Trans Resource Navigator

Local help in Houston

Part of Texas.Texas document routeCare rules in Texas

Houston has the largest cluster of trans-affirming services in Texas, centered in Montrose. Name change petitions are filed with the Harris County District Clerk ($350 filing fee, waivable) and decided by a district judge; you also need a fingerprint card and a DPS background check (see the name change guide). Adults can get hormone therapy at Legacy Community Health and Planned Parenthood of Greater Texas. Care for anyone under 18 is banned statewide.

Covers: Harris County and the Greater Houston area

Draft list from organizations' own websites, 2026-09-24. Call ahead: hours and services change.

On this page
  1. Where to file
  2. Name change and ID help
  3. Hormones and primary care
  4. Sexual health, PrEP, and testing
  5. Mental health and support
  6. Sources

Where to file a name change

Court
Harris County District Clerk (civil and family district courts)[1][2]
Filing fee
$350
Free help with forms
Court self-help center

Can’t afford the fee? How fee waivers work in Texas

Filing tips for this courtThe District Clerk classifies name changes as family cases. File in person at the District Clerk's office or electronically through…

The District Clerk classifies name changes as family cases. File in person at the District Clerk's office or electronically through eFileTexas.gov. Certified copies of the order are $1 per page plus $5 for the certificate and seal. The Harris County Law Library (1019 Congress St; 713-755-5183) has a free adult name change packet and staff who help find forms.

Name change and ID help 2

Hormones and primary care 2

  • Legacy Community Health, Transgender Specialty Care[4]

    Federally qualified health center with transgender medical services (hormone treatment, well-person exams, STD testing, vaccines) and transgender behavioral health, including evaluations before hormones or surgery. Clinics across Houston including Montrose. Medical 832-548-5000; behavioral health 832-548-5014.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
    832-548-5000Languages: English, Español

  • Planned Parenthood of Greater Texas (Houston area)[5][6]

    Took over the former Planned Parenthood Gulf Coast health centers on October 1, 2025. Informed-consent hormone therapy for patients 18 and up, in person or by telehealth, plus STI and HIV testing. Call 1-800-230-7526.

    • Cost varies
    • Telehealth
    1-800-230-7526

Sexual health, PrEP, and testing 1

  • Avenue 360 Health & Wellness[7]

    Community health center in the Heights with HIV testing and care, PrEP education and referral, hepatitis C testing, and primary care. All services on a sliding fee scale; no one turned away for inability to pay. 713-426-0027.

    • Sliding scale
    • Sees uninsured patients
    713-426-00272150 West 18th Street, Houston, TX 77008

Mental health and support 2

  • The Montrose Center, Gender Affirming Services[8]

    Houston's LGBTQ+ community center. TransWellness peer groups and resource referrals, counseling, case management, HIV testing, youth programs (Hatch), and an anti-violence program with a 24-hour helpline for survivors of sexual assault.

    • Cost varies
    401 Branard Street, Houston, TX 77006

  • Trans Lifeline[9]

    Peer-support hotline run by and for trans people, 877-565-8860.

    • Free
    877-565-8860Languages: English, Español

Sources

9 sources. Numbers in the text, like [1], point here.Show all
  1. Civil and family cases filing and service fees (effective January 1, 2026; updated July 15, 2026)Harris County District Clerk, Official page. accessed
    “Name Change, Minor and Adult: $350.00”
  2. Adult name changeHarris County Robert W. Hainsworth Law Library, Official page. accessed
  3. Lone Star Legal AidOrganization. accessed
  4. Transgender specialty careLegacy Community Health, Organization. accessed
  5. Gender affirming healthcarePlanned Parenthood of Greater Texas, Organization. accessed
    “Planned Parenthood of Greater Texas provides Gender Affirming Hormone Therapy for patients 18 and up.”
  6. Planned Parenthood Gulf Coast, important updatePlanned Parenthood, Organization. accessed
  7. ServicesAvenue 360 Health & Wellness, Organization. accessed
  8. Gender affirming servicesThe Montrose Center, Organization. accessed
  9. Trans LifelineOrganization. accessed