FAQ - Aurum Haven Medical

Yes — AHM is currently accepting new patients for gender-affirming hormone therapy and longitudinal internal medicine care. Some people start with a free 15-minute phone consultation to make sure this model is the right fit. If you already know what you're looking for, you can book directly for a full initial visit by texting (323) 212-5404 or emailing info@AurumHavenMedical.com.

In-person visits are in West Hollywood — a private suite at Salon Republic, 8550 Santa Monica Blvd, Suite 305. Telehealth follow-ups are available for established patients when clinically appropriate. AHM serves adult patients throughout California.

Dr. John D. Fernandez, MD — board-certified internal medicine physician, former UCLA Health primary care and gender-health specialist, with a research background in hormone therapy safety. You speak directly to your doctor here. Intentional care, no rush.

Two primary services, separate by default:

• GAHT (gender-affirming hormone therapy): Initiation, continuation, and optimization of hormone therapy for trans and gender-diverse adults. Unrushed 60-minute consults, external labs through Quest or Labcorp, e-prescribing, and continuity care.

• Neurotoxins: Subtle, physician-injected Botox® or Xeomin®.

AHM does not provide urgent care, walk-in visits, or treatment for acute illness (flu, COVID, strep, etc.). The practice stays in the lane of continuity and wellbeing-focused care. Neurotoxins are not included in Aurum Direct Care membership.

No. AHM operates on an informed consent model — no referral required, no prior mental health letter required. AHM Care is for adult patients, you do need to be 18 years old or older. The initial visit is a real clinical evaluation: your history, your goals, your health, your timeline. That's what shapes the plan.

Those platforms have expanded access in ways that matter. AHM is built around something different: a long-term clinical relationship with a board-certified internal medicine physician who has a research background in hormone therapy safety. Visits are unhurried. Labs get explained, not just flagged. Regimens are designed around your body and your goals — not a protocol template. Through an internal medicine lens, chronic health conditions are considered holistically, with hormones as just one part of the whole.

Yes, when clinically indicated. AHM manages the full range of GAHT regimens — estradiol (oral, injectable, patch, gel), testosterone (injectable, topical), progesterone, and anti-androgens — for trans women, trans men, and nonbinary patients. The regimen is built around your labs, your goals, your health history, and how your body actually responds over time.

Yes. If you're already prescribed or taking hormones and looking for a new provider, you're welcome here. The initial visit includes a review of your prior regimen, your labs, and your history. Care continues with context — not from zero.

Yes. AHM serves trans women, trans men, nonbinary, genderqueer, and gender-diverse patients. Care here isn't built around a binary transition narrative. Your goals, your language, your regimen — none of that gets assumed. A lot of people aren't pursuing a conventional binary transition, and that's not something that needs explaining or justifying.

That's part of why this practice exists. A lot of people have been rushed, dismissed, misgendered, or simply not taken seriously in healthcare settings. The structure at AHM — longer visits, direct physician access, no layer between you and your doctor — is a deliberate response to that. My hope is that, you don't need to walk in with your guard up; you come as you are.

The Aurum Direct Care membership is $150/month, billed quarterly at $450. It includes:

• Unlimited visits as clinically appropriate

• Lab ordering and interpretation

• Dose adjustments between visits

• Secure messaging for clinical questions during business hours

• Surgical letters of support (when clinically appropriate)

• Pre-operative management and care coordination

• Vetted referrals when needed

No per-visit fees on top of the membership. For people newly starting hormones — or managing more complex medical history — this tends to cost less than it looks, especially compared to specialist fees without insurance. For established patients stable on their regimen, a fee-for-service option becomes available after one year.

No — AHM is intentionally self-pay so care stays personal and paced to you. Direct care means cutting out the middleman, insurance - so that you and I retain control over the medical experience.

However, external labs through Quest or Labcorp and pharmacy prescriptions may still use your insurance, which can offset those costs meaningfully.

A single endocrinology visit in LA without insurance typically runs $300–500. Follow-up in that model is usually every 3–6 months, with limited access in between. At $150/month, the AHM membership covers unlimited visits, direct physician messaging, lab interpretation, and prescription management — with no per-visit billing. In the first year of hormone therapy, when more contact is usually needed, the math tends to favor the membership. After that, it's a value question of having consistent, direct access to your doctor.

• Initial GAHT consultation: 60 min

• Injection teaching for new patients: 30 min, no charge

• 1-month GAHT check-in: 30–60 min

• Routine continuity GAHT: approximately every 3 months in year 1, then typically every 6–12 months once a consistent dose is achieved

• Neurotoxin visit: 30–45 min

• Routine neurotoxin follow-up: every 3–4 months

Yes, for established GAHT patients. That includes letters of medical necessity, referral coordination, and pre-operative appointments for surgical optimization (typically completed within 30 days prior to a procedure, as required by the surgical office).

After booking, you'll receive confirmation and any intake paperwork electronically. The initial visit is 60 minutes — bring any prior lab results or records if you have them, but don't stress if you don't. We start from where you are.

Book a free 15-minute consultation aurumhavenmedical.com, or reach out directly to schedule your initial consultation: text 323-212-5404 or email info@aurumhavenmedical.com.