General Concerns
We provide a full range of confidential reproductive and sexual healthcare services including:
- Medical care for people who have experienced sexual assault
- Birth control and emergency contraception
- Screening, treatment, and prevention of sexually transmitted infections including HIV prevention services (PrEP and PEP)
- Preventive healthcare including cervical cancer screening (Pap test)
- Counseling regarding both planned and unplanned pregnancy
- Medication abortion
Appointments can be made online, using the Health & Wellness patient portal, or by calling during business hours. The Center for Awareness, Resources and Education (CARE) at Tufts also provides a wide range of educational
information about Sex Health on their website.
Birth Control and Emergency Contraception
What Methods of Birth Control Are Available to Me?
We provide consultation about all available methods of contraception. For students with Tufts student health insurance plan, we offer insertion of intrauterine devices (IUDs) and contraceptive implants at Health Service. We can remove an IUD or implant regardless of a student’s insurance plan.
What Is Emergency Contraception?
Emergency Contraception (EC) is a safe way to prevent pregnancy after unprotected sex. There are several forms of EC and all forms are available at Health Service. If you are unsure which form is right for you, call to speak with a nurse or make an appointment with a clinician. Plan B is available in the Sex Health Vending Machine, located in Campus Center.
Pregnancy Options
Health Services provides counseling for planned and unplanned pregnancies.
We can also provide medication abortions.
For more information about any of these services, please schedule an appointment.
Testing for Sexually Transmitted Infections
Health Service provides routine testing (screening) for sexually transmitted infections (STIs) as well as evaluation for symptoms or care after an exposure.
- Call or schedule an appointment online if you are worried about a symptom, or have been exposed to someone diagnosed with an STI.
- If you want routine testing (screening) you can use the STI Express form found on the portal or schedule a telehealth visit.
- Make sure your insurance information at Health Service is up to date. Although HS does not bill for visits, labs that are sent out for testing are billed to your health insurance plan.
HIV Prevention
HIV Testing
We provide confidential HIV testing. We do not share test results with anyone, not partners or parents, except as mandated by state law.
Make an appointment for routine screening or utilize our Walk-In Hours any time if you are worried about a symptom or have been exposed to someone diagnosed with HIV.
Post-Exposure Prophylaxis (PEP)
PEP is medication that should be taken as soon as possible AFTER a high-risk exposure to reduce the chance of acquiring HIV. It needs to be started within 72 hours of a possible exposure, and ideally within 24 hours. Typically you will need to take a combination of three medications for 28 days.
If you are concerned about a possible HIV exposure, please schedule an appointment. If there are no same-day visits available, call our main number and ask to speak to a nurse. If Health Service is not open, call the main number and follow the prompts to reach our nurse triage line. The nurse can connect you with the clinician on call or other resources, if needed.
Most insurance, including Tufts student health insurance, covers the cost of PEP.
Pre-Exposure Prophylaxis (PrEP)
HIV PrEP is medication that can protect you from HIV infection. PrEP is for people who are not HIV positive but are at risk of infection. PrEP can be a single pill that is taken daily or an injection given every 2 months. It is highly effective if taken consistently.
If you are interested in discussing PrEP, please set up an “HIV Prevention” telehealth visit through the portal.
Most insurances, including Tufts student health insurance, cover the cost of medications for PrEP. We will help you connect with patient assistance programs that will cover the co-pays, so that PrEP will be available to you without any out of pocket expense.
If you are interested, make an appointment at Health Service to speak with one of our clinicians. Tell the appointment secretary that you want to discuss PrEP.
DoxyPEP
DoxyPEP is medication that can be taken after sexual contact to help prevent sexually transmitted infections. Prescriptions for DoxyPEP are available through HS.
Fees and Insurance
Fees vary for different tests. Student health insurance and many private health insurance policies cover STI testing. We will work with you to see if your lab charges can be billed directly to your insurance company.
Gender Affirming Care
Health and Wellness welcomes and affirms students of all gender identities, expressions, and sexual orientations. Our staff has been trained in LGBTQIA+ health issues and many of our staff have lived experience. Check out our staff bios!
We offer a range of services for trans, non-binary, and/or gender non-conforming students including:
- Inclusive environment for medical and mental health care
- Individualized care based on your goals
- Initiation or continued prescribing of hormone treatment
- Consultation about and referrals for gender affirming surgery and other specialty care
- Letters of support when needed to access specialty care
- Support navigating insurance coverage and billing concerns through the Health Service Business Office.
Gender-Affirming Hormone Treatment (GAHT)
I’m Interested in Starting Gender-Affirming Hormone Treatment (GAHT)
Health Service (HS) and Counseling and Mental Health Service (CMHS) aim to follow the standards of care developed by the World Professional Association of Transgender Health (WPATH). Students who are interested in GAHT may make an appointment directly with a Health Service clinician and do not need to meet with a counselor unless they are seeking mental health support during the process. Appointments for GAHT can be scheduled online by using the Health & Wellness patient portal or by calling during regular business hours.
If you are already connected with a provider at HS: Let your provider know that you are interested in pursuing hormone treatment. Your provider will refer you to a trans care specialist at HS.
If you are already taking hormones: Health Services can help you monitor your hormones and/or manage your prescriptions while you are at Tufts and will coordinate care with your other prescribing provider if needed.
Gender-Affirming Surgery (GAS)
I’m Interested in Receiving a Referral Letter for Gender-Affirming Surgery (GAS)
Both CMHS and HS are able to provide letters for a range of gender-affirming surgeries. As with gender-affirming medications, only certain clinicians are able to do this, so calling is the best way to ensure you are scheduled with a provider who can help.
Medical letters: Call HS and ask to set up a visit to discuss gender-affirming surgery. You may also self-schedule a visit through the portal with one of the members of our trans care team.
Behavioral health letters: Call CMHS and ask to set up a visit to discuss gender-affirming surgery. If you are already being seen for counseling, please ask your clinician; they may be able to do this, or they may refer you to a colleague on the trans care team.
If you are already working with a clinician in the community: Consider asking your clinician if they will provide documentation in support of your surgery referral. You are also welcome to request evaluation at CMHS or HS for primary and/or secondary letters of support, even if you are not currently receiving your gender care with us.
Additional Information
Trans Health Care Specialists
Health Service
The following Health Service providers offer gender affirming hormone treatment:
- Mariah S. Henderson, PA-C
- Ariel Watriss, NP
- Lisa Keegan, NP
Please see above for the steps to connect with Health Service for hormone care.
Counseling and Mental Health
All CMHS providers are trans affirming, and most have received advanced training in trans healthcare, including the provision of surgery evaluations. You can review the staff bios here.
If you have questions about the gender affirming services CMHS offers or which clinician would be a good fit for you, please contact any member of our Trans Care Team by calling 617-627-3360 or emailing them through your secure healthcare portal at http://go.tufts.edu/portal. Trans Care Team members include this designation in their staff bios.
Note: If you are not interested in counseling and are seeking only an evaluation for surgery, you are welcome to schedule a new appointment with any member of our Trans Care Team by calling 617-627-3360.
Call 617-627-3350 to make an appointment at Health Service and 617-627-3360 to make an appointment with Counseling and Mental Health Service.
For Ongoing Support and Other Resources
- List of 'All Gender' Restrooms on Campus
- Rainbow House - Special Theme Housing
- Tufts Non-Discrimination Policy
- Update Common Name at Tufts
- Legal Name Change at Tufts
- Legal Name Change in Massachusetts
- Name Change in Other States
- Free Legal Help through GLAD
What if I am under 18?
Students under 18 are eligible for general counseling and medical services at CMHS and HS. Due to limitations of confidentiality in healthcare settings, your parents are legally able to request and access certain information about your healthcare. Please discuss any privacy concerns with your clinician
Insurance Coverage
The Tufts University sponsored student health insurance plan is provided through UnitedHealthcare StudentResources. This policy covers a full range of health benefits, including gender affirmation surgeries, hormones, and mental health services. Please review The UHCSR Gender Dysphoria Treatment Guidelines for more information.
If you have any questions about insurance coverage, you may email studenthealthinsurance@tufts.edu. Although surgeries and hormones are covered, there are co-pays and out-of-pocket costs associated with all medical care (i.e., the coverage does not mean you will not incur any costs).
Medical Record Documentation
- The Tufts Health Service Pre-entrance Health Questionnaire will ask for both sex assigned at birth, current gender identity, and pronouns. This information will be reflected in your medical record.
- If the name you use is different from your legal name, you can enter this and your pronouns when you check in for a visit, or your clinician can do this for you. Both names will show up in your medical record but we will refer to you using your chosen name.
- To change your name in other university departments (Registrar, ID card, Student Information System), please see this guide.
- If you have legally changed your name, please use this guide.
For Ongoing Support and Other Healthcare Resources
While seeking gender affirming treatment can be exciting, the process can also feel stressful and having support is important. In addition to short-term individual counseling at CMHS and healthcare at HS, students also have access to many other Tufts supports including CMHS groups, and peer facilitated support groups offered by the LGBT Center. If you’re seeking ongoing counseling and support, you can schedule an appointment with the CMHS Case Manager to help with a referral. If you are experiencing any financial concerns/barriers, ask your clinician about options for support.