Need a letter for gender-affirming medical care? 

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I will always make space for people over 18 who need a

 letter to access gender-affirming medical care. I use the ​informed consent framework for writing letters and typically require only one appointment.

 I realize insurance companies and surgeons have requirements for letters 

and I want to help you deal with the gate-keeping by providing a letter in the easiest way possible. You will finish your appointment with your signed, completed letter. 


More info about informed consent care and gatekeeping: 

https://journalofethics.ama-assn.org/article/informed-consent-medical-care-transgender-and-gender-nonconforming-patients/2016-11

https://icath.info