About getting a letter
How many letters you need
WPATH SOC8 recommends one qualified professional’s opinion for adults who meet the assessment criteria. When a letter is required, WPATH says one signature should generally be sufficient. Additional opinions may be needed for a specific clinical reason.
Ask your surgeon and insurer what documentation they require. You can bring me their requirements so I can match the documentation to them. Coordination with your surgeon’s office is included.
Letters for hormones
A separate letter is not a universal requirement. Ask your hormone provider and insurer what documentation they need.
If they require a letter, I can write one when the assessment supports it, usually in one visit.
What a letter contains
My letters document the assessment: your identity and history in your words, the clinical findings, capacity for informed consent, and the documentation your surgeon or insurer requires.
You review and approve the draft before anything is signed or sent out. If an insurance reviewer asks for different wording later, updates and re-submissions are included at zero cost.
An assessment does not guarantee a letter. Letters are clinical documents provided when clinically indicated. When the clinical criteria are met, the letter goes out the same day.