Pride Center of Terre Haute - Request for Post-Gender-Affirming Surgery Care Kit
The Pride Center of Terre Haute recognizes that while completing Gender-Affirming Surgery can be a milestone in your journey to transitioning, recovery from the surgery can also be a very complicated and difficult time. Our organization has created Post-Surgery Care Kits to help. If you have recently undergone gender-affirming surgery, you are able to request these services for FREE.

Our Care Kits are filled with items that will help your recovery a little easier on you, and will include but are not limited to: non-stick gauze, extra-long pads (can be used as bandages), ACE bandages, Neosporin, dry shampoo, non-scented bar soap, spray-on deodorant, snacks, and more.

Please complete the form below to submit your request!
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Please provide your first and last name. *
Please provide your pronouns. *
Check all that apply.
Required
If answered 'Other Pronouns' please write in your preferred pronouns.
 If not, skip to the next item.
Please provide your email address. *
Please provide your phone number. *
Please provide your home address/address for delivering post-surgery items.
What type of gender-affirming surgery have you recently undergone or scheduled to undergo?  *
Check all that apply.
Required
If requesting a Post-Surgery Care Kit, please provide your shirt and pant sizes.
Please identify preferred dates for delivery either prior to or after your surgery date. *
Do you prefer porch drop-off or to give it to you or a caregiver directly? *
Please provide any information about your specific needs for the kit, delivery, or support.
Thank You!
We are happy to support you during your recovery! A Pride Center of Terre Haute representative will follow-up with you via email or phone call regarding your request. If you have any questions, please contact us at 812-244-1329 or info@pridecenterterrehaute.org.
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