BLACK FOLKS ONLY - Year's worth of HRT Needles

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Hi all! This form is for BLACK TRANS FOLKS ONLY. Fill out this form for a year's supplies of needles for HRT.

Everyone who fills out the form will get supplies, it might just take a little while. Please only enter if you cannot access/afford needles, as we have limited resources.

If you do not feel comfortable putting down an address, shoot us an email at transneedles@gmail.com.

Please enter your full address, or we won't be able to send you supplies. USA only.

Email *

What's your NAME and ADDRESS? Don't forget city, state, and zip. USA only. *

What do you need? (Two only, 3cc/ml syringe included)

18g (Drawing needle)

22g 1 (IM)

22g 1.5 (IM)

23g 1 (IM)

23g 1.5 (IM)

25g 1 (IM)

25g 1.5 (IM)

25g 5/8 (SubQ)

Other:

Are you Black? *

Yes

No, I should be submitting a request in the other Submission form, sorry.

Required

Submit

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