Personally used PP. Had a virtual appointment and part of the sign-up is clicking a dropdown menus/box telling them why you are scheduling the appointment, so they already know what you want. For my appointment, they were like "what are your goals?" and I was a basically a deer in the headlights and they were like "that's okay, but its good to know what you aiming for" and then asked if I wanted both E and anti-androgen or just one (I put non-binary for my gender when I signed up, so that might have influenced their questions) and asked what form of E I wanted (I went with pills at first). If you are taking anti-androgens (I did), in the US the standard is spiro, which can cause high potassium, so they'll probably do a blood test to make sure you're K isn't already high (mine did not test baseline levels of T or E). For virtual, you'd get bloodwork done at a place like labcorp (at least for me, they couldn't tell the appointment was from planned parenthood). There should also either be a discussion of potential effects/side-effects or give you paperwork explaining that.
Follow-up for seeing how your levels are doing and possibly adjusting how much you take is at 3 months. If things are already good, follow-ups might be spaced out more.
Its kinda weird reading something from 1995 saying something like
Like, I was too young then to be noticing such, but its still weird seeing that when I don't think I really had even a vague idea of what transsexual/transgender was until probably the late 00's or maybe even early 10's. My parents frequently took us to LGBT family events as young children, so I wonder how much representation the T's got or if it was almost exclusively the LGB at those? Doubt I'd have noticed though... I remember one time being at a church my parents had taken us to occasionally (mostly for Christmas service) and I had missed that it was largely an LGBT church until I was in the middle of high school because I simply didn't notice all the same-sex couples (suddenly it made sense why my mom went so far out of the way to go to that church). So maybe I was just oblivious.