Gender Affirmative Services

For some medical care related to gender affirmation services, mental health professionals are required to endorse or recommend treatment. That’s an awkward position to be in, and we try to work within the system to make that as painless as possible. We follow the World Professional Association for Transgender Health (WPATH) standards of care, which are often required for readiness letters. These standards focus solely on assessing a person’s ability to understand and make decisions about their treatment. Our job is only to make sure you are informed, prepared, and have the information you need when making decisions about your next steps in your gender journey.

What can you expect?

• You will complete a brief questionnaire prior to the first appointment, so the clinician can prepare the letter in advance.
• You and your clinician will meet for at least one appointment to conduct the clinical interview and gather any additional information needed for the letter. Sometimes a second appointment is necessary. You and the clinician will work collaboratively to write the letter during the appointment(s) to make sure the information is an accurate reflection of your experience.
• You will be provided with a signed copy of the letter during or soon after the appointment.
• Insurance can be used to cover these services. We also offer reduced fee options when possible.