Offering stigma-free and accessible assessments for people seeking gender-affirming medical care. If you are considering HRT or surgery, some insurance companies, surgeons, or prescribers require documentation from a mental healthcare professional attesting to need or eligibility.

This requirement can create barriers that keep folks from being able to access gender-affirming, and for some, life-saving care. If you or someone you know is in need of an assessment and letter co-signing gender-affirming medical care, I can provide service at no charge, or, if you feel so motivated, pay what you can.

For any money received for these assessments, 15% will be donated to the Mazzoni Center.

What you can expect from the assessment process

• We will schedule an appointment and plan to set aside an hour and a half for your assessment.
• During the assessment, we may discuss the changes you have already made in appearance and dress to align with your gender identity, as well as how long you have been aware that your gender identity was not congruent with sex assigned at birth.
• We will discuss relevant medical history (such as previous experiences in counseling or treatment) and take time to review any questions you may have moving forward.
  • If you have questions which are outside of my purview, I will be honest with you about this and may provide referrals for additional support or follow up. Questions will not keep you from receiving your letter.
• Letter (or forms required by insurance or provider) will be delivered to you within one week of assessment.
• I am a trans, enby, and neurodivergent affirming therapist. I work continually to be an anti-oppressive therapist.

If you or someone you know is seeking help from an LGBTQIA-allied therapist, contact me today. I would be happy to speak with you about how I can help.