Letters for gender-affirming medical care

A clear process, with respect for your time and your identity.

If your medical provider or insurer requests a mental health letter, you deserve a clear explanation of the assessment, the cost, and what the letter can address. You do not need to begin ongoing therapy to request this service.

Start with your provider’s requirements

Requirements can differ by provider, procedure, and insurer. At the consult, we’ll discuss what has been requested and whether my credentials and assessment can meet that requirement.

If you have written requirements, let me know. We can arrange an appropriate way to share them before deciding how to proceed.

What the process involves

  1. A free consult

    We clarify the request, discuss the process, and decide whether this service is a fit.

  2. An assessment

    We discuss your goals, relevant history, understanding of the care you’re seeking, and support needs.

  3. Documentation and next steps

    If a letter is appropriate, we discuss its content and how it will reach the intended provider.

The assessment is individualized. The number of sessions and whether a letter can be provided depend on your circumstances and the applicable requirements.

My approach

I work from an informed-consent stance and prepare letters in line with WPATH Standards of Care version 8. The assessment takes your identity seriously and focuses on the relevant clinical and documentation requirements.

A provider or insurer makes its own acceptance decision. I cannot guarantee acceptance, but we can clarify requirements and questions before you proceed.

Who this service is for

Adults who are physically located in Pennsylvania during assessment sessions and seeking documentation for gender-affirming medical care. We’ll confirm the specific request at the consult.

Fees and timing

At the free consult, we’ll discuss the assessment fee, what it includes, and the expected turnaround for your request. We’ll confirm these details before you schedule an assessment.

Let’s start with a conversation

Use the free consult to discuss the letter your provider requested and whether I can help. There is no requirement to begin ongoing therapy.

Request a free 15-minute consult

Adults in Pennsylvania · Online assessment; letter fee discussed before scheduling