Gender-Affirming Care Letters

First, I will send you a questionnaire to gather background information. During the session, I’ll review information provided in the questionnaire and ask you additional questions about your gender experience. This will help me understand your relationship to your gender and your readiness for surgery.

I will begin writing the letter in session with you and will provide an edited, complete version within 24-hours of our appointment. You are welcome to request any revisions to your letter. You can share your letter with your surgeon, other relevant medical providers, and insurance company.

Yes, you can use your insurance coverage for these sessions. I’m in-network with BCBS PPO and Choice, Optum/United Healthcare, Aetna, and Cigna plans. Please look through my insurance page for more information.

Some insurance companies have specific requirements for letters of support, such as level of the letter-writer’s education. Please take time to verify these requirements with your insurance company prior to our session.

You can schedule your session for a GAC Letter prior to having a surgery date scheduled. In fact, many people choose to meet with me for an evaluation and letter-writing appointment before scheduling their surgery so they have one less thing to prepare for once surgery is scheduled. Additionally, some surgeons won’t schedule a date for surgery until the letter is on file to avoid potential delays with insurance authorization. Having a letter written early in the process gives time to make edits that may be requested from insurance companies and ensures you have everything you need to move forward smoothly.

While I do write letter for established clients, we do not need to have an established therapeutic relationship for me to write you a letter of support. We can complete the evaluation process in one session and then I will send you a copy of the letter.