Letters

I'm happy to assist in writing letters of support for gender- or sex-affirming hormone treatment, gender- or sex-affirming surgeries, or changes to gender or sex markers or names.

My objective is to provide a client or patient with a letter within 1-3 sessions, ideally after the first session. The second or third sessions may be dedicated to further discussions on specific matters. I’m open to making numerous edits or revisions until the letter is accepted by the relevant entity. I don’t want to serve as a barrier or obstacle to individuals seeking and requiring medically necessary treatment.

This evaluation process for the letter can be conducted in person at my office in Tacoma, WA (Please note that the restrooms are unfortunately not gender-neutral or all-gender). Alternatively, if you’re physically located in Washington state, Hawaii, or a state participating in PSYPACT during our session(s), we can conduct the evaluation over video conferencing. I prefer video conferencing so that I can screen share the letter template with you as we collaborate to modify it.

You’re welcome to utilize your insurance coverage for this process. If so, we’ll consider a diagnosis of Gender Dysphoria.

Here’s a list of other providers who offer letters:

The Gender Affirming Letter Access Project

Van Ethan Levy’s list

Resources:

WPATH, World Professional Association for Transgender Health

Standards of Care Version 8

Please note that while I’m not currently accepting new clients or patients for therapy, I’ll make an exception for individuals who request letters.