i live in california and we have something called informed consent. google it. many clinics and some doctors will provide this. it's when you know what you want and read the disclaimers and they will put you on hormones. the clinic or doctor will continue to monitor you and prescribe the HRT for transition. it took me two weeks to get my first script. my insurance company covered the meds, no questions asked because california requires health providers to treat transgender patients. try reading up on informed consent, i'm sure there are clinics or doctors that know this method in your area.