Gender Confirming Letters

Are you looking for a letter for an upcoming surgery?

We consider it an honor to be invited along on your gender journey. We are truly excited to support you in this next step toward medical affirmation.

This process is meant to be collaborative.

  • Plan ahead to allow ample time. Unless otherwise discussed, please allow up to 2 weeks after we meet for a letter draft and 1-2 business days after finalizing to fax/email it to your surgeon.

  • It may take up to 1 -3 sessions to properly assess you, we will confirm whether we can provide a letter, as well as indicating potential follow-up questions and recommendations for further follow-up.

  • The surgery assessment process is in line with GALAP values. We offer insurance, sliding scale rates, and pro bono sessions for these assessments/letters.

  • The assessment relationship ends after the letter is provided.

  • We can discuss further options if you seek ongoing treatment with our office.

  • With this being a collaborative process, we have requests for you before the assessment and during the assessment. By following these, we will be able to provide you with the best service.

  • Your experience of gender dysphoria and how surgery might be helpful.

    Exploring your thoughts about psychological impacts and risks/strengths and areas of social/mental health support.

    Planning for the procedure itself is relevant.

  • · Validate you and support your autonomy in the process.

    To be efficient, thorough, and intentional.

    Assess the criteria based on the various guidelines/requirements.

    For the letter to reflect accurately your experience of dysphoria and the benefit of surgery, as well as your ability to make an informed decision.

    Coordinate care with the other mental health and medical professionals on your team as appropriate.