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Prism Provider Directory Database

Introduction

Thank you for your interest in being considered for addition as an LGBTQ+ affirming provider to Prism Provider Directory, and for your interest in supporting the Colorado Springs LGBTQ+ community.

For LGBTQ+ individuals in El Paso County, as well as those in search of gender-affirming care, finding mental and physical health care providers who offer sensitive, supportive, quality care has been an incredibly discouraging process for far too long. The Prism Provider Directory is dedicated to filling this crucial gap of care for our community.

This free, searchable database is designed to connect the local LGBTQ+ community with inclusive healthcare professionals who prioritize LGBTQ+ and trans/nonbinary individuals and their unique needs.

The process for health care providers to be considered for inclusion in the database is as follows:
  • Fill out the following Interest Form. There are both short and long form responses. This should take approximately 20-30 minutes to complete.
  • Upon receipt of the Interest Form providers will be informed of their status in the review process as either “approved,” “approval pending,” or “not approved.”
Licensed providers, candidates for licensure under supervision, and interns in the state of Colorado are welcome to fill out the Interest Form.

Note: The information provided in this form will be not shared publicly without your prior knowledge or consent, as we will contact you before your profile goes live.

To learn more about ChangeLine's LGBTQ+ Health Equity Initiative, click here. If you have additional questions, please contact the Health Equity Manager at melissa.chizmar@changeline.org
4. What type of provider do you primarily consider yourself? (select all that apply)  *This question is required.
This question requires a valid email address.
7. Would you like your email address to be shared in your profile listing?
This question requires a valid number format.
12. What language(s) do you speak fluently? (select all that apply) *This question is required.
13. How would you identify your gender?  *This question is required.
14. What is your race or ethnicity? (select all that apply) *This question is required.
15. Do you identify as a member of the LGBTQ+ community? *This question is required.
16. If you identify as a member of the LGBTQ+ community, would you like to have this information displayed with your profile? 
16. Do you identify as a member of the transgender, nonbinary, trans and/or gender-expansive community?  *This question is required.
17. If you identify as a member of the transgender, nonbinary, trans and/or gender-expansive community, would you like to have this information displayed with your profile? 
  • This question is required
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