Letters for gender affirming care
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. While I support an informed care model in which you, the individual, are in charge of your medical decisions, and believe in the right for each person to engage in informed care decisions privately and confidentially with their chosen health providers, insurance companies still require a letter for gender affirming surgeries and mandate that I serve in a gate-keeping role.
To simplify the process and minimize barriers, you only need to pay me once for the evaluation and letter writing. Future edits and re-evaluations will not incur any additional charges. In the evaluation, we 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 be assessing if you meet the DSM 5 TR 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. The letter will follow the requirements set out in the WPATH Standards of Care 8
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 may bill your insurance for the evaluation and letter writing services if you are in network with any of the plans that I am in network with. The cost of the evaluation is $200, and covers:
Up to 55 minute evaluation
Up to 30 minutes of professional consultation with your medical provider
Clinician’s expertise and time
While we understand and respect that your dysphoria may result in you not wanting to enable your camera during these evaluations, due to safety concerns we are requiring you to keep your video on during session and asking you to upload a copy of your government issued ID when setting up these evaluations.
If you are in need of a letter for gender affirming care, click below to reach out and we’ll get you scheduled ASAP!
