Researching medical providers in your area that specialize in gender-affirming care, as not all providers have experience prescribing HRT for transgender patients. Look for clinicians who clearly state their expertise in this area.
Learning about the informed consent process for accessing HRT. This generally involves meeting with a provider to discuss the expected effects and side effects of hormones before deciding whether to move forward. Informed consent allows patients to access HRT without letters from mental health professionals or minimum periods of living in one's gender.
Understanding your health insurance coverage and options, as many plans still lack adequate transgender care benefits. Be prepared to self-pay or use transgender-specific assistance programs if needed.
Finding local support resources can also help navigate the process of accessing gender-affirming care, including HRT. Support groups, legal aid organizations and transgender health clinics often have great information about local providers and processes.
I hope this general guidance is helpful, but the safest approach is consulting directly with medical and mental health professionals in your area that specialize in transgender care. Wishing you the very best in your transition journey.