TransVision
This site contains HIV or STD prevention messages that may not be appropriate for all audiences. Since HIV and other STDs are spread primarily through sexual practices or by sharing needles, prevention messages and programs may address these topics. If you are not seeking such information or may be offended by such materials, please exit this website.
TransVision seeks a world where everyone can access high-quality, inclusive, and affordable healthcare where you feel seen heard and empowered regardless of your sexual orientation, gender identity, or gender expression.
Our services include:
Gender Affirming Primary Care
Gender Affirming Hormone Therapy
Referrals for Gender Affirming Surgeries
Assistance With Name/Gender Marker Change
Free Hormone Injection Supplies
Free Safer Sex Materials
Pre-Exposure Prophylaxis (PrEP) – Oral and Injection
PrEP Navigation Services
HIV Rapid Testing
Referrals to the many other services and programs that BACH provides
Interested in becoming a TransVision patient? Call us at 510-252-5818 to schedule an intake appointment!
Follow us on Instagram @transvisionbach or scan this QR code to get connected.
Appointments
In-Person Appointments: Tuesdays and Fridays 9am – 5pm (last appointment at 4:30pm)
TransVision @ BACH Liberty Clinic
39500 Liberty St.
Fremont, CA 94538
Telemedicine Appointments: Mondays, Tuesdays, Fridays 9am – 5pm (15-minute appointments)
The Legacy of TransVision
-
TransVision was created in 2002 by Tri-City Health Center (now Bay Area Community Health) to respond to the deep health disparities faced by gender-diverse communities in Alameda County—especially trans women. The program was born from community pain and outrage following the murder of Gwen Araujo, a local teenager whose death underscored the urgent need for visibility, safety, and compassionate care.
Since its beginning, TransVision has offered a welcoming space for those across the gender spectrum, with a focus on supporting those most often pushed to the margins—particularly Black and Brown trans women and nonbinary individuals. At a time when few services were available, the program became a trusted place to access not only HIV prevention and care, but also hormone therapy, primary healthcare, behavioral health services, peer support, and assistance with legal name and gender marker changes.
What set TransVision apart then—and now—is that it has always been led by people within the community it serves. Staffed by trans and gender-expansive individuals, the program is rooted in respect, lived experience, and a belief that everyone deserves care that affirms their identity.
TransVision has also worked beyond the clinic walls. The team helped organize Alameda County’s first Trans Health Town Hall, developed trainings for providers and public officials, and built coalitions to strengthen awareness and inclusion in local systems. Through it all, TransVision has remained committed to honoring the lives and legacies of Gwen Araujo, Brandy Martell, and countless others whose stories continue to shape the work.
Today, TransVision continues to stand as a trusted source of care, advocacy, and support—a program shaped by and for the community, and a reminder of what’s possible when equity, dignity, and humanity guide the work.
FAQs
-
Gender Affirming Primary Care
Gender Affirming Hormone Therapy
Referrals for Gender Affirming Surgeries
Assistance With Name/Gender Marker Change
Free Hormone Injection Supplies
Free Safer Sex Materials
Pre-Exposure Prophylaxis (PrEP) – Oral and Injection
PrEP Navigation Services
HIV Rapid Testing
Referrals to the many other services and programs that BACH provides
-
Patients who are 13 - 17 years old must be accompanied by a parent/legal guardian otherwise all adults 18 years old and older are eligible to receive services at TransVision regardless of employment status, county of residence, ability to pay, immigration status, sexual orientation, gender identity/expression, or race/ethnicity.
We accept most insurances (except Kaiser) and Medi-Cal. We can also assist you with signing up for Medi-Cal if needed.
-
After registration and intake, a lot of appointments for hormone therapies are able to be conducted remotely by telephone; however, there will be some appointments that absolutely require physical presence at one of our clinics. For those who need transportation to and from their medical appointments, we can assist with medical transportation.
-
We respect your right to privacy and confidentiality. You can choose your preferred methods of communication during registration and you always have the right to adjust it whenever your situation changes.
-
Of course! Many of our patients have started gender affirming hormone therapy with another provider and wish to continue their care with us. During our intake process we will ask you about your history and experience with hormones and other health concerns so that our providers are better informed when meeting you for your first medical appointment.
-
Bay Area Community Health accepts multiple insurances and offers a sliding fee scale for uninsured or underinsured patients, ensuring accessible quality healthcare based on income and family size.
Resources
-
Patient Handbook
Our team is working hard to put this together just for you—once it’s ready, we’ll be sure to update it here. Stay tuned!
-
Additional BACH Resources
You can also visit our website to explore the full range of services we offer at BACH, and be sure to talk to your provider about referrals—so we can help care for your whole self through our wraparound support services.
-
Additional Community Resources
A list of available resources, including hotlines, chat services, behavioral health support lines, community centers, and other helpful services you may need in Santa Clara and Alameda counties.