Welcome to the Gender Wellness Clinic. Our staff is here to provide coordinated gender-affirming care and help you build a team of respectful providers. We offer whole-person care, giving you the tools to pursue the health and well-being of your true self.
Hormone therapy
Surgical referrals
Mental health services
Primary care
Puberty suppression
Sexual and reproductive health care
Care coordination
Telehealth
Your first appointment will be a one-hour session where you can meet with a provider and share in detail your reason for reaching out to us. You can use this time to talk through options with your provider and discuss which services may be appropriate. Afterward, you will have follow-up visits lasting 30 minutes.
If you prefer to do your appointment by video or phone, we also offer telehealth. Let us know when you make your appointment if you would prefer an in-person visit or a telehealth appointment.
Services are available at Kingston Family Health Center and New Paltz Family Health Center.
Call (844) 434-2778 to make an appointment. Ask for the Gender Wellness Clinic.
Services are now available through telehealth, where you can do your appointment by video or phone.
Megumi Tamaki-Seiffert, MD, MS
Dr. Tamaki (she/her) leads the Gender Wellness Clinic at the Institute for Family Health. Board-certified in Family Medicine, she is dedicated to addressing health disparities through her clinical work and teaching. Dr. Tamaki’s diverse experiences include practicing as an acupuncturist, volunteering with Physicians for Human Rights – Israel, and providing full-spectrum primary care on the Zuni Indian Reservation. As a teaching faculty member for the Mid-Hudson Family Medicine Residency Program, she mentors resident physicians on their journey to becoming compassionate and affirming physicians. Growing up as a first-generation immigrant in a small Northern California farming community and studying in Israel, Dr. Tamaki prioritizes cultural responsiveness and equity in her practice. Outside of medicine, she enjoys running, yoga, traveling, and spending time with her partner, daughter, and dogs.
Danielle Astarita, DO
Dr. Astarita (she/her) is a dedicated physician committed to providing affirming and inclusive care for all patients, with a particular focus on the LGBTQ+ community. She continues to work to develop a nuanced understanding of the unique healthcare needs faced by gender diverse patients. Dr. Astarita provides hormone replacement therapy (HRT) for those seeking gender-affirming care, offering care as it aligns with each patient’s individual journey. Her commitment to inclusivity extends beyond specific treatments, encompassing a comprehensive approach to general healthcare. Originating through personal connections, Dr. Astarita’s warm and empathetic approach creates a safe and supportive environment where patients can openly discuss their health concerns, knowing they are receiving care that respects and embraces their diverse identities.
Sarah Behymer, MD
Dr. Behymer (she/her) is a senior resident providing care in our Gender Wellness Clinic at the Institute for Family Health. Born in southern California, Dr. Behymer grew up inspired by the LGBTQ+ community but it wasn’t until her rotations in medical school that she saw the disparities in queer healthcare. It was these experiences that reinforced her dedication to providing inclusive and informed healthcare and to offer a safe space for queer individuals in her medical practice.
In her unique journey toward becoming a physician, she initially pursued a BA in Music Industry and Production from California Lutheran University, followed by a brief period working as a freelance producer and recording engineer in her hometown of San Diego. She left behind her music career to pursue a medical degree from St. George’s University (SGU) in Grenada and later received her Master’s in Public Health with a focus on preventative medicine, also from SGU.
Currently a 3rd-year family medicine resident, Dr. Behymer is pursuing extra training as a part of the LGBTQ+ medicine track and recently completed an elective in reproductive health and queer medicine at the University of California, San Diego. She is deeply committed to fostering an affirming space for gender-diverse adolescents and adults in the Hudson Valley offering a holistic approach to healthcare for all individuals.
Alondra Lerebours-Onate, MD
Dr. Lerebours-Onate (she/her) is a queer Latinx first-generation American who has made it her life’s mission to care for the underserved. Growing up in NYC, being a member of and also caring for marginalized communities exposed her to the care gaps that arise from a society
that does not prioritize wellness. During her time at the CUNY School of Medicine, she received intensive training in providing culturally competent care, addressing healthcare disparities on an individual and a community level, and the importance of advocacy and representation.
Now, as a resident physician with the Institute for Family Health, aside from expanding on her clinical interests in reproductive health and adolescent health, she enthusiastically provides a wide range of inclusive and affirming care to the surrounding LGBTQ+ community. Dr. Lerebours-Onate not only sees patients at the Kingston Gender Wellness Clinic but at the Institute’sNew Paltz and Ellenville locations as well, currently making her the only physician to provide this care at all three sites. In her practice, she emphasizes joy, self-compassion, and safety as integral parts of health.
In her free time, she enjoys reading, traveling, dancing, and spending time with her husband and their cat Salem.
Charisse A. Henderson, BSN, RN
Charisse (she/her pronouns) has 20 years of experience in the field of nursing. She attended Glenmont Job Corp Academy, where she obtained her CNA in 2002. She completed LPN Training in 2005. In 2018 she graduated with ASN from Excelsior College then completed her BSN at Grand Canyon University in 2019. Charisse has been with the Institute for Family Health for 4.5 years and has played a key role in the gender-affirming care clinic since its inception. She has a passion for working with underserved populations with an emphasis on patient education. She feels inspired by our gender-diverse patients and appreciates the fact that they trust us in providing their essential medical care. She was recently entrusted as an official nursing preceptor at the Institute for Family Health. She was also nominated for the Daisy Award, which honors nurses who provide compassionate and excellence in clinical care. She works tirelessly to promote an inclusive clinical experience for everyone. Charisse remains motivated in her nursing practice and her future goal is to obtain a Masters in Nursing Education. In her free time, she enjoys learning Spanish, crocheting and dancing.
Janice Cyr, LCSW
Project Coordinator, Primary Care Training Extension Grant
Janice (pronouns: she/her) earned her MSW from SUNY – University at Albany. Prior to her career as a clinical social worker she earned her Master’s degree in Business Administration and worked in the field of finance. During that period she volunteered with an organization that provided free services for families to manage and recover from financial hardships. Inspired by that work she committed herself professionally to helping vulnerable populations. This lead to a career change and the decision to earn her MSW. Since earning her MSW she has worked for the Institute for Family Health in the behavioral health department with a focus on primary and behavioral health care integration, addressing health disparities, education on the importance of trauma-informed practices, and LGBTQ+ health. Her current role affords her the opportunity to advocate for and provide culturally responsive gender affirming care in support of the Gender Wellness Clinic at Kingston Family Health Center. Her professional interests include community health & wellness, LGBTQ+ health, preventative care, integration of primary and behavioral health care, and supporting family systems. In her spare time she enjoys rock and ice climbing, trail running, snowboarding and adventuring with her four sons and partner. Traveling and chocolate also fill much of her free time!
Alexandra (Sascha) Woolfe, LMHC
Licensed Mental Health Clinician
Sascha (pronouns: she/her) earned her Masters of Education in Mental Health Counseling from Fordham University. Before coming to the Institute to work with the behavioral health team in 2020, she worked in a variety of mental health settings. One of these included Gould Farm in Western Massachusetts, a holistic, alternative, residential treatment center that is also a functioning farm. The farm’s unique model – an accepting community that welcomes all individuals for healing – inspired her to further her professional education and to become a certified member of the LGBTQIA+ Ally Network of Support. She loves continuing to learn about gender identity, both professionally and from supporting clients who share their own experiences.
The Gender Wellness Clinic is part of the Institute for Family Health, where all patients are welcome regardless of their ability to pay. We accept Medicaid, Medicare, and most insurance plans. If you do not have health insurance, we can help.
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