I support clients in pursuing gender affirming surgeries by providing free, standalone evaluations and support letters.  You do not have to be an existing client to schedule an evaluation.  I will focus on your self-determination in this process, and the letters will still meet the WPATH standards required by most surgeons and insurance companies.  Letters can typically be completed after one session and sent to your identified surgeon or insurance company within one week.

I offer these sessions and letters at no charge and schedule them as I have availability. If we are not able to schedule a session in time for your needs, you may check this directory or GALAP for other providers who also offer letters. Please contact me to schedule an up-to-1 hour consultation video call.