Gender-Affirming Care Prep / Letters
We believe gender-affirming medical care is healthcare, and that trans, nonbinary, and gender-expansive people are the best authorities on their own lives. We support clients in exploring gender identity, navigating transition-related care, and building self-trust in a world that often questions it. As part of that process, we provide letters for gender-affirming medical procedureswhen documentation is required.
Why Gender-Affirming Therapy?
We provide affirming, trauma-informed support for clients seeking:
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Letters for HRT, top surgery, or other gender-affirming medical care
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Preparation for medical consultations or insurance documentation
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Space to explore gender identity, expression, and personal goals
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Help navigating family, social, and systemic responses to transition
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Care that affirms all gender identities and bodies—including nonbinary, transmasculine, transfeminine, agender, and fluid experiences
Our clinicians are trained in WPATH-aligned letter writing and work to ensure that your documentation meets clinical and insurance standards without reducing you to a checklist.
How Letters fit into our Work
Because we are a therapy practice—not an assessment clinic—we provide letters for gender-affirming care only as part of an established therapeutic relationship. That means we do not offer one-time mental health assessments or letters for any individual that we have not gotten to know through ongoing care.
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This policy isn’t about gatekeeping—it’s about staying within the scope of what we do best: providing meaningful, affirming therapy. If you’re seeking a e-time assessment or fast-track letter, we’re happy to refer you to trusted providers who specialize in those services. If you're looking for a therapist to walk alongside you as you move through identity, transition, trauma, or simply living more fully as yourself, we’re here.
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We approach this work in key ways: