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Healthcare is personal, and you deserve to talk openly with your provider about the care you need. For LGBTQIA+ patients, that includes finding someone who understands how identity and lived experience shape different aspects of your health.
At Community Health Network, inclusive care means treating the whole person, with primary care providing a foundation for your everyday and long-term health.
In this blog, Community physicians Savanna Bruski, DO, Jordan Phelps, DO, and Kristen Swanson, MD, discuss what LGBTQIA+ care looks like at Community’s family medicine practice in Fishers, Indiana — including what inclusive care means, available services and how to access specialized support.
Inclusive healthcare is a way of practicing medicine that extends beyond simply accepting a patient — it means having a provider who validates all aspects of your identity and experience and incorporates them into your care. In practice, this looks like:
Even simple interactions can shape whether a patient feels comfortable with their provider.
“At our practice, inclusive healthcare is the standard for every patient relationship,” says Dr. Swanson. “For example, for a patient who is transgender, being addressed by their affirmed name and pronouns is an important sign that their provider sees and respects them. We want patients to know that every part of who they are will be recognized and valued in their care.”
LGBTQIA+ care can include everyday health needs and services shaped around your identity, history and goals.
Type of Care | What It May Include |
| Primary Care | Preventive care, sick visits, routine screenings and chronic condition management |
| Gender-Affirming Hormone Therapy (GAHT) | Estrogen-based therapy or testosterone-based therapy paired with ongoing lab monitoring |
| HIV and STI Prevention | Risk-reduction guidance and preventive medications such as PrEP and PEP |
| Specialized Care and Referrals | Connections to outside services such as gender-affirming surgery, pelvic floor therapy, and other specialized services |
Primary care is the basic building block for good health and involves:
You may have a trusted primary care physician and come to this practice specifically for specialized LGBTQIA+ services — and that’s OK. Our providers will meet you where you are, coordinate with your existing care team when appropriate and focus on the goals that inspired you to seek care in the first place.
“Specialized care doesn’t happen in isolation from other types of healthcare, but you don’t have to find a new primary care physician every time you have a new need,” assures Dr. Bruski.
“We take time to understand your overall health, the care you’re already receiving and what you hope to accomplish with our team. We’ll use that context to personalize services and support the goals that matter to you.”
For many transgender and gender-diverse people, GAHT is an important step toward feeling more at home in their bodies. At the Fishers practice, hormone therapy is available to patients ages 18 and older.
But starting treatment is only part of the process. Regular follow-up and lab work help your provider to understand how your body is responding, adjust your care when needed and keep your overall health in view. The practice has an onsite lab so you can receive monitoring in the same place you access care.
There isn’t a single option or path for treatment — your provider will start by understanding your needs and preferences, then explain your options.
“Hormone therapy is a journey, and progress can look different for every patient,” says Dr. Phelps. “We’ll work closely with you to gauge if treatment is producing the changes you hoped for and how you’re feeling along the way. That ongoing conversation helps us decide together when to stay the course and when it might be time to adjust.”
For patients interested in other gender-affirming services such as voice therapy, top or bottom surgery, or pelvic floor therapy, the care team can connect you with resources across central Indiana.
HIV prevention is an important part of whole-person care. For individuals at higher risk for contracting HIV, common options include:
If you’re living with HIV and need HIV care, our care team can connect you with other Community providers who have the expertise to support you. They can also guide you toward free HIV testing as often as you need it.
Our care team also provides testing and treatment for other sexually transmitted infections (STIs). For patients seeking additional prevention options, Doxy PEP (doxycycline post-exposure prophylaxis) may be considered to help reduce the risk of certain bacterial STIs.
At our family medicine practice in Fishers, you can expect a welcoming first visit focused on your health history, questions and goals. Together, you and your provider will discuss the care you’re looking for and identify next steps that feel right for you.
Explore services at Family Medicine Care – Allisonville or call 317-621-5560.
Need help with the cost of care or don’t have insurance? Contact Community’s Pricing Support Center. We can help you find coverage, often before your appointment.
Medically reviewed by Community physicians Savanna Bruski, DO, Jordan Phelps, DO, and Kristen Swanson, MD.
