Action for Trans Health Solidarity Fund Application Form

This is the application form for the Action for Trans Health solidarity fund. Throughout the year, we raise money to help trans and gender variant people who for whatever reason cannot access healthcare treatment through the NHS in a timely manner. We know that the trans healthcare system is in crisis, and that the people who need help accessing support will usually outweigh our capacity to fundraise. As such, we use this application form to identify those who face the most barriers to accessing healthcare treatment in more conventional ways.

Action for Trans Health takes a broad view of healthcare, which recognises that there a wide number of things that can impact on an individual's healthcare needs. As such, we place no restrictions on what the money can be used for. We do ask that if the money is being used to access medication which will be needed long-term, that the applicant has thought about how to secure the long-term supply after the grant money has been spent. Some things we have funded in the past include:

- appointments with private gender clinics;
- hair removal;
- counselling and therapy;
- rent payments when the money isn't there because of a health issue;
- mobility aids;
- part payment of surgery costs;
- wigs, binders, clothes, etc.

Once applications have been received, a member of Action for Trans Health's administrative staff will anonymise the application text and pass them onto our funding panel who will allocate the funds. We will contact you to let you know whether your application has been successful within two weeks of the funding panel meeting.

    Your contacts

    This section will only be seen by the Action for Trans Health administrative team and will not be passed on to the funding panel who allocates the funds.
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    Identity

    This data will be used for equality monitoring purposes and to identify what barriers you might face to accessing treatment through the NHS or other means.
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    Questions

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    Payment Details

    This is an optional part of the form. Applicants can choose to give us their PayPal email address or bank account details (name, account number and sort code) for a transfer in advance. This makes our lives easier and means we can get the money to you quicker. However, if you would prefer to give us your payment details after you have had your award confirmed that is absolutely fine.
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