Gender-Affirming Letters

You’re Ready!

Surgery has been on your mind for so long and now you are finally at the preparation step, getting everything together for insurance authorization. This is so exciting!

Feeling confident, at home, and comfortable in your body is essential, and you are ready to make the decision. This is your body and you are entitled to make decisions about your body.

I will admit, I find it silly to say the least that insurance requires a letter from a mental health provider saying that you are able to make informed decisions about your body–yet here we are. So let’s make this as painless and trouble-free as possible. 

Here’s what you can expect.

We will meet for about 85 minutes over telehealth. I will ask simple, straightforward questions about your current experiences regarding gender/gender dysphoria, mental health, and other essential information about your life. Most of the time, I can complete the assessment in one session, although sometimes we may need to meet more than once if there is more to cover or if we mutually decide that there is additional things to go deeper into.

I follow the WPATH Standards of Care 8.  

You will have the option of seeing a draft of your letter before it gets sent to your surgeon or doctor. That way if there are any corrections or pieces of information you are uncomfortable with, they can be changed or discussed.

If you are working with another mental health therapist or a prescriber I will collaborate with them so we are all on the same page. 

The process is swift and timely so that you can move on to other things.

You will never have to pay for a letter only the session. The session is billed to insurance (Premera, Regence, BlueCross BlueShield, LifeWise, Kaiser PPO, Kaiser HMO, FirstChoice) and you will not be asked to provide anything other than your copay/coinsurance for the session. If I am an out-of-network provider letter sessions are pay-what-you-can/sliding scale between $30-$145.

Get what you need to be YOU!

This step doesn’t have to be hard for you; no consultation necessary, sign up for a session under the scheduling tab.