Gender-Affirming Letter Services
Focused, respectful evaluations grounded in medical-system experience
Seeking gender-affirming medical care often requires documentation that is both psychologically affirming and medically precise. I offer a focused evaluation model designed to support access to care while honoring clients’ dignity, autonomy, and lived experience.
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 letter—not ongoing therapy—using a streamlined, respectful, and clinically rigorous process.
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
Careful differentiation between gender identity, gender expression, and mental health history
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 minimize unnecessary visits while maintaining ethical, clinical, and documentation standards.
Fee & Structure
$900 flat fee
This fee includes:
One clinical session
Preparation of the gender-affirming letter
Specialized documentation informed by familiarity with a range of surgical pathways and insurance expectations
The fee reflects the expertise required to determine what documentation is clinically sufficient—whether a letter ultimately requires extensive medical language or a more streamlined format.
While letters are written using current standards of care and commonly required insurance language, insurance approval or coverage decisions cannot be guaranteed.
How the Process Works
Free Consultation (10–15 minutes)
A brief phone 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 single session.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.
Important Notes
This service is not ongoing therapy unless separately arranged.
You must be physically located in California for the evaluation session.
One minor revision is included if requested within 14 days of letter delivery.
About My Approach
I am a licensed clinical psychologist with direct experience working in a medical gender transition clinic, where I supported patients and collaborated alongside surgeons within a large healthcare system.
That experience informs how I approach gender-affirming evaluations today—particularly the importance of language, clarity, and documentation that supports access to care without causing harm.
I do not believe in unnecessary gatekeeping. I do believe in careful, respectful work.
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.