I've inquired at Legacy Community Clinic in the Montrose area here in Houston, and I have to go in for eligibility. They are requesting my SSI reward letter, so I guess by showing them that I'll get a discount. I'm sort of taking a backwards approach by getting my HRT through informed consent, because the therapist I'll be talking to (via Skype) wants me to be on it for at least three months while we discuss dysphoria, how the HRT is affecting me, and the difficulties/challenges of social and family life. That route makes more sense to me instead of having to endure therapy for three months before having access. But for those who have to do that, don't think of it as an obstacle. Either way is just fine so long as you do seek out a gender therapist. Even though some of us may have supportive friends and family, a professional with a background in psychology is very important to have around.