gender-affirming letters

Providing Gender-affirming surgery letters for trans and non-binary folxs

You've made the decision to take the next step to start accessing gender-affirming treatment in the form of hormones, voice therapy, or surgeries. Your insurance or surgeon requires a letter from a mental health professional prior to approving your procedure(s)/treatment(s). It can be such a pain in the ass to have to jump through all the hoops just to become the person you've always known you were on the inside. I follow the World Professional Association for Transgender Health (WPATH) standards of Care. 

Before a letter can be provided I will complete an assessment with you to better understand your history, lifestyle, and needs.  Additionally a gender-identity specific evaluation will be completed to assess for gender dysphoria and overall medical necessity for gender-affirming medical procedures per WPATH guidelines. This will take between 60 and 90 minutes. During this assessment you may experience material that is upsetting to you in having to discuss past experiences such as traumatic experiences and/or discrimination against you in your lifetime. I will have to use your legal name on letters for insurance to be able to identify you but in session will use your chosen name and pronouns. 

I often will see clients pre and post surgical interventions to provide support before, during, and after recovery. If this is of interest to you please let me know during our intake session. 

FEES

For a WPATH assessment/evaluation and letter the fee is $185. If you want to continue follow up sessions they are 45 minutes each at the cost of $150.