I believe that documentation should not be required in order to access gender affirming care, but our current healthcare system often requires it. Certain procedures require letters of support from a mental health professional, and sometimes a letter is necessary for insurance coverage. Therefore, I am committed to supporting adults (18+) interested in pursuing gender affirming care. As a doctoral level provider, I am able to write letters for all procedures and reserve weekly space to conduct assessments for support letters (for non-clients). For current clients, we can complete the process during a regularly scheduled session time.

Procedures that require one letter (from a provider with at least a Master’s degree) include:

• Chest reconstruction

• Breast removal or reduction

• Breast augmentation

Procedures that require two letters (at least one must be from a doctoral level provider) include:

• Vaginoplasty

• Phalloplasty

Required documentation for other procedures or surgeries (orchiectomy, facial feminization surgery, electrolysis, tracheal shave, etc) may vary depending on your insurance company.