Referral Letters

This page refers to referral letters (also known as WPATH letters or letters of support) sometimes desired or required to access gender-affirming medical interventions.


I write letters and complete letter-writing assessments at no cost to the client. Yes, really really!

However, if you have commercial insurance and wish to use it to pay for the letter session, we can discuss this as an option!

If you've reached a point in your transition that you're in need of a letter, let's connect about how I can help break down this barrier. I try to keep the process pretty straightforward because gatekeeping is not in line with my personal values or professional ethics. 

I operate as much as possible on the Informed Consent model - under the presumption that you are a self-determined person with insight and awareness about how to use your bodily autonomy. In order to do this within a system that continues to use gatekeeping, I frame letter writing and the assessment as a way of improving outcomes and hope to end each assessment session by sharing a new consideration or idea with the individual.

For the letter, I must write that you are mentally, emotionally, practically, and financially prepared for the intervention, as well as being aware of the risks, benefits, and implications. This means that it's important for you to have done research in advance regarding what to expect. 

I recommend this site to review the guidelines, potential complications, and expected outcomes for the planned intervention (hormones or surgery).

There is NO therapy required for any gender affirming referral letter. If you desire ongoing therapy, you can request a consultation through the Services Interest Form

Hormone Therapy

Provider Requirements:

Assessment Requirements:



Provider Requirements:

Assessment Requirements:

Financial Resources:


If you've read the above and wish to move forward, the first step will be to complete the required forms for your assessment session. 

If you've read all of this page and are ready to schedule your appointment, please complete the Services Interest form on the Contact page.