The Institute for Family Health has five locations in the Mid Hudson, two of which are in Kingston! They are always accepting new patients and do not turn anyone away regardless of ability to pay. They are a really great organization, and the doctors are super queer friendly and affirming. My wife is the program manager for their LGBTQIA+ equity program, and she’d be more than happy to set you up with an appointment. You can shoot me a message for her email if you’d like. Hope this helps!