Join The Directory - JustUs Health

1Personal Information

2Practice Information

3Inclusion Criteria

Welcome! Tell us more about you and your practice/organization.

This should take 30 minutes to an hour to complete. You can expect questions about your practice, your experience with patients from the LGBTQ community, and any special training you have received.

Username *

This will not be public, but will be used for logging in and updating your profile.

Password *

This password will be used for logging in and updating your profile should you be accepted to the directory.

Password

Confirm Password

Email *

This will not be public — we will use it to confirm your account and communicate with you.

Let's learn more about you.

This information will be listed in your public directory profile.

What's your full name? *

Please write a short bio for users to get to know you *

For example: "Hello, I'm [name]. I have been practicing for [number] years and I focus on treating [conditions]. I am passionate about..."

Occupation *

Please list any credentials or licensure that will help a healthcare seeker understand your experience.

How do you identify your race or ethnicity? (Check all that apply)

Note: We share this information for people of color who may prefer to see healthcare providers who share their ethnic background. It also helps us evaluate our efforts to include providers from diverse and potentially marginalized communities.

American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latinx
Native Hawaiian or Other Pacific Islander
White/Caucasian
Mixed race
None of the above
Prefer not to say

What languages do you speak?

Arabic
American Sign Language
Cantonese
Chinese
English
Finnish
French
German
Hebrew
Hmong
Mandarin
Oromo
Sidamo
Somali
Spanish
Swahili
Vietnamese
Language(s) not listed here

Which type of care do you provide? (Check all that apply)

Medical practice
Social services
Complementary, alternative, or integrative care
Behavioral and mental Health

What services do you provide? Please check all that apply.

What medical services do you provide? (Check all that apply) *

Abortion
Electrolysis / Hair Removal
Family Medicine
Fertility Services
Gender-affirming surgery
HIV and AIDS
Hospice / Palliative Care
Pharmacy
Physical / Occupational Therapy
Pre- and Post- Exposure Prophylaxis (PrEP & PEP)
Puberty Suppression / Hormone Blockers
Reproductive Health
Senior Care
Speech Therapy
STI Testing
Transgender Hormone Care
Tobacco Cessation Support
Urgent Care
Voice Training

What are your medical specialties? (Check all that apply) *

Adolescent Medicine
Allergy & Immunology
Anesthesiology
Audiology
Birth Services
Cardiology
Dentistry
Dermatology
Emergency Medicine
Endocrinology
Family Medicine
Gastroenterology
Geriatrics
Gynecology
Internal Medicine
Midwifery
Neurology
Obstetrics
Oncology
Optometry
Opthalmalogy
Orthodontics
Orthopedics
Palliative Care
Pediatrics
Podiatry
Radiology
Speech - Language Pathology
Surgery
Urology

What social services do you provide? (Check all that apply) *

Adoption
Adult Education
Advocacy
Case Management
Chemical Dependency
Community Education & Trainings
Crisis Services
Drop-In Program
Eating Disorders
Electrolysis & Hair Removal
Employment Services
Family Planning
Financial Assistance
Food Shelf
HIV/AIDS support
Homeless Youth
Hotline
Housing Services
Legal Services
MNSure Support
Salons and Spas
Self-Defense Training
Sexual Assault/Intimate Partner Violence Services
Shelters
Sobriety/Recovery
Social Services/Support (youth)
Social Services/Support (adult)
Syringe Exchange
Transportation services
Other

What complementary, alternative, or integrative care do you provide? (Check all that apply) *

Acupuncture/ Acupressure
Chiropractics
Doula
Herbal Medicine
Homeopathy
Massage
Naturopathy
Nutrition
Yoga
Other

What behavioral and mental health care do you provide? (Check all that apply) (copy) *

Addiction & Recovery Services
Adolescent Therapy
Art/Dance/Music Therapy
Children’s Therapy
Cognitive Behavioral Therapy (CBT)
Couples Therapy
Dialectical Behavioral Therapy (DBT)
Eating Disorders
Eye movement desensitization and reprocessing (EMDR)
Family Therapy
Group Therapy
Individual Therapy
Inpatient Treatment
Psychiatry
Psychoanalysis
Psychotherapy
Psychological Evaluation / Assessment
Sex Therapy
Support Groups

