Local help in St. Louis
Part of Missouri.Missouri document routeCare rules in Missouri
St. Louis has the most trans-specific services in Missouri. Name changes are filed in the Family Court of the circuit court for where you live: the 22nd Circuit for St. Louis City, the 21st Circuit in Clayton for St. Louis County. Planned Parenthood Great Rivers offers informed-consent hormone therapy for adults, and its Fairview Heights, Illinois center, across the river, can see minors that Missouri law bars from starting care.
Covers: City of St. Louis and St. Louis County (the Missouri side of the metro area)
Draft list from organizations' own websites, 2026-09-24. Call ahead: hours and services change.
On this page
Where to file a name change
- Filing fee
- $178
- Free help with forms
- Court self-help center
Filing tips for this court**City residents** file in person at the clerk's office, 3rd floor, Clyde S. Cahill Courts Building, 10 North Tucker Blvd (questions…
City residents file in person at the clerk's office, 3rd floor, Clyde S. Cahill Courts Building, 10 North Tucker Blvd (questions 314-622-4404). The Family Court deposit is $177.50.
St. Louis County residents file with the 21st Circuit, 105 South Central Avenue, Clayton (314-615-8029). The change-of-name deposit is $135.50 (2026 schedule). The county has its own forms: Affidavit for Judgment (CCFC194) and Judgment of Name Change (CCFC137), plus the statewide Request for Publication (CAFC480). Certified copies are $1.50 for the first page with seal.
Name change and ID help 2
Legal Services of Eastern Missouri[11][12]
Free civil legal aid for people with low income, including Medicaid and public benefits appeals and marketplace insurance help. Ask at intake about name change help. Phone intake Monday, Wednesday, and Thursday, 9 am to 1 pm, or apply online.
314-534-4200701 Market Street, Suite 1100, St. Louis, MO 63101TransParent[13]
Support network for parents and families of trans children, founded in St. Louis, with local chapter meetings. Its Missouri list names St. Louis-area attorneys who handle name and gender marker changes and affirming therapists.
Hormones and primary care 3
Planned Parenthood Great Rivers, Central West End Health Center[6][7]
Gender-affirming hormone therapy on an informed consent basis for adults, plus HIV services and STI testing and treatment. Financial assistance for hormone therapy for those who qualify. Telehealth visits also available.
314-531-75264251 Forest Park Avenue, St. Louis, MO 63108Planned Parenthood Great Rivers, Fairview Heights (Illinois) health center[7]
Where Planned Parenthood Great Rivers sees minors (16 and 17, with a parent) who want to start hormone therapy, since Missouri bars it. The Regional Logistics Center (618-607-5080) helps with getting there.
Serves: Metro East, Illinois; serves Missouri patients
Southampton Healthcare[8][9]
South St. Louis primary care practice that was a provider plaintiff in the SB 49 lawsuit and is known in the community for gender-affirming care. Its website does not describe trans services; call to ask about new patients.
314-647-22002340 Hampton Ave, St. Louis, MO 63139
Sexual health, PrEP, and testing 1
Affinia Healthcare[10]
Federally qualified health center with several St. Louis locations. Rapid Start PrEP, HIV testing and care, and STI services on a sliding fee scale; HIV patient navigators help with appointments.
Mental health and support 4
St. Louis Queer+ Support Helpline (SQSH)[13][15]
Peer support line, Friday to Monday, 1 pm to 7 pm, for anyone who needs to talk; you do not need to be in crisis. Local 314-380-7774, toll-free 844-785-7774.
Trans Housing Initiative St. Louis (THISTL)[14]
Trans-led group offering mutual aid for rent and housing costs to trans and gender nonconforming adults (applications reopen in winter 2026, mostly collected in person), plus credit and homebuyer workshops.
Metro Trans Umbrella Group (MTUG)[15]
Long-running St. Louis trans community and support group, listed by PROMO. Its former website no longer works; ask PROMO or TransParent for current contact information.
Trans Lifeline[15]
National peer support hotline run by trans people, 877-565-8860.
Sources
15 sources. Numbers in the text, like [1], point here.Show all
- Change My Name
“For questions, call 314-622-4404.”
- Amended Administrative Order re Court Costs (effective July 1, 2021)
“Family Court Matters 177.50”
- 22nd Judicial Circuit Local Court Rules (effective May 27, 2025)
- Schedule of Deposits and Fees, 21st Judicial Circuit (effective January 1, 2026)
“Change of Name ... 135.50”
- Family Court Forms
- Central West End Health Center
- Gender-affirming hormone therapy
- Southampton Healthcare
- E.N. v. Kehoe (formerly Noe v. Parson)
- HIV Prevention and Care
- Get Help Now
- Services
- Resources: Missouri
“The SQSH helpline is open Friday to Monday, 1 p.m. to 7 p.m. for anyone in need of support.”
- Assistance
- Transgender Justice