Gender - Affirming Support Letter
Request a Free Consultation
This free 15-minute call is a gentle way to explore fit — no commitment, just space to ask questions and see what support feels right.
Queer-affirming, culturally rooted care grounded in medical systems experience.
Seeking gender-affirming medical care often requires documentation that is both psychologically affirming and medically precise. Gender-affirming letters may be requested in connection with a range of medical and surgical procedures, including chest surgery, facial feminization or masculinization procedures, body contouring, and genital surgeries.
I offer a focused evaluation model designed to support access to care while honoring clients’ dignity, autonomy, and lived experience.
Documentation is prepared in accordance with professional standards and applicable medical or insurance requirements. Approval and coverage decisions are determined by insurers or surgical providers.
My approach is shaped by direct experience working in a medical gender transition clinic within a large healthcare system, where I collaborated closely with surgeons and interdisciplinary teams. In that setting, evaluations were not treated as barriers—but as collaborative tools to help people receive the medical care they needed.
This service is designed for individuals seeking a gender-affirming evaluation and support letter—not ongoing therapy—using a streamlined, respectful process to meet documentation needs.
What This Service Includes
• One focused clinical evaluation session
• Review of gender history and goals using affirming, surgery-specific assessment tools
• Careful attention to language that is psychologically affirming and medically appropriate
• Clear distinction between gender identity and mental health concerns, without pathologizing
• Preparation of a gender-affirming letter aligned with current standards of care and common insurance documentation requirements
• Secure delivery of the completed letter via my patient portal
This model is intentionally designed to prioritize focused, purposeful visits while maintaining ethical, clinical, and documentation standards.
This free 15-minute call is a gentle way to explore fit - no commitment, just space to ask questions and see what support feels right.
A Queer-Affirming, Culturally Rooted Approach
My work is grounded in a collaborative, affirming framework that honors clients’ autonomy, lived experience, and self-knowledge. Evaluations are conducted with care, nuance, and respect for gender diversity.
My approach includes:
• Distinguishing gender identity from mental health diagnoses
• Recognizing gender euphoria, alignment, and embodiment—not only distress
• Preparing clear, accurate documentation that supports appropriate access to care
Mental health history alone does not determine eligibility for gender-affirming care. When clinical language is required, it is used carefully and only to the extent necessary.
Fee & Structure
$900
This fee includes:
One focused clinical evaluation session
Preparation of a gender-affirming letter
Documentation informed by familiarity with a range of surgical pathways and insurance requirements
Letters are prepared using current standards of care and commonly required insurance language. The scope and level of detail in the letter are guided by the clinical evaluation and the documentation being requested.
Insurance approval or coverage decisions are determined by insurers and surgical providers and cannot be guaranteed.
This free 15-minute call is a gentle way to explore fit — no commitment, just space to ask questions and see what support feels right.
How the Process Works
Free Consultation (10–15 minutes)
A brief consultation to confirm fit, scope, and eligibility.Paperwork & Portal Access
You’ll complete intake forms through my secure patient portal. This allows me to review your request carefully and ensure the evaluation can be completed in a focused manner.Evaluation Session
A focused clinical session centered on your gender history, goals, and the documentation being requested.Letter Preparation & Delivery
Your letter is completed after the session and made available for secure download through the portal. Letters are typically completed within 5–7 business days. Letters are made available for secure download through the portal for 30 days following delivery.
Important Notes
This service is not ongoing therapy unless separately arranged.
This service does not include crisis or emergency care.
You must be physically located in California for the evaluation session.
One minor revision is included if requested within 14 days of letter delivery.
If a letter is not downloaded or requested within 30 days of delivery, the service will be considered complete and the client record will be closed. Requests to reissue or retrieve letters after this period may require a new administrative fee or a new service agreement.
About My Approach
I am a licensed clinical psychologist with direct experience working in a medical gender transition clinic, where I supported patients alongside surgeons within a large healthcare system.
That experience continues to shape how I approach gender-affirming evaluations today—particularly the importance of clarity, collaboration, and documentation that supports access to care.
Request a Free Consultation
If you’re seeking a gender-affirming letter and would like to explore whether this service is a fit, you’re welcome to request a brief consultation below.
This free 15-minute phone call is a gentle way to explore fit — no commitment, just space to ask questions and see what support feels right.