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Local help in Seattle

Part of Washington.Washington document routeCare rules in Washington

Seattle has many trans-led organizations and free legal clinics. File a public name change at any King County District Court location, or a sealed (private) gender-related name change at King County Superior Court. Free help with the paperwork is available from QLaw Foundation and Gender Justice League.

Covers: Seattle and King County

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

Filing tips for this court**District Court (public)**: $98 filing fee plus a $203.50 recording fee paid to the King County Recorder's Office; certified copies $5.…

District Court (public): $98 filing fee plus a $203.50 recording fee paid to the King County Recorder's Office; certified copies $5. File in person at any location, by mail, or through the e-filing portal. Hearings at seven courthouses, mostly at 1:00 pm; paying in cash can get a hearing sooner. Bring valid photo ID.

Superior Court (sealed, for gender identity): $290 filing fee per the clerk's FAQ; the file is sealed and not sent to the recorder. Schedule the hearing through the Ex Parte and Probate Department. Clerk's office: 206-296-9300.

Both fees can be waived with a Motion and Declaration for Waiver of Civil Fees and Surcharges.

Name change and ID help 3

  • QLaw Foundation, 2SLGBTQIA+ Legal Clinic[3]

    Free 30-minute phone consultations with volunteer attorneys, including name and gender marker changes, on the 1st Friday and 3rd Monday of each month. Request help online or call 206-483-2725 ext. 102.

    • Free
  • Gender Justice League, ID document clinics and financial help[4]

    Free in-person clinics with volunteer caseworkers for name changes and license, passport, birth certificate, and Social Security updates, plus financial assistance for fees. Clinic dates are announced on the website and newsletter. 206-659-5519.

    • Free
  • Lavender Rights Project[5]

    Black trans-led Seattle organization focused on housing justice, policy, and movement lawyering. Its legal page currently lists referrals, including a sliding-scale attorney for gender marker change orders and free youth legal aid (TeamChild). 206-639-7955.

    • Free

Hormones and primary care 4

  • Ingersoll Gender Center[6]

    By-and-for trans organization with free peer support groups, resource navigation, a job board, and a trans-friendly health care provider directory.

    • Free
    206-849-7859911 E Pike St, Suite 221, Seattle, WA 98122
  • Seattle Children's Gender Clinic[7]

    Gender-affirming care for children and adolescents; medical care after puberty starts, with parent or guardian consent. 206-987-2028.

    • Insurance
    • Accepts Medicaid
  • Country Doctor Community Health Centers[8]

    Capitol Hill and Central District community health center reported to offer gender-affirming hormone therapy on a sliding scale. Its website could not be loaded when this was written; call to confirm services and new-patient availability.

    • Sliding scale
    • Unverified
  • UW Medicine, gender-affirming care[10]

    University of Washington health system offering gender-affirming primary care, hormones, and surgery at several Seattle sites. The website blocked automated access; confirm clinic locations and referral rules by phone.

    • Insurance
    • Accepts Medicaid
    • Unverified

Sexual health, PrEP, and testing 2

  • Neighborcare Health[9]

    Large Seattle community health center network with a sliding fee discount, same-day and walk-in appointments, STI/HIV care, mental health, and insurance enrollment help. Its website does not list gender-affirming hormone therapy; ask your clinic.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
  • Gay City, Seattle LGBTQ Center[11]

    Capitol Hill LGBTQ center offering free HIV/STI testing and community programs. Website blocked automated access; confirm current testing hours.

    • Free
    • Unverified

Mental health and support 3

  • Seattle Counseling Service[12]

    Long-running LGBTQ-focused community mental health and substance use agency in Seattle. Services and intake were not reviewed; call to confirm.

    • Unverified
  • Lambert House[13]

    Drop-in center for LGBTQ+ youth in Seattle. Hours and programs were not reviewed.

    • Free
    • Unverified
  • Trans Lifeline[14]

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

    • Free

Sources

14 sources. Numbers in the text, like [1], point here.Show all
  1. Name changes, King County District CourtKing County, Court. accessed
    “$98 per application (only collected once for a family name change)”
  2. Superior Court Clerk frequently asked questionsKing County Department of Judicial Administration, Court. accessed
    “To change your name, you must file a Petition for Change of Name and pay the $290.00 filing fee.”
  3. 2SLGBTQIA+ Legal ClinicQLaw Foundation, Organization. accessed
  4. Legal clinicsGender Justice League, Organization. accessed
  5. Ingersoll Gender CenterOrganization. accessed
  6. Gender ClinicSeattle Children's, Organization. accessed
  7. Country Doctor Community Health CentersOrganization. accessed
  8. Neighborcare HealthOrganization. accessed
  9. UW MedicineOrganization. accessed
  10. Gay CityOrganization. accessed
  11. Seattle Counseling ServiceOrganization. accessed
  12. Lambert HouseOrganization. accessed
  13. Trans LifelineOrganization. accessed