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• being content that HIV test results and follow-up was done by their doctor (as <br />opposed to other healthcare staff). <br />• being satisfied with care because they receive HIV/STD testing and medication. <br />• having mental health support among peers. <br />• appreciating that providers asked patients about mental health. <br />• having transportation support (for example, bus passes) and a sliding fee scale for <br />services helped to access needed care services. <br />• having great rapport with providers at AltaMed, among those who received care at <br />AltaMed. <br />• experiencing improved wait times and time spent in the clinic (in comparison to wait <br />times in the past). <br />Areas of Growth/ Opportunities (Question z): <br />Some participants reported or indicated: <br />• being turned away from services and not being able to access care due to their <br />undocumented citizenship status and a lack of benefits and resources for <br />undocumented citizens. <br />• providers should offer free contraceptives since some health care providers charge a <br />fee. <br />• they must often seek healthcare outside of Orange County due to lack of knowledge <br />and compassion (by health care providers) within the county for the TGNC <br />community. <br />• they experienced long wait times when accessing services. <br />• high cost of healthcare for uninsured patients <br />Some participants reported a lack of: <br />• provider knowledge for providing care to the transgender community. <br />follow-through by referring provider for accessing resources/support services; <br />participants feel that they are often given a referral and expected to know how to <br />navigate the system to find a provider and access the needed service. <br />• access to PrEP. <br />• transgender staff. <br />MI <br />