Gender Letters

I have extensive experience with writing letters of support for gender-affirming medical care of all kinds. I can provide you with a letter as either a one-off assessment session, or as part of your ongoing therapy. My letters follow the format outlined by the current WPATH Standards of Care (Version 7, as of 09/02/2022) in order to meet the criteria typically required by surgeons and insurance companies. In practice, this means that there will be specific questions I ask about your personal history, mental health history, and gender journey; however, in principle, I base my assessment on an Informed Consent approach that prioritizes your bodily autonomy and ability to make your own decisions about your medical care.

If I write a gender letter as part of your ongoing therapy, the cost of the letter is covered by your regular session fees.

If you would like to schedule a one-time assessment in order to obtain a letter, these appointments are pay-what-you-want; please see my Fees & Insurance page for more information.