Letters of Support

If you are over the age of 18 and in need of a letter from a Licensed Mental Health professional, I can provide you with an evaluation and a letter for gender affirming care. Ongoing therapy is not required, but recommended.

In the evaluation, you and I will be working towards understanding and making an informed decision that considers the benefits and risks involved in receiving different forms of gender affirming care including but not limited to hormone therapy and surgery. We will also be assessing if you meet the DSM 5 criteria for gender dysphoria and what forms of gender affirming care will aid in the alleviation of distress. This letter is primarily for insurance companies to authorize the use of benefits for gender affirming care.

Please be advised that informed consent is now considered best practice for hormone replacement therapy (HRT) and there are physicians that will not require a letter. This may apply to some gender-affirming surgeries, however insurance companies generally require a letter from a Licensed Mental Health Professional for surgery to be covered.

Click here for information regarding informed consent and a Licensed Mental Health Professionals role in providing letters of support.

I do not bill insurance for the evaluation and letter writing services. The cost of the evaluation is $160, and covers the 55 minute evaluation, up to 30 minutes of professional consultation with your medical provider, and my time crafting and distributing the letter(s). 

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