities, increase networking and collaboration, in order to promote respectful, compassionate and competent care when working with transgender/ gender nonconforming populations.
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E‑mail *
Full Name
Organization Name (if applicable)
Preferred Name
Preferred Pronouns
Main Phone Number
Address
City
State
Zip
Highest Degree and Year Granted
Profession
License Number, State, Year Issued
License Number, State, Year Issued (if more than one)
Employment Description (Private Practice, Clinic, Education, Research)
If a student, indicate specialty, degree sought, institution
Please describe your interest in THEN, and what you'd like to see as a member this year.
Please describe your current experience level with transgender and gender diverse patient populations.
If you're applying as an organization, please describe your mission as it aligns with the vision of THEN
Membership FAQ
Membership in the Transgender Health Organization is open to medical and mental health professionals and residents/graduate students residing in North Central Florida regardless of religion, age, race or color, marital status, national origin, disability, sexual orientation, and gender identity/expression. Retirees in their respective fields are eligible to join.

Annual Membership Fees
$75 Professional
$25 Residents/Graduate Students, Retired Professionals
$300 Per Organization (Up to 2 representatives)

For further inquiry: Transgender Health info@thenflorida.org
I would be interested in a leadership capacity or committee
Zrušit výběr
I agree to the mission of THEN and also agree to uphold and follow Florida statutes, Florida administrative codes, codes of ethics and guidelines put forth by my professional organization, and standards of care related to working with transgender individuals.
Zrušit výběr
Application FAQ
Acceptance as a member in the Transgender Health Organization is solely at the discretion of the Board, and if approved, the member acknowledges that membership is subject to the policies of THEN, as may be modified at any time in the sole discretion of the Board.

Please allow 2-4 weeks for a response on your membership application, the board reviews them in batches.

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