LGBTQIA2S+ & Gender Affirming Therapy

an illustration of a crescent moon and stars

While many local, national, and international organizations have started rolling back gender-affirming care – we are not doing that. Many of our clinicians, clients, friends, families, and loved ones have benefited from the life saving care that is gender-affirming therapy.

Our clinicians have specialized training in gender-affirming surgical letter* evaluations, and we will remove as many barriers as possible for you to receive the care you need.

If you do not have insurance and need a letter for a gender-affirming surgery, please let us know as we have ways to help. We believe in using an informed consent model that is focused on ensuring you have access to the resources you need if you have questions about the type of care you need/want, connecting and referring you to other competent and affirming providers, and trusting in your lived experience to know yourself best.

All of our clinicians are experienced, affirming, and competent with helping you explore your different intersecting identities, whether that is sexual or romantic attractions, gender identity or gender expression, family relationships and the fear associated with ‘coming out.’

You don’t need to experience the anxiety that comes with starting with a new medical provider and thinking ‘Will they get my pronouns right?’; ‘Do I need to explain why I take HRT?’; ‘Do I need to be afraid of saying my wife/husband/partner(s)?’

Click Here to Get Scheduled

a line-drawn hand pointing down towards a crescent moon and stars

Gender-Affirming Surgery Letter FAQs

As masters level licensed clinicians we can write letters of support for most, if not all, gender-affirming surgeries. Please check with your insurance provider or surgeon's office as these requirements can change based on your provider or insurance policy.

This is based on each insurance company or surgeon requirement. Most places will consider a letter to be valid for one year, but it’s always best to check with your surgeon's office.

We do not charge fees for the letter.

The only payment you’ll be responsible for is the fee associated with your insurance for a standard therapy session. If you do not have insurance and are seeking a letter of support for gender-affirming surgery, please let us know as we have options for pro-bono letter writing sessions (based on clinician availability).

Your clinician should be able to provide you with a copy of this letter, and you will have access to the letter in our EHR system (TherapyNotes).

Ask your surgeon's office and insurance company for any specific requirements they need for your letter of support to be valid.

Our clinicians follow WPATH and industry best practices related to letter-writing; however, each insurer or surgeon's office tends to have their own verbiage/wording they need in order to meet medical necessity.

No. Ongoing mental health therapy treatment is not a requirement for gender-affirming surgical care. If you are interested in mental health support though, we can certainly help!