Hawai'i Health & Harm Reduction Center

About Hawai'i Health & Harm Reduction Center

What is Hawai'i Health & Harm Reduction Center?

Hawai'i Health & Harm Reduction Center, called HHHRC, is a community health organization at 677 Ala Moana Blvd. Suite 226 in Honolulu. Its main work is harm reduction, HIV and hepatitis care, and services for people who use substances, with a focus on the transgender, LGBQ and Native Hawaiian communities. Hormone therapy is one of its services, not the whole practice. Its hormone therapy section covers hormones for adults changing physical traits to match their gender identity, and testosterone replacement for male patients whose bodies are not making enough of it. Testosterone can be given as a shot, a patch or a gel.

The hormone therapy is offered in coordination with the Kuaʻana Project. In its own words: "a patient-centered affirming environment where patients can receive hormone therapy as well as engage in an ongoing relationship with a primary care provider and a peer-mentor." The listed prescribers are Christina Wang, APRN, DNP, MPH; John Paul Moses III, APRN, MBA, MSN, RN; Angela Gough, DO; and Rick Ramirez, APRN, DNP. Rick Ramirez's profile lists hormone therapy among his work. Other services include primary care, STI screening and treatment, HIV testing and PrEP and PEP, mental health referral, harm reduction counseling, group support circles and care coordination.

What does it cost?

It does not publish prices, a consultation fee or a monthly rate. It does not say whether it accepts insurance, whether hormone medication is included in any fee, or what follow-up lab work costs. Monitoring progress involves regular lab work and follow-up visits, but the cost of those is not stated. Its hormone therapy section works through a request form with a preferred appointment date, not a price list.

What should you ask before you book?

Ask who writes the prescription, and which of the listed providers you would see for it. Ask whether testosterone or any other medication is part of a monthly or visit fee, and whether the medication is brand-name or compounded. Ask what the regular lab work and follow-up visits cost, and whether the clinic takes your insurance or only cash.

Ask whether any visit can be done by video or phone. Telehealth is not among the services listed, and its hormone therapy form lists in-office appointments. Ask which hours are correct, because the home page and footer list 9:00AM to 4:30PM on weekdays while the contact page lists 9:00AM to 4:00PM. Ask how to cancel and whether any fee is refunded, since neither is described.

Who is it a good fit for?

This is a good fit if you want hormone therapy inside a clinic that also handles primary care, HIV and STI testing and counseling, and you are willing to get prices in writing before you book. It is a poor fit if you want a clinic that publishes its fees, or if you are looking for weight loss, peptide or longevity care, since it does not offer those services.

Sources: hhhrc.org, hhhrc.org/hormonetherapy, hhhrc.org/providers

Services Offered

Hours

Monday - Friday 9:00AM - 4:30PM

Location