Do you have experience providing healthcare for people who identify with any of the following? (Check all that apply)

Lesbian
Gay
Bisexual
Intersex
Transgender
Poly/Non-monogamous
Person of color
None of the above

Do you have experience in any of the following types of care? (Check all that apply)

Trauma-informed
Sexual assault / domestic violence
Sexual health
Pediatrics/youth
Kink-affirming
Hormone prescribing
Hormone maintenance
Surgery aftercare
Health At Every Size (HAES)
Chemical dependency / addiction
HIV/AIDS
PrEP & PEP(Pre- and Post- Exposure Prophylaxis)

Please provide a brief description of your experience with any of the checked items above. *

Please upload a photo of yourself to use as your profile picture

Click or drag a file to this area to upload.

This information will be listed in your public directory profile.

Let's learn more about your practice or organization.

What is the name of your practice or organization? *

Full address of practice/organization

Address Line 1

Address Line 2

City

State

Zip Code

Region of practice/organization *

Website of practice/organization

This will be listed on your public profile

Phone number for general inquiries

This will be listed on your public profile

Email address for general inquiries

This will be listed on your public profile

Are you currently accepting new clients/patients *

If no, is there a waitlist that healthcare seekers can join *

Instructions for joining waitlist (include link, email, and/or phone number) *

What is your preferred method of scheduling appointments?

Phone
Email
Online Scheduling Service
Other

Email address for appointments *

Phone Number for appointments *

Link to online scheduling service *

Instructions for using online scheduling service, if any

Other Scheduling Method *

Billing and payment options (check all that apply) *

Private/employer insurance
Medical Assistance (MA)
Medicare
Self-pay only
Sliding scale fee
Free

Are there all-gender, single-stall restrooms available for patients/clients *

Please upload up to five photos of your office or location to include on your profile

Click or drag files to this area to upload. You can upload up to 5 files.

This information allows us to see if you meet the criteria for inclusion in the directory. It will not be included in your directory posting.

Preview requirements for inclusion here.

To your knowledge, does your organization have service providers/clinicians who identify as… (check all that apply) *

Trans
LGBTQ+
Non-binary
People of color
None of the above

To your knowledge, does your organization have staff who identify as… (check all that apply) *

Trans
LGBTQ+
Non-binary
People of color
None of the above

Do you have a process to serve people who use names that are not their legal names or the names on their insurance? *

Please describe your process for people who use names that are not their legal names or the names on their insurance. *

Do you have a process for using people's correct pronouns throughout their entire clinic visit? *

Please describe your process for using people’s correct pronouns throughout their entire clinic visit. *

If you are a medical practitioner, do you talk to your patients about U=U? U=U means "Undetectable = Untransmittable," indicating that if an HIV-positive person is on HIV meds (antiretroviral therapy, or ART) with a consistently undetectable HIV viral load, the HIV virus cannot be transmitted to a sex partner. *

Yes
No
I am not a medical practitioner

What training or education have you/your service providers had regarding people who are trans, LGBTQ+, non-binary, people of color, or living with HIV? *

When was your most recent training/education on working with people who are trans, LGBTQ+, non-binary, people of color, or living with HIV? *

Does your practice or organization's website have trans, LGBTQ+, or HIV-specific language? *

Yes
No
Not sure

Are there patient/client materials in your clinic/office specifically for people who are trans, LGBTQ+, non-binary, people of color, or living with HIV? *

Yes
No
Not sure

Please enter an email address for us to contact you about keeping your provider directory posting accurate and up to date. *

*Note: this will not be posted publicly.

How did you hear about the LGBTQ+ Resource Hub? (Check all that apply) *

From another care provider
At a conference
At a training
From JustUs Health
On social media
Other

Other *

Anything else you want to share with us?

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